Claims Processor

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

Job description:1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the...

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

Handles member's inquiries regarding billing and claims.Maintain clear and professional communication with customers, providing timely and accurate information.Qualifications:Education: College graduate with at least 6 months of experience in a BPO setting, preferably healthcare account.Experience: Proven experience in a customer service role, preferably...

Provider Dispute Claims Processor | Urgent HiringWork Set-Up: In-Office Training Required | Potential for Remote Work After TrainingLocation: Makati, ValeroExpected Start Date: December 8, 2025Position Summary:We are seeking an experienced Provider Dispute Claims Processor to join our growing healthcare team. This role is responsible for reviewing,...

We're Hiring: Provider Dispute Claims Processor We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, adjudicating medical claims and resolving provider disputes in compliance with regulatory guidelines and internal policies. This role requires strong analytical skills, a high level of accuracy,...

Job Objective / PurposeThe Claim Processor is responsible for timely processing of medical claims based on the member's health benefit program. They analyze medical information, perform data entry, handle reimbursement claims, and decide whether a claim should be covered or denied. Communicate issues or exceptions to other concerned departments as...

Healthcare Claims Processor Supervisor | Urgent HiringWork Set-Up: In-Office Training Required | Potential for Remote Work After TrainingLocation: Makati, ValeroExpected Start Date: December 8, 2025Position Summary:We are seeking a dynamic and experienced Healthcare Claims Processor Supervisor to oversee our growing Claims team. This role is pivotal in...

POSITION TITLE: Claims Assistant (Non-motor Insurance) WORK LOCATION: Alabang WORK SETUP: Onsite always WORK SCHEDULE: Day Shift QUALIFICATIONS: -Graduate of any 4-year bachelor’s degree. -2–4 years experience in Non-Motor Claims or prior experience in a claims department or working with insurance claims is a significant advantage. -Experience in...

POSITION TITLE: Claims Assistant (Non-motor Insurance) WORK LOCATION: Alabang WORK SETUP: Onsite always WORK SCHEDULE: Day Shift QUALIFICATIONS: -Graduate of any 4-year bachelor’s degree. -2–4 years experience in Non-Motor Claims or prior experience in a claims department or working with insurance claims is a significant advantage. -Experience in...

Work Set-Up: In-Office Training Required | Potential for Remote Work After Training)Location: Makati, ValeroExpected Start Date: December 8, 2025Your next career move starts here – submit your application todayPosition Summary:We are seeking an experienced Provider Dispute Claims Processor to join our growing healthcare team. This role is responsible for...

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

YOUR ROLEProcesses, reviews, and recommends claims for approval within the assigned scope/area and standard turnaround timeMaintains effective communication, coordination, and good relationship with clients, concerned business units, and other parties involvedReports generationA BIT ABOUT YOUGraduate of bachelor's degree course (Business/Finance related...