
Office Admin Staff
3 days ago
JOB BRIEF:
The Claims Processor is responsible for reviewing, verifying, and processing insurance claims accurately and efficiently. This role ensures that claims are handled according to company policies and regulatory requirements, providing timely responses to claimants and internal teams.
DUTIES & RESPONSIBILITIES:
- Review incoming insurance claims for completeness, accuracy, and compliance with company guidelines.
- Verify claimant information, policy coverage, and supporting documentation.
- Process claims by entering data into the claims management system.
- Communicate with claimants, healthcare providers, and other relevant parties to obtain missing information or clarify discrepancies.
- Resolve claim issues, escalate complex cases, and follow up on pending claims.
- Maintain up-to-date knowledge of relevant laws, regulations, and company policies.
- Generate reports on claim status, trends, and issues for management review.
- Ensure confidentiality and security of sensitive claimant information.
QUALIFICATIONS:
- Graduate of any 4-year course
- With at least 6 months experience as Claims Processor are preferred
- Fresh graduates are welcome to apply
- Must have an excellent background in using MS Office application
- Willing to start asap
- Willing to be assigned in Ayala Ave., Makati
- Will to undergo training
Job Types: Full-time, Permanent, Fresh graduate
Pay: Php18, Php20,000.00 per month
Benefits:
- Health insurance
- Life insurance
- Paid training
Work Location: In person
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