Claims Processor

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...

Job Title: Claims Processor Trainer | NON-VOICEIn-Office Training Now, Potential for Remote Work LaterPosition Summary:We are seeking a knowledgeable and experienced Trainer for the Claims Adjudication Process to join our growing team. The ideal candidate is responsible for designing, facilitating, and evaluating training programs focused on claims...

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...

Job descriptionThe position is responsible for processing insurance claims accurately and quickly through industry approved claims processing. The job may also entail various claims investigation elements and may involve field work from time to time.Specific requirements are as follows.Data entry - receives claims documents from clients and books the same to...

A) Position Objective:The position is responsible for ensuring efficiency, accuracy of claims processing and settlements as part of servicing to our agents and clients insurance claims of all lines in accordance with company policies and guidelines within the accepted loss evaluation in a timely manner.B) Roles and Responsibilities:Receive and register...

YOUR ROLEReports generation.Processes, reviews, and recommends claims for approval within the assigned scope/area and standard turnaround time.Maintains effective communication, coordination, and good relationship with clients, concerned business units, and other parties involved.A BIT ABOUT YOUGraduate of bachelor's degree course (Business/Finance related...

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...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements)Graduate of Bachelor of Science in Nursing or any related medical course (FRESH GRADUATES ARE WELCOME TO...

STRATEGIC STAFFING SOLUTIONS (S3)Position: Clinical Claims ProcessorWork Set-Up: OnsiteOffice Location:Makati CitySchedule:Night Shift (EST)JOB RESPONSIBILITIESAs aClaims Processor, you will be responsible for accurately processing both manual and electronic claims, meeting production goals, ensuring high-quality standards, adhering to compliance policies,...

DUTIES & RESPONSIBILITIES:Review incoming insurance claims for completeness, accuracy, and compliance with company guidelines.Verify claimant information, policy coverage, and supporting documentation.Process claims by entering data into the claims management system.Communicate with claimants, healthcare providers, and other relevant parties to obtain...