Claims Supervisor
Full-time
InLife Benefits PH
Key Responsibilities
- Review and process medical claims in accordance with company policies and guidelines.
- Verify claim accuracy, reconcile provider accounts, and prepare payment transmittals.
- Approve claims within authority limits and escalate when necessary.
- Handle inquiries, disputes, and payment concerns within prescribed turnaround times.
- Coordinate with providers and internal teams on claims reconciliation and SOA validation.
- Support system enhancements through UAT testing and process improvement initiatives.
Qualifications
- Bachelor's degree in a medical, healthcare, or business-related field.
- Minimum 3 years of medical claims in a supervisory role.
- LOMA certification or coursework is an advantage.
Vacancy posted 1 day ago
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