Reimbursement Claims Intern

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (Member's Reimbursement) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements).Principal Accountability:Ensures accurate and timely processing of claims from medical service providers within authority limits. This...

DescriptionEssentially responsible for carrying out set strategies of Health Claims team relevant to efficient end to end claims processing and provide a delightful customer service.Will supervise and lead the Reimbursement Team in the end-to-end claims processing.Executes strategies and action plans of the department according to goals ( KPI ) for the...

Please visit for more information.1. Properly adjudicate reimbursement claims on outpatient, inpatient benefits of policyholders on a health policy.2. Accurately determine if a medical condition is a covered benefit based on the policy provisions, terms, and conditions.3. Adjudicate reimbursement claims in accordance with the different processes within...

A global leader in insurance and investments, AXA takes care of 103 million lives in 64 countries worldwide. We actively invest in pioneering and personalized solutions to meet your ever-changing needs and exceed your expectations. In the Philippines, we are in partnership with Metrobank, one of the country's strongest banks.Established in 1999, AXA...

Established in 1999, AXA Philippines is one of the largest and fastest growing life insurance companies in the country. It offers financial security to more than one million individuals through its group and individual life insurance as well as general insurance products through its subsidiary Charter Ping An. AXA Philippines is one of the first to introduce...

Job Summary:The Claims and Warranty Assistant is responsible for assisting in the processing, monitoring, and documentation of warranty and claims transactions. This role ensures that all claims are properly validated, filed, and tracked in accordance with company policies and manufacturer guidelines, supporting efficient aftersales operations and customer...

Description of the Functions of the DepartmentThe department is responsible for processing the claims and determining whether payment should be made. The department ensures that the following are observed:Checks validity/compensability of claims based on the plan coverage/balance and limits up-to-date membership fee payment (active status) completeness of...

Job Title: Head of Claims DepartmentObjectives:Lead and manage the end-to-end claims process to ensure timely, fair, and efficient resolution in line with target turnaround times.Serve as the primary liaison between clients, adjusters, and insurance companies / representatives to ensure the necessary support is provided for effective claims...

This Claims Lead will be responsible for overseeing and managing the daily operations of the claims team. This role involves ensuring efficient processing of claims, maintaining high standards of customer service, and guiding team members to achieve performance targets. The Claim Lead acts as a liaison between the claims team, other departments, and external...

About the role Generali Life Assurance Philippines, Inc. is seeking a talented Claims Specialist to join our dynamic team in Makati City, Metro Manila. As a Claims Specialist, you will play a crucial role in ensuring efficient and effective claims processing, contributing to the overall success of our insurance business. This is a full-time position that...