Associate - Insurance Claims

1 day ago

Taguig, National Capital Region, Philippines Principal Global Services Full time ₱300,000 - ₱450,000 per year

Responsibilities
Description % of Time Spent

  • Analyze and process information received/not received to decide if claim moves to IGO or if claim follows our NIGO process where a determination is made on the claim. 25%
  • Communicate, both written and verbally with claimants, employers, beneficiaries, and medical providers regarding claim status and to obtain/collect information to assist with the claim process. Fully document claim and maintain claim file for all communication. Maintain accurate monthly requirements/quality. 30%
  • Initiate ways to improve the team and work efficiency. 10%
  • Provide training/coaching and act as a resource for the NIGO/IGO team. 10%
  • Organize, set priorities, and effectively manage caseload to ensure all requirements are met. May assist others in establishing their workload priorities. 25%

Qualifications
Qualifications

  • High school diploma or GED required, or 2-4 years related work experience
  • Ability to maintain a high degree of accuracy while being detail oriented required
  • Must be able to work in a team environment
  • Good analytical, organizational, problem solving and decision-making skills
  • Ability to maintain confidentiality
  • Strong verbal and written communication skills (must be able to communicate with individuals experiencing illnesses, financial losses, or deaths of loved ones as well as legal and/or medical professionals)
  • Ability to maintain good public relations with customers (employers, employees, and beneficiaries)

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