medical claims processor

Provider Dispute Claims Processor | 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 an experienced Provider Dispute Claims Processor to join our growing healthcare team. This role is responsible for reviewing,...

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...

Date Posted: December 23, 2021Job Location: Makati CityJob Description:Job Description:Checks completeness of required documentsProcess all eligible claims with 5-15 working days TAT depending on pre-agreed credit term with the Provider with the 10-15% margin for error/correctionEnsures that all medical claims for check payment request has secured proper...

Date Posted: April 4, 2022Job Location: Makati CityJob Description:Job Description:Checks completeness of required documentsProcess all eligible claims with 5-15 working days TAT depending on pre-agreed credit term with the Provider with the 10-15% margin for error/correctionEnsures that all medical claims for check payment request has secured proper...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing, and processing claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, and policies within the agreed SLAs (Service Level of Agreements)JOB QUALIFICATIONS:Graduate of Bachelor of Science in Nursing or any related medical course - FRESH GRADUATES...

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...

Job Description: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. Will supervise and lead the Reimbursement Team in the end-to-end claims processing.Executes strategies and action plans of the department according to goals ( KPI ) for...

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.Knowledgeable in Microsoft Office...

Please visit for more information. Acknowledge receipt of Claim requests. Upload claim documents to case in the health claims system Validate claim details in the health claims system Update Claim status and notes in the health claims system Update TPA file for endorsement to Claims Control Team Adheres to service standards of processing...

YOUR ROLEVerification of cover in order to determine if indeed there is coverage/policy in-force when the loss occursMakes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authorityHandles the necessary communication that should...