Claims Manager
Full-time
InLife Benefits PH
Key responsibilities
- Supervise the assessment, validation, and settlement of insurance claims
- Lead and mentor claims specialist, ensuring productivity and adherence to service standards
- Handle escalated client inquiries and complaints, providing empathetic and professional resolutions
- Ensure claims handling complies with insurance regulations, internal policies, and ethical standards
- Identify potential fraudulent claims and coordinate investigations
- Prepare regular reports on claims performance, turnaround times, and outstanding cases
- Recommend and implement enhancements to claims procedures for efficiency and customer satisfaction
About you
- Bachelor's degree in Insurance, Business Administration, Finance, or related field
- 5 years of experience in insurance claims from HMO or Life Insurance in a managerial role
- Strong knowledge of HMO or life insurance products, claims regulations, and industry practices
- Excellent analytical, decision-making, and communication skills
- Proficiency in claims management systems and MS Office tools.
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Claims Manager in Makati vacancy
- ...Description Lead and supervise the claims processing team to ensure efficient and accurate handling of claims. Develop and implement... .... Monitor claims metrics and provide regular reports to management for continuous improvement. Train and mentor staff on claims...
90000 - 115000 Php
...Job Title: Claims Management Process Lead Employment Type: Full-Time, Permanent Salary: PHP 90,000–115,000/month, inclusive of language premium Work Setup: WFH (must be based in the Philippines) Shift: Morning shift, between 9:00 AM–6:00 PM and 12:00 NN–9:...- ...Keep every claim moving with confidence. Join a collaborative Claims team where you’ll bring accuracy, organisation, and responsive... ...or sensitive matters to the responsible Claims Handler or Claims Manager. Qualifications ~2–3 years of experience in insurance claims...
- ...diagnoses and treatments. Ensure coding complies with insurance, regulatory, and hospital guidelines. Input and manage coded data in hospital or claims processing systems. Verify and reconcile records to prevent errors or claim denials. Communicate with...
- ...About the role This role involves managing insurance claims from initiation through to settlement, including preparing and submitting documentation, handling client inquiries and payments, maintaining updated client files, and coordinating with loss adjusters and investigators...
- ...Receive and log incoming claim documents and ensure proper filing and organization. Encode claim details accurately into the claims management system. Assist in the preparation and dispatch of claims-related correspondence (emails, letters, follow-ups). Monitor...
- ...Job Description: Travel Claims Assistant Key Responsibilities Travel Claims Processing Review and analyze travel expense claims... ...within required timelines. Coordination and Stakeholder Management Coordinate with Staff Travel Coordination (STC) on ticket...
- ...YOUR ROLE Reports 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...
- ...They want answers. Scope of Role Reporting to the Expense Claim Team Leader, this position will be focusing on staff expense claims... ...) where appropriate. Provide expense claim list to Office Manager for payment processing. Support Regional Finance Team on ad-hoc...
- ...Role : Thai Bilingual Claims Specialist Job Type: Full-Time, Permanent Work Location: Philippines Language Requirements:... ...and has a strong understanding of claims operations, escalation management, and process improvement. This role involves reviewing complex...
18000 Php
...Claims Processing: · Review and process medical claims submitted by members or healthcare providers. · Check documents for completeness... ...: · Bachelor’s degree in Business administration, Healthcare Management, Nursing, or a related field is preferred. · A diploma in...- ...The Claims Officer is responsible for acquiring reparations for Philhealth claims, submission, and reviewing the eligibility of the... ...Denied claims, subject to review and approval by Account Receivable Manager. · Maintain updated data in PHIC Monitoring with PHIC...
- ...Claims Management and Evaluation Supervision of Claims Staff Claims Investigation and Settlement Customer and Client Coordination Compliance and Documentation Reporting and Monitoring Process Improvement Qualifications Bachelor's degree in Business...
- ...provide effective support in the treatment and control of information related to the processing of claims, including maintaining information in the system and managing generated documents. Bachelor’s degree holder of any 4-year business-related course Fresh graduates...
- ...BASIC FUNCTION: The Claims Adjuster provides technical and administrative support by extending assistance in the assessment and evaluation... ...of motor car claims and other claims as authorized by management filed with the branch office. He is also responsible for the provision...
- ...Validate all the claims received from the customers. Gather the necessary information from people involved in the claims to obtain proof of delivery from the appropriate carrier. Communicate with different departments to correct issues that arise and properly clear...
- ...The Claims Evaluator is responsible for investigating, evaluating, and processing non-life insurance claims in accordance with company... ...reports and maintain accurate documentation in the claims management system. Ensure compliance with company guidelines, insurance...
- ...Provides administrative and clerical support for the claims process within an insurance company or similar organization. They handle incoming claim inquiries, manage claim files, prepare correspondence, and process payments. Their work ensures claims are processed...
- ...Responsible for analyzing, adjudicating, auditing, and processing of claims (In-Patient, Outpatient Hospital Bills and Professional Fees) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements) Analyze claim submissions to...
- ...Review and process insurance claims efficiently and accurately. Investigate claims to determine validity and gather necessary information. Communicate with clients, healthcare providers, and insurance adjusters. Ensure compliance with company policies...
- ...Attend to all queries. Communicate claims decisions clearly. Encode claims report Coordinate with the medical department College Graduate of any course Fresh graduates are encouraged to apply Willing to be trained No experiences needed Residing...
- Review and process medical claims submitted by members or healthcare providers. Check documents for completeness, including medical... .... Bachelor’s degree in Business administration, Healthcare Management, Nursing, or a related field is preferred. A diploma in...
- .... Work Objectives: #Ensures accurate and timely processing of bills. # To be précised and detail-oriented in processing claims availments. # To ensure all payments are based on contract agreement and AHMOPI. # To ensure proper documentation of the bills....
- ...Equicom Services, Inc. is now looking for Medical Claims Processor who can work onsite. Office Address: 3F Equicom Center 3308 Zapote St., Brgy. Sta. Cruz, Makati City Qualifications Graduate of any 4 year medical related courses / Undergrad at least 3rd year...
- ...Key Responsibilities: Warranty Claims Management Review, validate, and process warranty claims submitted by dealers/service centers Ensure all claims meet company policies and documentation requirements Monitor claim status and ensure timely resolution....
- ...Identify and implement new claims procedures Evaluate and resolve claims based on company standards Analyze medical claims to ensure accurate payments Verify documents and coordinate healthcare coverage eligibility Review medical records for pre-existing conditions...
- ...Evaluate and process insurance claims accurately and efficiently. Communicate with clients to gather necessary information and documentation. Investigate claims to determine validity and assess damages. Collaborate with underwriters and other departments...
- ...Job Description This role handles insurance claims and assists clients throughout the claims process, coordinating with insurance providers... ...2 years experience in insurance claims handling or account management Solid knowledge of claims processing for Life, HMO, Medical,...
- ...Benefits is a leading provider of healthcare and employee benefits administration services in the Philippines. Job Summary The Claims Assistant is responsible for providing end-to-end support for employee healthcare and insurance benefits. Key Responsibilities...
- ...As the Health Claims LO you will be assigned to different hospitals across the county and provide a range of support services to our... ...Metro Cebu & Davao areas. The role centers on customer/client management to achieve integrated care outcomes for hospitalized clients....
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Manager. Be the first to apply!
