Claims Processor

We're Hiring: Provider Dispute Claims Processor We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, adjudicating medical claims and resolving provider disputes in compliance with regulatory guidelines and internal policies. This role requires strong analytical skills, a high level of accuracy,...

Healthcare Claims Processor Supervisor | Urgent HiringWork Set-Up: In-Office Training Required | Potential for Remote Work After TrainingLocation: Makati, ValeroExpected Start Date: December 8, 2025Position Summary:We are seeking a dynamic and experienced Healthcare Claims Processor Supervisor to oversee our growing Claims team. This role is pivotal in...

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...

Work Set-Up: In-Office Training Required | Potential for Remote Work After Training)Location: Makati, ValeroExpected Start Date: December 8, 2025Your next career move starts here – submit your application todayPosition Summary:We are seeking an experienced Provider Dispute Claims Processor to join our growing healthcare team. This role is responsible for...

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...

Short Description:Review and verify the accuracy and completeness of submitted medical claims, including patient information, provider details, services rendered, and billed amounts.Assess the coding accuracy of diagnoses, procedures, and services according to industry-standard code sets such as ICD-10, CPT, and HCPCS.Determine the eligibility of claims...

Warranty Processor is responsible for all warranty processing concerns especially evaluating customer claims. Also responsible in preparing, safekeeping, monitoring and organizing warranty parts.Job RequirementPreferably graduate of any automotive course.With at least 2 year experience in automotive service and repair.Newly graduates are welcome to...

Job DescriptionReviews all claims documents and relates it to the insurance policy for complianceTasked to inspect the damages sustained by the vehicles being claimed, canvass the necessary parts and make recommendations on the most accurate amount of repair that can be approved for the claims filed.Tasked to scan and evaluate bodily injury claims filed...

·       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...

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.Please visit for more...