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Claims Examiner jobs

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Claims Admin / Examiner

Chubb External
Mandaluyong City

Exciting, life-changing Claims opportunities with Chubb Business Services Philippines. Join our Claims team (or refer a friend). We have multiple open vacancies in our Claims Tower such as Claims Admin, Claims Examiners, Claims Team Leads, Claims SME and many others...! Our Claims team ensures that we are delivering exceptional, world-class Claims services to our globally distributed...

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31 minutes ago
Hybrid

Claims Examiner Sr Specialist

Tenet Global Business Center, Inc.
City of Pasig

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 RESPONSIBILITIES - Analyzes professional and hospital claims for accuracy according to set dollar thresholds and meets and maintains...

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20 hours ago

Claims Examiner

Chubb Business Services
City of Mandaluyong

Overview Role Purpose: The primary purpose of the Claims Examiner is to produce a high quality Claims work through prompt and professional contact with customers and brokers. Manage and assess high frequency, simple/ low value claims through effective investigation, reserving and adjustment of claims incurred by insureds across Asia Pacific countries supported. Responsibilities - Process...

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20 hours ago

Claims Examiner

Chubb
City of Mandaluyong

Role Purpose The primary purpose of this role is to produce a high-quality Claims work through prompt and professional contact with customers and brokers. Manage and assess high frequency, simple/ low value claims through effective investigation, reserving and adjustment of claims incurred by insureds across Asia Pacific countries supported. Key Responsibilities - Process claims document and...

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20 hours ago

Claims Examiner

Chubb European Group Ltd.
Philippines

The primary purpose of Claims Examiner is to produce a high quality Claims work through prompt and professional contact with customers and brokers. Manage and assess high frequency, simple/ low value claims through effective investigation, reserving and adjustment of claims incurred by insureds across Asia Pacific countries supported. Key Responsibilities - Process claims document and index to...

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20 hours ago

Claims Examiner

TakeCare Insurance Company, Inc.
Manila

Qualifications - Graduate of a Bachelor’s Degree of any allied 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 full‑time schedule including extended hours, weekends, and holidays. - Knowledge of healthcare insurance and medical terminology; codes—ICD‑9, CPT, HCPCS;...

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20 hours ago

Claims Admin / Examiner

CHUBB
Philippines

Exciting life-changing) Claims opportunities with Chubb Business Services Philippines. Join our Claims team (or Refer a friend). We have multiple open vacancies in our Claims Tower such as Claims Admin, Claims Examiners, Claims Team Leads, Claims SME and many others...! Our Claims team ensures that we are delivering exceptional, world-class Claims services to our globally distributed...

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7 days ago

Claims Examiner

Chubb Ltd.
City of Mandaluyong

This role is responsible for the end-to-end administration, validation, and reconciliation of Third-Party Administrator (TPA) claims within Chubb’s claims systems. Acting as a key liaison between TPAs, claimants, brokers, and internal teams, the coordinator ensures the accuracy and integrity of claims data, manages complex claim transactions, and facilitates timely settlements. The role requires...

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20 hours ago

Claims Adjudicator – Medical Accounts (Pooling)

PACIFIC CROSS INSURANCE, INC.
City of Makati

Role We are pooling qualified applicants in preparation for anticipated openings in the second and third quarters. We are in the business of paying claims- your role is to help us uphold this promise. The Claims Adjudicator is responsible for evaluating and processing claims from policy holders, hospitals, laboratories, and clinics. This role ensures that our clients and accredited facility...

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20 hours ago

Medical Claims Manager

Conifer Health Solutions
Quezon City

Medical Claims Manager Join to apply for the Medical Claims Manager role at Conifer Health Solutions. 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 of all claims regardless of department where...

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20 hours ago
No Experience

Claims Adjuster

Pioneer Insurance
City of Makati

The Claims Evaluator/Examiner is responsible for investigating, evaluating, and processing non-life insurance in accordance with company policies, procedures, and regulatory requirements. The role ensures timely, fair, and accurate settlement of claims while maintaining excellent customer service and minimizing company losses. Roles and Responsibilities - Receive, review, and acknowledge...

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20 hours ago

Claims Adjuster

Stronghold Insurance Company, Inc.
City of Makati

On-site - Makati 1-3 Yrs Exp Bachelor Full-time Job Description - Receive and review claims documents and coordinate with claimants - Interview claimant(s) and/or witnesses to gather pertinent information - Conduct an actual investigation or inspection to determine the veracity of the loss and the extent of the insurance company's liability concerning personal, casualty, or property loss or...

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20 hours ago
Hybrid

Claims Officer

Allianz PNB Life Insurance Inc.
City of Makati

Claims Officer BENEFITS/PERKS - Competitive Salary - 13th and 14th month guaranteed - Performance Incentive Plan / Yearly Bonus - Retirement Program and Group Life Insurance - Hybrid Work Set-up after 6 months of employment - Be part of a pioneer team JOB DETAILS / ROLE PURPOSE The role of Claims Officer involves processing medical claims for clients in their assigned region. We ensure a high...

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5 days ago

Medical Support Specialist: IMO Research & Claims Support

AS White Global
Manila

A leading firm in medical examinations is seeking an individual to manage IMO support and review medical records for veterans. This role demands excellent English communication skills and attention to detail, with responsibilities including managing a high volume of medical exams and documenting research performance. A background in healthcare is essential. The position is based in Manila and...

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20 hours ago
1 year

Internal Auditor

CLC MARKETING VENTURES CORP.
Quezon City

Job description:Internal AuditorDETAILED DUTIES AND RESPONSIBILITIESa.1. Verify works hours against Daily Time Record.a.2 Check overtime hours pay and entitlement to holiday pay.a.3 Ensure Daily Time Record are valid and approved by immediate supervisorb.1. Check the mathematical accuracy of incentive computation based on approved incentive scheme.b.2. Check if Sales figures matched with outlet...

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4 days ago
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Claims Resolution Specialist

Chubb Business Services
City of Mandaluyong

A global insurance provider in Metro Manila seeks a Claims Examiner to efficiently manage and assess high frequency, low value claims. Responsibilities include processing claims documents, setting loss reserves, and ensuring quality in claims administration. Applicants should possess strong analytical skills, attention to detail, and ideally have a Claims Insurance background. This position...

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20 hours ago

Claims Examiner – Fast-Track End-to-End Settlements (APAC)

Chubb European Group Ltd.
Philippines

A global insurance firm in the Philippines is seeking a Claims Examiner to manage and assess claims effectively while ensuring quality customer service. Responsibilities include processing claims documents, maintaining databases, and liaising with customers and brokers. The ideal candidate should have strong analytical skills and the ability to handle multiple claims efficiently. This role...

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20 hours ago

Dynamic Claims Examiner: Fast-Track & Resolution

Chubb
City of Mandaluyong

A leading insurance company in Mandaluyong is seeking a Claims Processor to manage various insurance claims. The ideal candidate will have analytical skills, strong communication, and customer service abilities, along with a background in claims insurance preferred. This role involves processing claims documents, maintaining positive relationships with customers and brokers, and ensuring quality...

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19 hours ago

Claims Examiner

Chubb External
Mandaluyong City

Role Purpose: The primary purpose of this role is to produce a high quality Claims work through prompt and professional contact with customers and brokers.Manage and assess high frequency, simple/ low value claims through effective investigation, reserving and adjustment of claims incurred by insureds across Asia Pacific countries supported. Key Responsibilities: 1. Process claims document and...

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2 days ago
Hybrid

Senior Medical Claims Analyst – Hybrid Work & Incentives

Tenet Global Business Center, Inc.
City of Pasig

A healthcare management company in Pasig is seeking a Claims Examiner responsible for reviewing complex claims accurately and timely per regulations and policies. Key duties include analyzing claims for accuracy, reviewing contracts, and assisting customer service with issues. Candidates should have a solid understanding of health managed care and coding schemes like ICD.9.CM and CPT, with 2-5...

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20 hours ago
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