Search Results: 7,055 vacancies
40000 Php
SUMMARY:
Generally responsible for reviewing escalated client claims, determining allowable benefits, and manage the efficient settlement of customers’ claims to ensure smooth claims and arbitration process and customer satisfaction.
QUALIFICATIONS
1. Bachelor’s Degree...
J&T EXPRESS INC
Metro Manila
26 days ago
...Claims Analyst (CA) provides assistance to Claims Supervisor in planning, developing, and implementing administrative and operational functions in the Claims, CS, and Provider department to ensure consistency and alignment with department and company goals and strategies...
Remote job
...Healthcare Claims Analyst
ROLE SUMMARY
Our client is looking for a Healthcare Claims Analyst who will be responsible for accurately and efficiently reviewing contracts, researching healthcare provider claims, thoroughly documenting investigation results, and identifying...
...Equicom Services, Inc. is now looking for Medical Claims Analyst-Back Office
Office Address: 3308 EQUICOM CENTER ZAPOTE ST., BRGY. STA CRUZ, MAKATI CITY
TAGLISH PHONE INTERVIEW
NO LICENSE OR EXPERIENCE REQUIRED!!!
NON-VOICE !
Fixed Schedule
FRESH GRADUATES...
-Reviews all claims documents and relates it to the insurance policy for compliance
-Tasked to inspect the damages sustained by the vehicles being claimed, canvass the necessary parts and make recommendations on the most accurate amount of repair that can be approved...
Prudential Guarantee and Assurance, Inc.
Makati
a month ago
- Report directly to the head of Operation.
- Analyze and evaluate the claims based on the relevant documents submitted to a certain whether the claim is valid, and to establish the party liable.
- Prepares full report for the Head of Operations based on the result of...
P AND I CLAIMS MANAGEMENT INC.
Quezon City
more than 2 months ago
...JOB PURPOSE:
Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements)
Graduate of...
MAJOR RESPONSIBILITIES
-Assigned special accounts to handle.
-Receives Claims Documents from Receiving and Encoding Sections for review.
-Prepares reports and statistics for management's information.
-Assists in updating status of assigned claims to broker(s), agent...
Prudential Guarantee and Assurance, Inc.
Makati
more than 2 months ago
...carrier/providers
> Update patient demographics/insurance information in appropriate systems
> Research/ Status unpaid or denied claims
> Monitor claims for missing information, authorization, and control numbers (ICN//DCN)
> Research EOBs for payments or...
Visaya KPO
Pasig
a month ago
18554 Php
Handle processing of claims within required turnaround time. Also, to handle in-process claims, approved claims, denied claims and claims with requirements based on the Company’s policies and procedures. Monitors the status of claims and update the Claims Registry accurately...
Fortune Life Insurance Company
Makati
more than 2 months ago
Good day, We are looking for a candidate to work on site in ayala makati for Claim processor. the candidate must be willing to render overtime when needed.
here`s also the job qualification
For Claims Processor
College graduate
With experience at least 3-6 months...
TASQ STAFFING SOLUTIONS
Makati
12 days ago
Job Type
Full-time
Description
Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.
Meets and maintains daily productivity/quality standards established in departmental policies.
Uses the workflow...
...Check the validity of claims/chargebacks from Target by pulling relevant data from VIQ (in POL) and performing the necessary calculations
Verify that a claim is not a duplicate of an already existing claim by checking the claim history in TVI (in POL)
Accept the...
Job Objective / Purpose
The Claim Documentation Analyst reviews claim documents for the completeness and accuracy of information. S/he prepares claim documents for sending to the Accounting department within the agreed TAT.
An important part of the role is to ensure...
...Summary
The Medical Claims Analyst is responsible for processing medical only claims and claims open for administration of medical benefits. This role approves payments and claimant reimbursements on medical only claims after compensability has been determined....
...for the practice analysis.
Review the report's data for accuracy and consistency; check if other reports are needed.
Perform claims audit, analyze AR and denials, look for payer payment patterns, trends, underpayments, adjustment patterns, collection ratio, etc....
...Senior Pricing and/or Claims Analyst (Hybrid) page is loaded Senior Pricing and/or Claims Analyst (Hybrid)
Apply locations Lot 18 3rd Street, First Philippine Industrial Park, Tanauan City, Batangas, Philippines time type Full time posted on Posted Yesterday job requisition...
Prattwhitney
Batangas City, Batangas
1 day ago
...JOB QUALIFICATIONS
~2-3 years of work experience as a Claims Analyst/Auditor
~ Excellent analytical and problem solving skills
~ Good numerical and financial skills
~ Excellent communication skills both written and verbal
~ Ability to work accurately and efficiently...
...JOB PURPOSE Manages the efficient delivery of claims management functions to cater to the operational requirements of Micro HMO.
ROLES AND RESPONSIBILITIES
Customer and Provider Experience (Claims)
Manages the team's consistent and efficient delivery of member...
...An Overview of your Role
• Ensures that claims documents are complete and uploaded in the system. Timely acknowledgment of all requests/ e-mails;
• Monitoring of movement of all claims filed and updating records regularly. Is able to evaluate claims according to department...
