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- ...Validate claims submitted to the Company Inspect property and motor car claims, including potential fraud cases. This may include... ...provinces, as these will no longer be assigned to an independent adjuster. Verify policy coverage, provisions, and related details (e....
- ...flexible working. About The Role Reporting to the Expense Claim Team Leader, this position will be focusing on staff expense... ...to all candidates. If you require any accommodations or adjustments as a result of a disability, impairment or health condition, please...
- Position Title: Insurance Claims Adjuster (Non-Motor) Location: Alabang, Muntinlupa Setup: Onsite Schedule: Day Shift Qualifications: -Graduate of any four-year bachelor’s degree -2-5 years of experience in Non-Motor Claims, or prior work in a claims department...
WHR Global Consulting
Alabang, Muntinlupa, Metro Manilamore than 2 months ago - ...Entry Level Risk Adjustment Medical Coder | Midshift | WFH Job Summary We are seeking newly certified Risk Adjustment Medical Coders to join our team. The ideal candidate will be responsible for reviewing medical records to identify, code, and validate diagnoses...
- ...position is primarily responsible for overseeing the insurance claims department of the brokerage to ensure that a client's claims are... ...for negotiating with business partners, insurers, or adjusters relative to claim concerns in general. It gives further recommendation...
- ...JOB SUMMARY Responsible for the resolution of claims issues, including partnering with client delivery and providers. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Supervise a team of claims personnel. Manage claims...
- ...for an answer? Do you thrive in a debate? We are looking for a Claims Negotiation Specialist to act as the voice of our company.... ...Closer. Your job is to pick up the phone, engage with insurance adjusters, and ensure our clients get every penny they are owed....
- ...Minimum of one year Philippine or US healthcare insurance and claims experience is required 4. Ability to work on full time schedule... .... 2. Quality 2.1. Analyzes processes researches adjusts and adjudicates claims with the use of accurate procedure/revenue...
- ...JOB SUMMARY Responsible for the accurate and timely review of complex claims in accordance with applicable contracts, state and federal regulations, health plan requirements, policies and procedures, and generally accepted business practices. ESSENTIAL DUTIES AND...
- ...Claims Account Analyst is responsible for evaluating claims to ensure they are accurate and processed in a timely manner. They review and assess the validity of claims based on the policy guidelines. They also follow precise procedures in managing high-volume claims according...
- ...Specialist, Inventory Control/Claims Purpose & Overall Relevance for the Organization: ~ To improve the inventory accuracy... ...data, trouble shoot for any discrepencies and process adjustments accordingly. Key Responsibilities: ~ Work with 3PL...
- ...Job Description The Medical Claims Analyst is responsible for processing medical only claims and claims open for administration of... ...Ability to identify and understand customer needs and interacts effectively with others. Adjuster license, preferred but not required...
- ...people like you. About the role We are seeking an experienced Claims Specialist with a strong focus on Accuracy reporting and Client... ...in the claim process, including clients, insurers, loss adjusters, solicitors, and other third parties ~ Leverage insurance expertise...
- ...clients succeed. What The Day Will Look Like Responsible on claim management of assigned accounts, Monitors TAT and pending... ...any 4 - year course) Demonstrate resilience; the flexibility to adjust to multiple demands, shifting priorities, ambiguity and rapid change...
- ...DUTIES AND RESPONSIBILITIES Claims Processing Checks availability and accuracy of claims details in MAS Makes necessary corrections of claims details Verifies unlisted claims in MAS with biller and Call Center Processes and analyze claims using the prescribed...
- Equicom Services, Inc. is now looking for Medical Claims Processor who can work onsite. Office Address: 3F Equicom Center 3308 Zapote St., Brgy. Sta. Cruz, Makati City Qualifications Graduate of any 4 year medical related courses / Undergrad at least 3rd year...
- The Claims Analyst is responsible for the overall review, assessment, and decision of claims. Position Responsibilities Determine eligible benefits based on documents submitted and policy provisions. Adjudicate claims and determine corresponding recommendation...
- ...or intermediary and ensure their correctness. Evaluates each claim assigned and conduct investigation where necessary. Develops... ...all necessary documents and information. Communicates with adjusters, claimants, the insured and other parties to determine liability...
- ...optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: Provide expertise claims support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution...
- ...Discover your 100% YOU with MicroSourcing! Position: Claims Processing Analyst Location: Ortigas, Pasig Work setup & shift: Onsite | Day Shift Why join MicroSourcing Youu0027ll have: Competitive Rewards: Enjoy above-market compensation,...
- ...We're looking for a Claims Senior Associate to join our Insurance Operations team at MBPS. In this role, you will have the opportunity to provide high-quality financial and administrative services to a select group of complex and challenging cases. By effectively managing...
- The Claims Assistant reports to the Claims Officer and Assistant Manager, Non-Motor Claims and is responsible for end-to-end processing... ...on compensability. Assign claims to independent adjusters when necessary. Compute probable liability and prepare in-house...
- ...Position Summary: Provides direction to the Claims Unit team while monitoring daily workflows, examiner assignments and production, and ensuring compliance with health plan and regulatory requirements. Job Duties and Essential Functions: # Responsible for compliance...
- ...are looking for a dedicated individual to join us as Senior Claims Executive at Aon Philippines, offering you a real opportunity... ...all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to...
- ...Job Title Claims Data Associate (Travel) Job Title Claims Data Associate In This Role You Will Purpose of this role:... ...requirements. Provide recommendations for process optimization and adjustments. About The Ideal Candidate Bachelor's degree holder...
- ...together and take our clients' teams to the next level! Position Summary We are looking for a dedicated and persistent Insurance Claims Specialist to join the team at Bridge Dental Group , based in New Mexico. This role is critical to the firm's financial health,...
- ...improvement measures. taking part in/leading departmental/corporate projects. commenting on results of the team. taking part in Claims Handlers Academy as a teacher. leading operational calls. uploading monthly reports on SharePoint; visiting local DSV...
- ...Are you ready to shape the future of claims operations and drive real business impact through strategic vendor partnerships Join Chubb's dynamic APAC Vendor Management team as a Claims Vendor Management Analyst and play a pivotal role in optimizing our vendor ecosystem...
- ...awarding every customer with a positive rental experience. About The Role We are looking for a dependable, detail-oriented Express Claims Handler to support our fast-paced claims team. This role focuses on efficiently handling non-complex auto claims and ensuring...
- The Claims Team Leader is responsible for overseeing the daily operations of the claims team to ensure the accurate and timely handling of claims and reimbursements. This role demands strong leadership, exceptional attention to detail, and a collaborative mindset to coordinate...
