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- ...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...
- Responsible for managing a team of Claim Inspectors and Billing Representatives, working to ensure timely and accurate review of claim... ...and company confidentiality (HIPAA). Working with other supervisors and management team members to support agents and ensure clients...
- ...Job Summary: The Claims Administration for Individual Disability is responsible for processing the documents/images being sent... ...errors Handle other duties and functions as assigned by the Supervisor Minimum Skills Requirement to Hire: Must have at least...
- ...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...
- ...Minimum of one year Philippine or US healthcare insurance and claims experience is required Ability to work on full time schedule... ...required. 4.6. Informs and reports to Claims Team Lead, Claims Supervisor and/or Claims Manager issues that impact production and quality...
- ...business goals. DUTIES & RESPONSIBILITIES .Focus on analyzing claims specific data on behaviors, trends and measuring performance... ...to the Claims Excellence Manager for review .Works with QA Supervisor to generate and analyze ISO and audit reports required from the...
- ...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...
- ...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,...
- ...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,...
- ...SUMMARY Responsible for the accurate and timely review of complex claims in accordance with applicable contracts, state and federal... ...correspondence, follow-up and any projects delegated by claims supervisor. Provide assistance to the customer service department with...
- ...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...
- ...Claims Account Analyst is responsible for evaluating claims to ensure they are accurate and processed in a timely manner. They review... ...professional manner Report problems and provide alternate solutions to Supervisor Promotes customer satisfaction and quality customer service...
- ...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...
- ...About This Role Wells Fargo is seeking a Fraud & Claims Operations Representative for one of the biggest lines of business in the... ...third parties for research, as needed Receive direction from supervisor and escalate questions or issues Interact with immediate team...
- 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...
- ...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...
- ...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...
- ...incredible career opportunities as well as an inclusive culture and flexible working. About The Role Reporting to the Expense Claim Team Leader, this position will be focusing on staff expense claims review and posting functions for the Robert Walters Group....
- ...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...
- ...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.... ...Adjuster stalls, you don't wait. You escalate the file to their Supervisor or the Insurance Agent to get movement. Close the Loop: You...
- ...Medical Biller & Claims Processor RML-PH - Quezon City (Remote) Please note: Submitting multiple applications for the same position may delay your review of your candidacy. We encourage you to apply once and ensure all information is complete and accurate. About...
- ...JOB DESCRIPTION: POSITION SUMMARY The Claims Inspection Representative is responsible for handling claims review through an established checklist to ensure accurate claim requirements are met before it is released to the insurance. JOB RESPONSIBILITIES...
- ...Validate claims submitted to the Company Inspect property and motor car claims, including potential fraud cases. This may include claims nearby provinces, as these will no longer be assigned to an independent adjuster. Verify policy coverage, provisions, and related...
- ...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...
- ...Airline General Sales Agent Services and Destination Management. Job Purpose: To review, adjudicate and process medical e-claims received from external medical service providers according to business requirements and agreed SLA's. Minimum requirements:...
- ...We are looking for a dynamic and results-driven professional to lead our Group Benefits (GB) Claims Health and Dental this role you will oversee daily operations ensure service excellence and drive process improvements to deliver a superior experience for our customers...
- ...Qualifications: ~ Graduate of any 4-year bachelors degree. ~2–5 years of experience in claims handling, customer service, or insurance-related roles. (motor & non-motor) ~ Knowledge in vehicle repairs and/or claims processing is an advantage. ~ Strong analytical...
- ...platform Ingram Micro Xvantage™ set us apart. We are looking for a detail-oriented and experienced Marketing Accounting Specialist (Claims) to manage claims-related financial operations within the IT distribution sector. This role ensures accurate tracking,...
- Guy Carpenter is seeking candidates for the following position based in the Philippines office: Facultative Reinsurance Claims Servicing Technician What can you expect: Work with reinsurance professionals with experience and technical knowledge within major or...
- ...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...