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Claims Processor (Healthcare/HMO)

Full-time

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

Vacancy posted 15 hours ago
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