
Claims Assistant
17 hours ago
JOB DESCRIPTION:
Evaluates and process claims within prescribed turn around time and in accordance to standard
provisions of the Master Policy Contract.
SCOPE AND RESPONSIBILITIES
Processing of Claims
- Encodes claims expense and releases benefits according the provisions of the policy.
Preparation of Disbursement Request (DR)
- Ensures all claims are signed and approved before tagging in CAS system.
- Prepares transmittal of Disbursements within the cut-off time.
Network Coordination
- Clarifies billing and procedures during availment for proper adjudication of claims.
Releasing of Checks and File Maintenance
- Prepares transmittal letters and updates
Incoming/Outgoing Masterfile.
- Sends documents to Records for scanning
JOB QUALIFICATIONS:
Minimum Qualifications:
- Bachelors Degree of any course
- Open to fresh graduates (Certificate of Graduation or Diploma must be available on-hand)
- Working experience in Claims related is an advantage
- Good communication skills
- Willing to work under Reliever contract (105 days only)
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