Search Results: 5,165 vacancies
21000 Php
Job Description:
Identify and implement new claims procedures.
Identify, evaluate, and resolve claims in accordance with company standards.
Analyze medical claims to ensure payments are accurate.
Verify documents and coordinate health care coverage for patients...
Qualifications:
Graduate of any four year course.
Computer literate
Willing to be assigned in MEDASIA
With technical knowledge pertaining to medical terminologies, needed for the job is an advantage.
With good communication / interpersonal skills
Willing to start ...
Claims Managers process insurance claims on behalf of insurance companies and their clients. They review information submitted with claims, manage and monitor claims as they progress, and provide advice about insurance policies. Claims Managers need analytical skills and...
Job Role Key Information
He/She will review the claims submitted to ensure that they are valid. He/She collects the necessary documents for claims assessment. The Claims Officer/Executive/Surveyor/Adjudicator helps to settle all claims matters accurately and fairly based...
...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...
...Be part of our growing TEAM!
We are looking for goal-oriented individuals to fill-in the CLAIMS ANALYST Role.
The Claims Analyst ensures efficient processing of medical claims with the objective of accurate adjudication and meeting the given turn-around-time, processing...
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...
-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...
- 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...
...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...
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...
...auditors, other team members, client staff, government agencies and health plans to facilitate the appropriate and prompt payment of claims.
Duties & Responsibilities
> Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility...
28000 Php
We are seeking highly motivated and customer-oriented individuals to join our team as Call Center Agents.
List of vacant positions: (HIRING)
Customer Service Representative
Technical Support Representative
Sales/Retail Representative
Travel and Hotel Associate
Healthcare...
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...
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...
20000 Php
QUALIFICATIONS:
- Assoc. or Bachelor’s Degree in Civil Engineering/Finance & Accounting related
- Experienced in non-life insurance claims
- Good computer skills in Word/Excel
- Willing to travel
- Preference for those with insurance experience
- Excellent...
35000 Php
...and coordinating
Job Responsibilities
Works with SEM and CDF NSM in effectively providing Sales reports, activation support & Claims managementAssist CDF TM in project management and activation
Coordinates w/ external suppliers / partners
Review and...
...Hybrid Job Description
The opportunity
The Health Claims Lead will play a critical role in building and developing the Health... ...and policy provisions.
Build and manage a team of claims analysts and provide guidance on processes and best practices to ensure...
...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....
...team
Up-to-date knowledge regarding life insurance and industry practices
Acts as a Subject Matter Expert regarding insurance claims
Good communication and organizational skills
Willingness to start ASAP
Willingness to work onsite in Marcos Highway,...