CLAIMS PROCESSOR

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

Handles member's inquiries regarding billing and claims.Maintain clear and professional communication with customers, providing timely and accurate information.Qualifications:Education: College graduate with at least 6 months of experience in a BPO setting, preferably healthcare account.Experience: Proven experience in a customer service role, preferably...

POSITION SUMMARY:Assists the Branch Head in providing the necessary services to all the Clients, Customers, Agents and Brokers maintaining the quality of services within the standards of the Company.ESSENTIAL FUNCTIONS:Receives claims and underwriting advice and assists client, agent or broker or representative on matters relative to the request.Inspects,...

Handles member's inquiries regarding billing and claims.Maintain clear and professional communication with customers, providing timely and accurate information.Qualifications:Education: College graduate with at least 6 months of experience in a BPO setting, preferably healthcare account.Experience: Proven experience in a customer service role, preferably...

Equicom Services, Inc. is now looking for Medical Claims Processor who can work onsite.Cebu Office Office: 8F Appleone Equicom Tower Cebu Business Park, Cebu CityQualificationsGraduate of any 4 year medical related courses / Undergrad atleast 3rd year levelOpen for fresh graduatesExcellent oral and written communication skillsAbility to multi-task while...

DescriptionResponsible for ensuring proper processing of information from first line of process to identify and reconcile possible adjustments.ResponsibilitiesInformation Review Processes client information by adheres to the standard operating procedures (SOP) and turnaround time set forthReviews and identifies if there are adjustments and variances to...

Transport POD/Claim ProcessorJob Summary: We are seeking a detail-oriented and efficient POD/Claim Processor to join our team. As a POD/Claim Processor, you will be responsible for processing Proof of Delivery (POD) documents and handling claims related to shipments. Your primary duties will include verifying delivery information, investigating...

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

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,...

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...

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...

POSITION TITLE: Claims Assistant (Non-motor Insurance) WORK LOCATION: Alabang WORK SETUP: Onsite always WORK SCHEDULE: Day Shift QUALIFICATIONS: -Graduate of any 4-year bachelor’s degree. -2–4 years experience in Non-Motor Claims or prior experience in a claims department or working with insurance claims is a significant advantage. -Experience in...

POSITION TITLE: Claims Assistant (Non-motor Insurance) WORK LOCATION: Alabang WORK SETUP: Onsite always WORK SCHEDULE: Day Shift QUALIFICATIONS: -Graduate of any 4-year bachelor’s degree. -2–4 years experience in Non-Motor Claims or prior experience in a claims department or working with insurance claims is a significant advantage. -Experience in...

A) Position Objective:The position is responsible for ensuring efficiency, accuracy of claims processing and settlements as part of servicing to our agents and clients insurance claims of all lines in accordance with company policies and guidelines within the accepted loss evaluation in a timely manner.B) Roles and Responsibilities:Receive and register...

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...