CLAIM PROCESSOR
Staffwise Solutions, Inc.
QUALIFICATIONS
Medical Allied Graduates / Board Passers (Nursing, Medical Technology, Physical Therapy, Pharmacy)
Nursing Undergraduates (at 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 on shifting schedules
Duties and Responsibilities
Assist customers and members with inquiries regarding HMO benefits, coverage, and services
Handle customer concerns and provide timely and appropriate resolutions
Coordinate with healthcare providers and internal departments as needed
Maintain accurate records of customer interactions and transactions
Ensure excellent customer service and customer satisfaction at all times
- ...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...
- ...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...
- ...Responsibilities New Claims acknowledgment within 24hrs File and keep organized all claim files To close claims as quickly as possible Filing of emails to understanding Follow up on outstanding claims with the insurer or with the client to obtain missing...
- ...Responsibilities Conducts motor claims vehicle inspection and prepares claims adjustment report Coordinates with the repair shop... ...Coordinate closely with the Head Office evaluator and processor and discusses concerns noted in the inspection. Job Requirements...
- DUTIES AND RESPONSIBILITIES: Ensure timely processing and release of loans in compliance with established turnaround times. Secure the completeness and authenticity of the requirements needed prior to release. Discuss and confirms the approved loan amount, terms...
- ...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 for initiating insurance claims on behalf of clients, communicating with insurance carriers, verifying policy information...
- ...client's insurance coverage and interviewing those who have filed a claim. Analyzing and investigating complicated insurance claims to... ..., and settling assigned claims. Experience as a claims processor or similar role in insurance is a plus Familiarity with insurance...
- ...The Data Processor consolidates and cleans encoded datasets to produce billing-ready and management-ready reports. This role bridges raw encoded inputs into structured deliverables used for invoicing, performance reporting, and operational decisions. Key Responsibilities...
- Responsible for creating, editing, formatting and printing document using word processing software. Must be proficient in the software and have excellent grammar, spelling, and attention to details ~ Experience in SAP System is an advantage ~*Graduate of any four ...
- · Perform fixed asset reconciliation and physical counts, ensuring alignment with the Snow system and PEZA Farm-In form. · Collate and validate vendor invoices in compliance with company policies and statutory requirements. · Coordinate with vendors to ensure compliance...
- ...The Onboarding Processor will be responsible for handling onboarding administrative tasks, including but not limited to coordinating pre-employment requirements kit, maintaining and facilitating post-onboarding activities including the collection of required documentation...
- Description Review loan applications and verify documentation for accuracy and completeness. Input and manage loan processing data into the loan origination system. Communicate with clients and lenders to gather necessary information. Ensure compliance with...
- JOB SUMMARY: Assists clients in applying for housing loans with partner banks to facilitate full payment of their purchased property. Ensures that bank financing accounts are properly applied and processed according to standard procedures and timelines. Processes...
- Bachelor's degree in finance, business, or a related field. (Fresh graduates are welcome to apply) Familiarity with Microsoft Office (Excel, Word, etc.). Strong written and verbal communication skills. Ability to thoroughly review documents for accuracy and completeness...
1 $ per year
..., coinsurance, and deductibles Must have knowledge in interpreting Explanation of Benefits (EOB) Must be familiar with medical claim forms (CMS - 1500 and UB - 04) Responsibilities Handle outbound and inbound calls related to healthcare billing and accounts...- ...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...
- We're looking for a detail-oriented and proactive Loan Processing Officer to support an offshore mortgage broking operation serving Australian clients. If you have hands-on experience in end-to-end mortgage processing and enjoy working in a fast-paced, quality-driven...
- 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...
33000 Php
...MED-METRIX IS HIRING! Location: Pasig City Position: Medical Claims Analyst – AR Earn Up to ₱33,000 Monthly! 8-Hour Shift Fixed Weekends Off 100% Onsite Job Overview: As a Medical Claims Analyst – AR, you will be responsible for managing and resolving...- ...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...
- ...The Medical Claims Analyst is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts. The role ensures accurate, timely resolution of outstanding claims through proactive follow-up and analytical problem-solving. Responsibilities...
- ...We are looking for experienced Medical Claims Analysts – Accounts Receivable (AR) to join our growing healthcare operations team. The role involves handling provider billing, performing AR collections, and ensuring timely and accurate claims resolution. The ideal candidate...
- ...We are seeking a Claims Investigation Associate to join our logistics operations team. This role focuses on investigating claims involving lost, delayed, or damaged parcels, identifying the root causes, and coordinating internal dispute resolution. The ideal candidate...
- ...insurance terms such as copay, coinsurance, and deductibles Ability to interpret Explanation of Benefits (EOB) Familiar with medical claim forms CMS-1500 and UB-04 Responsibilities Manage and follow up on outstanding AR accounts Conduct outbound calls to insurance...
- ...We are looking for a Motor Claims Inspector / Evaluator to join our team on a project-based or contractual basis. The successful... ...inspections and work closely with the Head Office evaluator and processor to discuss findings and address any concerns noted during inspections...
- ...Medical Claims Analyst The Medical Claims Analyst is responsible for collections, account follow-up, billing, and allowance posting. The role ensures timely and accurate resolution of outstanding medical claims through proactive follow-up and strong analytical problem...
- ...₱31,000 SAHOD?! OO TOTOO!!! HIRE KA AGAD!!! ROCKWELL ORTIGAS, PASIG START: MARCH 29 NA AGAD!!! KUNG MAY INSURANCE/CLAIMS EXP KA — IKAW NA HINAHANAP NAMIN!!! 2 YEARS EXP LANG – PASOK KA NA!!! BAKIT KA MAG-AAPPLY NGAYON?! MALAKING SAHOD URGENT...
- Client Profile: One of the largest and most competitive finance company offers loans services for over 9 years in the Philippine Industry. Position: Credit and Collection Officer Industry: Financial Company Salary: Php25,000 – Php30,000 Location: Ortigas, Pasig...
- ...OPEN FOR FRESH GRADS KNOWLEDGABLE IN USING MS OFFICES (WORD, EXCEL,PPT) NEAR PASIG SHAW AREA TASKS AND RESPONSIBILITIES: Claims Processing and Administration Initial Claims Handling: Accurately handle the initial notification of motor claims, entering all...
- ...Pharmacy) · Medical Allied Undergraduates (at 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...
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