claim resolution manager

QBE Group Shared Services Centre is seeking a claims professional to deliver accurate policy coverage assessments, investigate, evaluate, and negotiate assigned cases to resolution. You will handle motor claims processing with emphasis on guidelines, accuracy, and timely communication.Experience in motor claims and a tertiary education are preferred. This...

People’s General Insurance Company in the Philippines is seeking a claims handler to support clients during claim processing. You will evaluate, verify, and process insurance claims promptly and fairly, ensuring clarity and compliance throughout the workflow.Responsibilities include receiving and assessing claim documents, coordinating with clients,...

Optum Philippines is seeking an experienced claims professional to provide expert support in reviewing, researching, negotiating, and resolving complex health plan claims. You will analyze trends and generate reports while ensuring compliance with policies and contracts.The role requires adaptability to policy changes and various work arrangements. Ideal...

See internal ad for details.Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.Our associates are given valuable opportunities to contribute, to innovate...

UnitedHealth Group's Optum team is seeking a claims recovery specialist to review, research, negotiate and resolve claims for health plans, commercial clients and government entities. You will help ensure policy adherence and accurate processing while supporting recovery efforts.You will also analyze trends, generate reports, and manage multiple products and...

QBE Group Shared Services Centre is seeking an experienced claims professional to manage end-to-end settlement processes and ensure regulatory compliance across portfolios. The role emphasizes customer communication and collaboration with suppliers and assessors.The ideal candidate will have a Bachelor's Degree, strong English skills, and proficiency in MS...

A logistics and courier service provider in Metro Manila is seeking a Logistic Associate - Arbitration to handle claims related to courier services. This role involves managing claims, reviewing documentation, and facilitating communication between parties to settle disputes. Candidates should possess strong analytical and communication skills. This position...

Optum Philippines is seeking a detail‑oriented professional to provide claims expertise support across health plans and government entities. You will review, investigate, negotiate and resolve diverse claims while ensuring compliance with policies and regulatory requirements.The role involves analyzing trends, generating reports, and managing subrogation...

Private Advertiser in the Philippines is seeking an experienced claims recovery professional to provide expertise in reviewing, researching, negotiating, and resolving claims for health plans, commercial customers, and government entities.This role emphasizes independent work, adherence to compliance policies, and the ability to handle multiple products and...

Location: Taguig Schedule: Onsite, 8:00 AM 5:00 PM Job Purpose The Senior Manager is responsible for leading the end-to-end Collections and Disputes operations for the Australia/New Zealand market within a Shared Services environment. The role focuses on ensuring excellent service delivery, driving operational efficiency, strengthening internal and...

QBE Group Shared Services Centre is seeking an experienced claims professional to manage end-to-end claims processing with strong customer communication. You will assess policy coverage, determine settlements, and collaborate with suppliers while adhering to regulatory and internal standards.Candidate should have a Bachelor's degree and solid MS Office...

FIND YOUR 'BETTER' AT AIA We don't simply believe in being 'The Best'. We believe in better - because there's no limit to how far 'better' can take us. We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even...

Manila Bankers Life and General Assurance Corporation On-site - Makati 1-3 Yrs Exp Bachelor Full-time Job Description Government Mandated Benefits Insurance Health నేప Wellness Health Insurance, Life Insurance, HMO Professional Development Job Training Description Lead and supervise the claims processing team to ensure efficient and accurate rec...

Staff Outsourcing Solutions is seeking a candidate with medical claims or denial management experience to read denials, determine causes, and chase resolution. The role involves reviewing, processing, and managing medical insurance claims, and following up with insurers until issues are resolved.The ideal applicant has at least 1 year in medical claims,...

FIND YOUR 'BETTER' AT AIAWe don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us.We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support...

FIND YOUR 'BETTER' AT AIAWe don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us.We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support...

Responsibilities: Adjudicates claim Initiates or conducts investigations of questionable claims Resolves claims by approving or denying, calculating benefits due, initiating payment, preparing notice to member after case adjudication by indicating remarks in the system Documentations of the medical claims by preparing worksheets for inpatient cases, data...

Roles and Responsibilities: Performance management Ensure that claims are processed in a timely and judicious manner; with clear, concise, and customer-friendly communications. Cognizant of data governance, data privacy and relevant regulations in ensuring continuous, timely and effective processing of claims transactions. Plans, schedules, supervises and...

Optum is seeking a Collections specialist to support healthcare unpaid claims. Based in the Philippines, you will interact with providers and payers to verify claim status and collect unpaid balances, ensuring invoices are accurate and reconciled with accounts receivable.You will read contracts for payment disputes, work on provider-side processes, and...

To take ownership in an AP Issue Resolution Manager roleGrow with an established leading renewable energy business About Our Client The hiring company is a globally leading renewable energy business that is growing their team here in the Philippines. Job Description Oversee the resolution of accounts payable discrepancies and disputes. Monitor and ensure...