Claims Processor (Healthcare/HMO)
Asia PeopleWorks, Inc.
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 turnaround times
• Verify claim details, supporting documents, and member eligibility
• Resolve claim discrepancies and missing information
• Coordinate with healthcare providers, members, and internal teams
• Maintain accurate claim records and documentation
• Meet productivity, accuracy, and quality standards
Qualifications
• Bachelor's degree is preferred
• Experience in claims processing, healthcare administration, insurance, or HMO industry is an advantage
• Strong analytical and problem-solving skills
• Excellent attention to detail
• Good communication skills
• Proficient in Microsoft Office applications
Work Schedule
• Monday to Friday
• 8:00 AM – 5:00 PM
• Day Shift
• May require overtime based on operational needs
Work Location
Meralco Avenue, Pasig City
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