Claims Assistant

17 hours ago


Makati City, National Capital Region, Philippines Sun Life Grepa Financial, Inc. Full time ₱120,000 - ₱180,000 per year

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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