Claim and Processing Associate
Full-time
Topserve Service Solutions, Inc.
- Reviewing client's insurance coverage and interviewing those who have filed a claim.
- Analyzing and investigating complicated insurance claims to help prevent fraud.
- Performing detailed site inspections.
- Reviewing and processing new claims reports.
- Upholding relationships and communication with insurance departments and clients.
- Organizing and presenting claim review plans.
- Assisting customers in determining need and eligibility of services available, calculating and assigning appropriate reserves to claims, and managing reserve adequacy throughout the life of the claim.
- Determining benefits due pursuant to the client contract.
- Handling claims files.
- Investigating claims by determining applicable policy coverage, evaluating damages, and settling assigned claims.
- Experience as a claims processor or similar role in insurance is a plus
- Familiarity with insurance policies and claims procedures
- Good data entry and data processing skills
- Attention to detail and analytical skills
- Ability to handle confidential and sensitive information
- Good communication and negotiation skills
- Bachelor’s degree in any course is a must
- Wiling to work on-site in Ortigas, Pasig
Vacancy posted 9 hours ago
Similar jobs that could be interesting for youBased on the Claim and Processing Associate in Pasig vacancy
- ...Check documents received from claimant or intermediary and ensure their correctness. Evaluate each claim assigned and conduct investigation when necessary. Develop plans for investigation of claims and gather all necessary documents and information. Communicate...
- ...We are seeking a Claims Investigation Associate to join our logistics operations team. This role focuses... ...parcels, identifying the root causes, and coordinating internal dispute... ...logs to determine accountability. Process and evaluate claims in line with company...
- ...Position Overview We are seeking a detail-oriented and proactive Claims Processor to join our growing team. The successful candidate will play a key role in ensuring accurate and timely claims processing while delivering excellent customer service. Key Responsibilities...
- ...Job Summary We are seeking a detail-oriented and organized Claims Assistant (Claims Opener) to join our team. In this role, you will be responsible... ...that critical information is captured to support the legal process. This position is ideal for individuals with strong...
1 $ per year
...hospital or physician billing) experience and AR collections experience With above average... ...(EOB) Must be familiar with medical claim forms (CMS - 1500 and UB - 04)... ...outcomes to providers or patients. Review and process medical claims using CMS-1500 and UB-04 forms...- ...Position Overview We are looking for detail-oriented Claims Processors to review, verify, and process healthcare claims accurately while ensuring compliance with company policies and service standards. Key Responsibilities • Review and process claims within required...
- The Claims Assistant reports to the Claims Officer and Assistant Manager, Non-Motor Claims and is responsible for end-to-end processing of designated Personal Accident (PA) Claims and other related tasks as assigned. This includes validating documents, evaluating Claims...
- ...least 3rd year completed) Experience in HMO or Insurance (LOA Issuer or Claims Processor) is an advantage Non-Medical Graduates with at least 1 year of BPO/Call Center experience Good English and Tagalog communication skills Computer literate Willing to work...
- ...DUTIES AND RESPONSIBILITIES 1. Manage product listings on e-commerce platforms such as Shopee, Tiktok, FB Live and Instagram. 2... .... 5. Update product descriptions, pricing and inventory. 6. Process online orders and coordinate deliveries. 7. Respond to customer...
- ...high-quality condiments, dressings, sauces, and value-added food products. With decades... ...(Food Industry) | Sales and Marketing Associate Industry: Food & Beverage Manufacturing... ...assigned by management. Recruitment Process: (Face to Face) Initial Interview Final...
- ...A Finance and Admin role typically involves managing financial transactions, maintaining records, and ensuring smooth administrative... .... Conduct bank reconciliations and manage budgetary processes. Process tax payments and returns. Prepare financial reports...
- ...Validate claims submitted to the Company Inspect property and motor car claims, including potential fraud cases. This may include claims nearby provinces, as these will no longer be assigned to an independent adjuster. Verify policy coverage, provisions, and related...
- ...Assist in the development and execution of marketing strategies to increase brand awareness. Generate and qualify leads through... ...Collaborate with the sales team to enhance sales management processes. Support in creating engaging content for various marketing platforms...
- ...high-quality condiments, dressings, sauces, and value-added food products. With decades... .... Position: Sales and Marketing Associate Industry: Food & Beverage Manufacturing... ...assigned by management. Recruitment Process: (Face to Face) Initial Interview Final...
- ...The Medical Claims Analyst is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts. The role ensures accurate, timely resolution... ...and trends to management. Initiate and process appeals when necessary. Identify and...
- ...We are looking for experienced Medical Claims Analysts – Accounts Receivable (AR) to join... ...provider billing, performing AR collections, and ensuring timely and accurate claims... ...a strong understanding of medical claims processes. Key Responsibilities · Review, analyze...
- ...Prepare and process purchase Orders based on approved purchase request Perform three-way matching of purchase and request for payment Encode receiving of inventory and details in the system Effectively and efficiently support the full operation and maintenance...
- ...We are looking for a detail-oriented and reliable Finance Assistant to join our team. They'll handle day-to-day accounting operations... .../payable, bank reconciliations, tax filings, and payroll processing. This role requires strong analytical skills, proficiency in QuickBooks...
- ...Responsibilities Conducts motor claims vehicle inspection and prepares claims adjustment report Coordinates with the repair shop/client before proceeding with the inspections Coordinate closely with the Head Office evaluator and processor and discusses concerns...
33000 Php
...MED-METRIX IS HIRING! Location: Pasig City Position: Medical Claims Analyst – AR Earn Up to ₱33,000 Monthly! 8-Hour Shift Fixed... ...Claims Analyst – AR, you will be responsible for managing and resolving outstanding insurance and patient accounts to ensure timely...- ...Job Responsibilities: Achieve monthly and quarterly sales volume and revenue targets Manage and grow existing dealers/distributors Build strong partnership with store owners, purchasing managers and coop leaders. Ensure consistent sell-in to dealers and sell...
- ...Legal & Paralegal Support Prepare, review, and organize legal documents related to debt recovery, including demand letters, notices, pleadings, and affidavits Maintain and update case files for litigation, arbitration, and enforcement matters Liaise with external...
- ...Responsibilities New Claims acknowledgment within 24hrs File and keep organized all claim files To close claims as quickly as possible Filing... ...course With at least 1 year of experience as a Claims Associate Must be keen on details Good oral and written...
- ...Maintain and regularly update Accounts Receivable (AR) Reports Record and input collections into the ERP system Responsible for collecting BIR Form 2307from clients Support the finance team in day-to-day accounting tasks Graduate of a 4-year college course...
- ...widely recognized for its creamy mayonnaise and offering a diverse portfolio that... ...focused foods. POSITION: Sales and Brand Associate (B2B Sales) INDUSTRY: Food Industry... ...standards, and company policies RECRUITMENT PROCESS (Face to Face or Online) Initial...
- ...Process all online mall and website orders Online accounts management and set-up Customer relationship management Study website and online mall analytics to perform appropriate changes and improvements Set the landing pages, product information, checkout options...
- ...is engaged in the production, marketing, and distribution of food products designed for... ...Philippines. Position: B2B Food Sales Associate Industry: Trading Company Work... ...improvement and innovation by reviewing processes, increasing productivity, and proposing new...
- ...calls Strong understanding of healthcare and insurance terms such as copay,... ...of Benefits (EOB) Familiar with medical claim forms CMS-1500 and UB-04 Responsibilities... ...discrepancies Ensure timely and accurate claims processing and collections Maintain proper...
- ~ Manage and process orders from online malls and the company website ~ Oversee and set up online accounts ~ Maintain strong relationships with online customers ~ Analyze website and online store data to optimize performance ~ Ensure visually appealing and user-...
- ...JOB SCOPE: The Repo SSA is expected to achieve monthly cash and Financing target by converting inquiries to releases Responsibilities... ...signed by client To assist Top-up customers from end-to-end process Encoding of ORCR to submission to LOD Provide customer...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claim and Processing Associate. Be the first to apply!
