Claims Representative jobs

About this role: Wells Fargo is seeking a Fraud & Claims Operations Representative for one of the biggest lines of business in the company. We believe in the power of working together because great ideas can come from anyone. Through collaboration, any employee can have an impact and make a difference for the entire company. Explore opportunities with us for a career in a supportive environment...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career...

A pioneer in the business, WINEBRENNER & IÑIGO is one of the fastest growing and largest brokers in the Philippines, highly respected in the local insurance industry and well-known for its personalized service. Responsibilities Ensures the smooth flow of the processes of the entire Claims Department. Directs, manages, and investigates claims to optimize and achieve satisfaction for the insured...

A leading insurance service provider in Quezon City seeks a Team Lead for Auto Insurance Claims. This individual will coach claims representatives in the accurate review of medical bills, ensuring adherence to standards and regulatory requirements. Responsibilities include monitoring performance, conducting audits, and implementing process improvements. Ideal candidates have at least 1 year in a...

Claims Investigation & Resolution Analyst R1 RCM Quezon City, National Capital Region, Philippines Claims Investigation & Resolution Analyst R1 RCM Quezon City, National Capital Region, Philippines Get AI-powered advice on this job and more exclusive features. See internal ad for details. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions....

Join to apply for the Claims Adjudicator Specialist role at Conifer Health Solutions 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...

We’re looking for a Claims Senior Associates to join our Insurance Operations team at MBPS. In this role, you responsible in processing requests from internal and external customers to initiate claims and ongoing benefit determination Position Responsibilities: Processes requests from external customers who are requesting to initiate a long-term care claim. Use judgement along with assistance...

Job Description We are looking for a Medical Claims Analyst (AR) to join our growing US Healthcare team. This role involves handling both inbound and outbound calls (30% outbound) to ensure accurate and timely resolution of accounts receivable and medical claims. Youll collaborate with healthcare providers and insurance representatives to process claims efficiently and ensure client...

Work Set-Up: ONSITEWork Schedule: Nightshift scheduleWork Location: Onsite – Alabang Corporate CenterSalary: Php: 30,000 + 15% Night Diff + HMO Day 1 and 1 free dependentQualifications - Bachelor’s Degree in any field. - At least 2 years of experience in a Healthcare BPO environment. - Proven experience handling inbound calls within a healthcare account. - Familiarity with medical claims,...

About Us We are a global company with a footprint in AU, NZ, USA, UK and the Philippines, providing offshore professional staffing solutions for small and medium-sized businesses across various industries, with a focus on Insurance, Home Loans, Financial Planning, Contact Centers, Banking, and Accounting. We seamlessly integrate offshore teams into businesses, helping them boost profitability,...

A healthcare services company in Quezon City is looking for a Medical Account Representative. This full-time position doesn't require prior experience but values communication and problem-solving skills. You will assist patients with appointments, verify insurance, and resolve inquiries. Enjoy a performance bonus and additional benefits, while contributing to customer satisfaction. Join a growing...

Job DescriptionWe are looking for Insurance Customer Service Representatives to support clients with policy questions, claims, and coverage inquiries, ensuring accurate and professional service.Responsibilities:Handle inquiries via phone, chat, or emailProvide guidance on policies, claims, and coverageAssist clients with submissions and updatesRecord all interactions accuratelyEscalate complex...

"Customer Service Representative – HealthcareMetro Manila | OnsiteBellsoft GlobalAbout BellsoftBellsoft Global is growing and hiring Customer Service Representatives. Provide customer service, back-office support, and IT-enabled solutions to clients worldwide while enjoying a competitive salary of up to ₱24,000 per month, performance incentives, paid training from Day 1, career growth...

One-day hiring process! Earn up to 25k monthly! We are looking for dedicated Healthcare Customer Service Representatives to join our team! This is for urgent hiring, Apply Now!Responsibilities:• Answer inquiries regarding medical services, insurance coverage, and billing• Assist patients with scheduling appointments and accessing medical records• Verify insurance coverage and process medical...

JOB TYPE Full-Time & Part-Time POSITION OVERVIEW MCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry. Are you passionate about helping people, solving problems, and...

A pioneer in the business, WINEBRENNER & IÑIGO is one of the fastest growing and largest brokers in the Philippines, highly respected in the local insurance industry and well-known for its personalized service. Responsibilities - Ensures the smooth flow of the processes of the entire Claims Department. - Directs, manages, and investigates claims to optimize and achieve satisfaction for the...

POSITION OVERVIEW MCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry. We’re seeking enthusiastic Call Center Representatives to support a range of inbound and outbound...

About this role: Wells Fargo is seeking a Fraud & Claims Operations Representative to review account activity and high-risk transactions to prevent victim and perpetrator fraud, processes check fraud and Automated Clearing House (ACH) claims, investigates and resolves customer disputes (fraud and non-fraud) on all transaction types and manages all Wells Fargo identity theft cases. We believe in...

One-day hiring process! Earn up to 25k monthly! We are looking for dedicated Healthcare Customer Service Representatives to join our team! This is for urgent hiring, submit your application now!Responsibilities:• Answer inquiries regarding medical services, insurance coverage, and billing• Assist patients with scheduling appointments and accessing medical records• Verify insurance coverage and...

POSITION OVERVIEW MCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry. Are you a persuasive communicator with a passion for sales and customer service? Do you thrive in a...