Medical Claims Examiner - Makati
3 araw ang nakalipas
Job summary
We are looking for Medical Claims Examiners to join our rapidly growing team in Manila. In this role, you will be responsible for accurately and efficiently processing medical claims in compliance with payer requirements and internal policies.Qualifications
- 2+ years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
Paglalarawan ng trabaho
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Mga katulad na trabaho
The primary purpose of this role is to produce high-quality claims work through prompt and professional contact with customers and brokers. · Process claims documents and index to appropriate claims files in the system. · Responsible for FNOL/new claim files creation and registra ...
1 linggo ang nakalipas
+The primary purpose of this role is to produce a high-quality Claims work through prompt and professional contact with customers and brokers. · ...
2 linggo ang nakalipas
+The Claims Examiner will manage claims data, communicate with stakeholders, and negotiate settlements. · +Enter, verify, validate, and analyze TPA claim data (new claims, reopening, reserve changes, payments recoveries closures) · , Review and assess complex claims end-to-end in ...
1 buwan ang nakalipas
The Claims Examiner is responsible for processing claims daily based on compliance regulation and timeframes. · ...
1 buwan ang nakalipas
Job summary:ϋ/Ë/h2> · This position involves examining claims based on compliance regulation and timeframes. The Claims Examiner will process 150 claims daily and analyze services for appropriateness of charges. · Responsibilities include preparing written requests to providers, ...
1 buwan ang nakalipas
+ · + · +Examines claims with a payment security limit of less than $1,500.00 · ...
1 buwan ang nakalipas
This is a full-time position for a Claims Examiner responsible for processing claims daily based on compliance regulation and timeframes. · ...
1 buwan ang nakalipas
For full job description please see PDF file on Civil Service Commission site by clicking on this job ad. · To apply, please kindly follow the procedure described in the PDF file. · ...
3 linggo ang nakalipas
The job requires the accurate and timely review of complex claims in accordance with applicable contracts, state and federal regulations. · ...
3 linggo ang nakalipas
+Job summary:Medical Claims Examiner Supervisor · The role involves resolving claims issues, partnering with client delivery and providers. · +Responsibilities:Supervise a team of claims personnel. · Manage claims inventory for multiple companies according to state and federal gu ...
1 linggo ang nakalipas
Accounts Management Specialist, Claims Processing Department (Item Nos. 389 and 390)
Para lamang sa mga rehistradong miyembro
The Accounts Management Specialist processes simple claims and provides technical assistance in the processing of claims for Deposit Insurance thru field operations and home office claims settlement; · Processes simple claims · Provides technical assistance in the processing of ...
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Supervising Accounts Management Specialist, Claims Processing Department 381
Para lamang sa mga rehistradong miyembro
The Supervising Accounts Management Specialist is responsible for approving/resolving claims, simple or otherwise; administers oath on claim forms and various affidavits of depositors; · prepares various reports on claims processing; supervises the claims processing operations an ...
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The Claims Evaluator/Examiner is responsible for investigating, evaluating, and processing non-life insurance claims in accordance with company policies, procedures, and regulatory requirements. · ...
1 buwan ang nakalipas
Receive claims documents and coordinate with claimants. · ...
3 linggo ang nakalipas
Accounts Management Specialist, Claims Processing Department (Item Nos. 389 and 390)
Para lamang sa mga rehistradong miyembro
The Accounts Management Specialist processes simple claims and provides technical assistance in the processing of claims for Deposit Insurance thru field operations and home office claims settlement; supports in enhancing the claims system; manages records and supply requirements ...
1 linggo ang nakalipas
Supervising Accounts Management Specialist, Claims Processing Department (Item No. 381)
Para lamang sa mga rehistradong miyembro
The Supervising Accounts Management Specialist is responsible for approving/resolving claims, · administers oath on claim forms and various affidavits of depositors; · prepares various reports on claims processing; supervises · the claims processing operations and attends court h ...
1 linggo ang nakalipas
The role of Claims Officer involves processing medical claims for clients in their assigned region. We ensure a high level of client service while processing claims within an industry leading 48 hours. · Examine and process Claims within the agreed company SLA to guarantee custom ...
1 buwan ang nakalipas
The Claims Evaluator/Examiner is responsible for investigating, evaluating, and processing non-life insurance claims. · ...
1 buwan ang nakalipas
Accounts Management Specialist, Claims Processing Department (Item Nos. 389 and 390)
Para lamang sa mga rehistradong miyembro
The Accounts Management Specialist processes simple claims and provides technical assistance in the processing of claims for Deposit Insurance thru field operations and home office claims settlement; supports in enhancing the claims system; manages records and supply requirements ...
5 araw ang nakalipas
Assistant Department Manager II, Treasury Department (Item No. 424)
Para lamang sa mga rehistradong miyembro
The Assistant Department Manager II supervises and coordinates the work related to accepting payments and disbursement of funds and control of cash and accountable forms for Corporate, R/L and Provident Fund transactions; examines the recording of transactions, authorizes its exe ...
6 araw ang nakalipas