Get new jobs by email
- ...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, healthcare...
- ...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...
- ...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 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...
- ...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...
- ...they connect and communicate with brands. Job Responsibilities What will your normal day look like: -Completing tasks on claims and liasing with Suppliers to organise repairs -Approving payments to suppliers and customers -Drafting claims correspondence -...
- ...Full time Worker Type: Employee This role is responsible for accomplishing various administrative tasks in support of the claims teams. Likewise, they are responsible for fulfilling specific steps in the entire end to end claims process. Primary...
- ...A claims analyst is responsible for reviewing and evaluating claims submitted by customers, ensuring their accuracy, eligibility, and compliance with company policies, by investigating claims, determining validity, and customer settlement (credit) amounts while maintaining...
- 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...
- ...administration or related discipline is necessary; master's degree preferred Experience: 5+ years in a supervisory or management relating to claims management and oversight Must have a thorough understanding of insurance-related legal procedures, regulations, and claims...
- ...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...
- ...Job Summary: The Claims Administration for Individual Disability is responsible for processing the documents/images being sent to AWD. The team also handles several admin tasks (including Payment) that will be trained on a later part. The job purpose is to ensure...
- ...professionals by managing essential administrative processes that keep the business running smoothly. Role Overview: As a Claims Operations Associate, you will play a key role in supporting the end-to-end claims process. You'll work closely with Claims Managers...
- ...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...
- ...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...
- ...Job Title Internship - Claims Data Trainee (Travel) Job Title Internship - Claims Data Trainee (Travel) In This Job You Will... ...documentation. Output: Timely, accurate ATC reports ready for analyst review. Fare Repricing Using System Commands Use FQP/FQD...
- ...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...
- ...world and are expanding quickly by delivering an unmatched end-to-end client experience. Company website: Job Summary Warranty Claim Administrator supports warranty operations and service centers nationwide. This role is responsible for managing warranty claims,...
- ...treatments. Ensure coding complies with insurance, regulatory, and hospital guidelines. Input and manage coded data in hospital or claims processing systems. Verify and reconcile records to prevent errors or claim denials. Communicate with healthcare providers or...
- ...with a long-term operating presence, we work with trusted insurance partners to deliver reliable coverage and consistent policy and claims support. We value professionalism, integrity, and teamwork, and provide a stable, supportive work environment that encourages...
- ...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...
- ...Join a modern Australian claims specialist trusted to deliver fast, fair and customer-focused motor claims outcomes. The Opportunity This role sits at the heart of a growing claims team that prides itself on clarity, accountability, and doing right by customers....
- ...About This Role Wells Fargo is seeking a Fraud & Claims Operations Associate for one of the biggest lines of business in the company. We believe in the power of working together because great ideas can come from anyone. Through collaboration, any employee can have...
- ...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...
- Join our dynamic Customer Service team and be the friendly voice that turns customers into advocates! We're looking for enthusiastic professionals ready to make a real difference in our customers' daily experiences. What will you do: Support customers and sales teams...
- ...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...
- ...We are seeking an experienced Process Trainer – AR Claims to design, deliver, and continuously improve training programs for our healthcare AR (Accounts Receivable) teams. The ideal candidate will have strong hands-on knowledge of AR workflows, payer rules, and denial...
- ...Type: Full time Worker Type: Employee This role is responsible for accomplishing various administrative tasks in support of the claims teams. Likewise they are responsible for fulfilling specific steps in the entire end to end claims process. Primary...
- ...medical profession. License is required - RN, PTRP, RPH or OD. Minimum of one year Philippine or US healthcare insurance and claims experience is required Ability to work on full time schedule including extended hours, weekends, and holidays. Knowledge of healthcare...