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- 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...
- ...Are you ready to shape the future of claims operations and drive real business impact through strategic vendor partnerships Join Chubb... ...APAC Vendor Management team as a Claims Vendor Management Analyst and play a pivotal role in optimizing our vendor ecosystem, championing...
- ...Job Description 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...
- ...headhunting and recruitment agency in the Philippines, is proud to partner with a global RCM Company in their search for a Medical Claims Analyst based in Ortigas. Industry: Healthcare Salary Range: ₱35,000 Package Work Setup: Onsite Work Schedule: Night...
- ...Duties And Responsibilities Checks documents received from claimant or intermediary and ensure their correctness. Evaluates each claim assigned and conduct investigation where necessary. Develops plans for investigation of claims and gather all necessary documents...
- ~ Assure accurate insurance claims adjudication in a timely manner. ~ Assure timely submission of invoices/claims utilization report. ~ Validate documents received as well as members' information to adjudicate the claims based on the submitted information. ~ Apply...
- ...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...
- 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...
- ...Responsibilities Read contracts to address payment disputes. Work on the provider (hospital) side for account management. Verify claim status and collect unpaid claims from insurance companies. Process claims payments, manage denials, and track claim statuses....
- ...Job Description The Claims Analyst – Professional Billing (PB) is responsible for analyzing, auditing, and resolving claims related to professional (physician and ancillary) services to ensure accurate billing, coding, and reimbursement. This position plays a key role...
- ...internal violence. We direct and coordinate the international activities conducted in these situations. Purpose The Expense Claims Process Analyst is responsible for ensuring the efficient and accurate processing of expense claims submitted by ICRC employees. The role...
- ...Description The Role As an Analyst within the GDC, you will contribute as part of a team involved in several activities to support... ...Process, project, and transaction management Support claims utilisation reporting activities Collect, validate, and clean...
- See internal ad for details. Working in an evolving healthcare setting we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions collaboration and the freedom to explore professional...
- ...Start Date: ASAP Responsibilities: Responsible for vendor account reconciliation, dispute resolution, non-program claims (e.g., returns, invoice discrepancies, consignment, invalid freight/logistics), and monthly SOX audit reconciliation packages Review...
- 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 position is primarily responsible for overseeing the insurance claims department of the brokerage to ensure that a client's claims are verified and settled according to the committed turn-around time. The position is also responsible for negotiating with business...
- ...The primary role of this position is to support Claims Adjusters located in North America by completing various tasks as instructed. The Claims FNOL Handler will be responsible for a range of activities, including receiving and registering claims, reviewing insurance...
- ...employees with a sense of belonging which allows them to reach their full potential . Discover Crown. om The Quality Analyst/ Claims Adjuster is responsible to provide their professional experience and expertise to drive consistency in quality standards across...
- ...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...
- ...Supports experienced Finance specialists delivering progress reporting, task management and documentation for Finance activity Claims Analyst research and codes of deductions and disputes. Based on the findings Jr Dispute Analyst collects the proofs of dispute validity...
- ...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...
- ...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...
- 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...
- ...We are seeking a detail-oriented and experienced Insurance Denials Management Specialist to join our team, specializing in hospice claims. The ideal candidate will have a strong background in analyzing, appealing, and resolving insurance denials to optimize reimbursement...
- ...built on strong collaboration and we are looking for talented people like you. About the role We are seeking an experienced Claims Specialist with a strong focus on Accuracy reporting and Client Management to join our dynamic team. As a Claims Specialist you will...
- ...established procedures in order to provide effective support in the treatment and control of information related to the processing of claim, including the maintenance of information in the system and the document management generated. What you need to have:...
- ...Job Purpose The Claims Evaluator/Examiner is responsible for investigating, evaluating, and processing non-life insurance claims in accordance with company policies, procedures, and regulatory requirements. The role ensures timely, fair, and accurate settlement of claims...
- We are seeking an experienced Claims Supervisor to join our NON-LIFE insurance team at Manila Bankers Life Insurance Corp' in Makati City, Metro Manila. This full-time position is a crucial role in ensuring the smooth and efficient handling of claims for our valued...
- ...Summary of the role The purpose of this position is to ensure accurate and timely management of medical claims by handling insurance follow-ups, resolving denials, and providing actionable insights that support process improvements. This role upholds compliance with...
- ...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...