Health Claims Officer

Job Description:

1. Essentially responsible for carrying out set strategies of Health Claims team relevant to efficient end to end claims processing and provide a delightful customer service. 
2. Will supervise and lead the Reimbursement Team in the end-to-end claims processing.
3. Executes strategies and action plans of the department according to goals ( KPI ) for the year
4. Monitors and ensures prompt resolution on escalated cases including complaints.
5. Approves escalated cases within the assigned authority limit
6. Monitors the day-to-day performance of the team, including the daily productivity of the processors through WIP.
7. Conducts spot audit on claims processed by the team
8. Provides coaching and mentoring to the team to ensure compliance on the claims processes and policies
9. Submission of end of day prod report and other report that may be required by the head
10. Performs other tasks as may be assigned from time to time related to the assigned tasks.

·       Education: Allied Medical Graduate/ Professional

·       Experience Required:

At least 3 years of related work experience (Insurance / HMO) in a supervisor capacity

With vast experience in customer service

With exposure to BPO- advantage

·       Competencies:

Core: Leadership Skills, Customer Centric, Product Knowledge, Claims Processing, Critical Thinking

Technical: Medical Knowledge in Healthcare operations

Universal: Knowledge of MS Office applications

Critical Traits: Good analytical Skills, Good interpersonal skills

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A global leader in insurance and investments, AXA takes care of 103 million lives in 64 countries worldwide. We actively invest in pioneering and personalized solutions to meet your ever-changing needs and exceed your expectations. In the Philippines, we are in partnership with Metrobank, one of the country's strongest banks.

Established in 1999, AXA Philippines is one of the largest and fastest growing life insurance companies in the country. It offers financial security to more than one million individuals through its group and individual life insurance as well as general insurance products through its subsidiary Charter Ping An.

AXA Philippines is one of the first to introduce bancassurance operations in the country, and is among the pioneers in the investment-linked insurance sector.

AXA now offers a complete range of products for all its customers' insurance and financial protection needs, including savings and investments, health plans, income protection, and health coverage; and through its general insurance subsidiary Charter Ping An Insurance Corporation: fire, motor car, marine cargo, personal accident, bonds, casualty, and engineering insurance products.

AXA Philippines closed 2017 with P26.4 billion in total premium income and P5.7 billion in gross written premiums from Charter Ping An. Today, AXA has more than 4,000 financial advisers in 36 branches, and 700 financial executives in over 900 Metrobank and PSBank branches nationwide. Charter Ping An, on the other hand, has 22 branches nationwide and 2,007 agents.

AXA Philippines is a joint venture between the AXA Group, headquartered in France, and the Metrobank Group, one of the largest financial conglomerates in the Philippines.

The Metrobank Group is a conglomerate of industry-leading businesses that includes First Metro Investment Corporation, Metrobank Credit Cards, Federal Land, Toyota, and Manila Doctors Hospital. It was hailed Best Bank in the Philippines in 2010, 2011, and 2012 by Euromoney and recognized as the strongest bank in the Philippines by The Asian Banker in 2013. It is owned by the Ty Family whose major business interests include financial services, real estate development, power, and manufacturing.