Claims Manager - Ortigas, Metro Manila

Key Responsibilities: · Manage and supervise daily claims operations, including medical, dental, and hospitalization claims. · Ensure timely, accurate, and compliant processing of all member and provider claims. · Develop, implement, and improve claims policies, procedures, and w ...

To manage credit claims and collections for major accounts ensuring accurate processing timely payments and effective resolutions · ...

Analyzes, evaluates and recommends the payability or deniability of a claim covering an assigned insurance line; · Claims registration and booking, claim file creation, documents scanning, and filing management of all claims; · Ensures a system for the order, organization and mai ...

Monitor and manage PhilHealth accounts receivable and aging reports Ensure timely submission of PhilHealth claims with complete and accurate documentation Follow up pending returned or denied PhilHealth claims Coordinate with clinics medical records and billing teams to resolve c ...

+The Logistics Claims Associate is responsible for managing and resolving claims related to loss, damage, or delays. · ...

The Administrative and Claims Coordinator will provide essential support in managing office operations, processing payments, and handling claims.This role requires strong organizational skills, · attention to detail, · multiple administrative tasks efficiently. · ...

The Insurance Claims Analyst is responsible for processing and managing life and non-life insurance claims while ensuring timely and accurate resolution. · Key Responsibilities:Process and review life and non-life insurance claims in accordance with established guidelines · Ensur ...

The Billing Specialist is responsible for ensuring the accurate and timely submission of claims to payers, · Prepare and submit accurate claims in accordance with payer guidelines and customer billing cycles · ...

The Audit Specialist supports the Audit department by auditing, submitting, monitoring, and resolving VA and Medicaid claims for Home Health, Home Health Aide, and Respite Care services. · ...

We are looking for a Medical Claims Analyst to manage claim processing, billing, collections and account reconciliation. · Ensure timely resolution of outstanding claims, · identify billing discrepancies and maintain compliance with healthcare regulations. · You will work closely ...

We are looking for experienced Medical Claims Analysts – Accounts Receivable (AR) to join our growing healthcare operations team. · ...

The Case Management & Fraud Associate is responsible for investigating, managing, · and resolving logistics-related cases involving claims, · disputes, · losses, · damage · , · '' · , · potential fraudulent activity. Open, track, and manage · Identify · ¬focus on investigation · ...

The Billing Specialist is responsible for ensuring the accurate and timely submission of claims to payers, · maintaining compliance with industry standards.Prepare and submit accurate claims in accordance with payer guidelines · Ensure all claim details are complete and error-fr ...

We are seeking a strategic and results-driven Litigation Division Head to lead our small claims litigation efforts across the Philippines. · This role is pivotal in designing, implementing, and managing scalable legal processes that support our debt recovery operations through sm ...

Follow up with payers via phone, email, fax, or websites to ensure timely resolution of outstanding claims. Meet and maintain daily productivity and quality standards as outlined in departmental policies. · Additional leaveHealth insuranceLife insuranceOpportunities for promotion ...

We are seeking a results-driven Claims Team Lead - Auto Property Damage to lead a Philippines-based service delivery team supporting Claims Concierge. · ...

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Job Description: · We are seeking a strategic and results-driven Litigation Division Head to lead our small claims litigation efforts across the Philippines. This role is pivotal in designing, implementing, and managing scalable legal processes that support our debt recovery oper ...

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 system, client host system and other tools available ...

About Visaya KPO · Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture of malasakit. We are committed to building long-term partnerships through quality, reliability, and a peopl ...