Claims Analyst

Join our dynamic team and make a meaningful impact in the healthcare industry. As a Medical Claims Analyst, you'll play a pivotal role in ensuring accurate claims processing while advancing your career in a supportive and innovative environment. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others...

ResponsibilitiesNew Claims acknowledgment within 24hrsFile and keep organized all claim filesTo close claims as quickly as possibleFiling of emails to understandingFollow up on outstanding claims with the insurer or with the client to obtain missing information/documentationDifferentiate client's urgent and be prompt in your response and deliveryPrepare...

Data Analyst (AI/Data Science Focus) – Health InsuranceWe are seeking a highly skilled and motivated Data Analyst with expertise in Artificial Intelligence (AI) and Data Science to join our team. In this role, you will analyze complex health insurance data to derive actionable insights, develop predictive models, and support data-driven decision-making.Key...

Be part of our growing TEAMWe are looking for goal-oriented individuals to fill in the Utilization Analyst role.The Data Analyst for Utilization Reporting is responsible for collecting, analyzing, and interpreting healthcare utilization data to support decision-making, improve care delivery, and optimize the use of health services in alignment with the HMO's...

Job PurposeThe Quality Analyst supports quality auditing, analysis, reporting and the development of plans that lead to positive outcomes. The Quality Analyst will work on risk identification, diagnosing issues, identifying process improvement solutions and process improvement implementation methods utilizing sound principles. Continuous engagement and...

Our brand, Lennor Metier Consulting , a DOLE-licensed headhunting and recruitment agency in the Philippines, is proud to partner with a Healthcare RCM company in their search for an AR Quality Analyst based in Pasig.Salary Range : up to ₱55,000Work Setup : OnsiteShift Schedule : Night Shift (9PM-5AM)Location : Pasig CityThe roleWe are seeking a...

Job Purpose:The Medical Claims Analyst is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and Responsibilities:Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websitesMeets and maintains daily productivity/quality standards...

This is an exciting career opportunity to work in a multinational, Global 500 company that makes global trade happen. You will be interacting daily with colleagues internationally, giving you the opportunity to develop your professional skills in a global environment. We provide support for you to shape your own career by achieving expertise and learning on...

DUTIES AND RESPONSIBILITIESYou are the first line of defense/gate keeper of Veritas Pay against money laundering and terrorist financingMust be able to perform Customer Due DiligenceMust conduct Enhance Due Diligence and underwritingMonitor transactions and activities on a day-to-day basis to assess if merchant transaction/s have any signs of fraudulent...

This is an exciting career opportunity to work in a multinational, Global 500 company that makes global trade happen. You will be interacting daily with colleagues internationally, giving you the opportunity to develop your professional skills in a global environment. We provide support for you to shape your own career by achieving expertise and learning on...