Claims Representative jobs in Cebu City

The Call Center Claims Representative is responsible for managing a high volume portfolio of insurance claims primarily via telephone and digital channels, from initial report to final resolution. This vital role involves conducting thorough phone-based investigations, interpreting policy coverage, negotiating settlements, and ensuring claims are processed accurately, promptly, and in compliance...

JOB DESCRIPTION:POSITION SUMMARYThe 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: Conduct thorough reviews of submitted claims by applying a standardized checklist of requirements to ensure accuracy, completeness, and compliance...

Claims Reporting Representative page is loaded## Claims Reporting Representativeremote type: Fully Remotelocations: Mexico (Remote)time type: Full timeposted on: Posted Todaytime left to apply: End Date: January 21, 2026 (8 hours left to apply)job requisition id: R23455Integon is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our...

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 - Conduct thorough reviews of submitted claims by applying a standardized checklist of requirements to ensure accuracy, completeness, and compliance with...

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...

This function is responsible for Collections for Healthcare unpaid claims. The position in this function interact with customers gathering support data to ensure invoice accuracy and also work through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection function. Educate customers regarding...

Overview We are looking for a Medical Claims Analyst to be part of our PIONEER TEAM! You'll be responsible for managing the entire claims process from initiation to resolution, ensuring accuracy, compliance, and efficiency. This role involves analyzing and processing healthcare claims, identifying discrepancies, and working closely with internal teams and clients to resolve issues and maintain...

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...

Optum Makati, National Capital Region, Philippines 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,...

Integon is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. It’s how we’ve become industry leaders in property and casualty insurance servicing. We support our insurance company affiliates by offering property and casualty insurance products inclusive of personal auto, homeowners, RV, motorcycle, small...

The Medical Claims Analyst is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts. The role ensures accurate, timely resolution of outstanding claims through proactive follow-up and analytical problem-solving. Duties and Responsibilities - Follow up with payers via phone, email, fax, or payer portals to ensure timely resolution of outstanding...

Integon is a part of The Allstate Corporation, offering property and casualty insurance products and services. It is a division in Mexico of one of the largest U.S. insurance companies, certified as a Great Place To Work since 2019. Integon supports insurance company affiliates with P&C products. Overview At Integon, our customer support roles are central to our operations. As a member of our...

A local manufacturing firm is hiring a Customer Service Representative for their healthcare account. This role is open to individuals from all educational backgrounds, with or without experience in BPO. The representative will assist customers with inquiries about healthcare, claims, and benefits while ensuring compliance with company procedures. The position requires willingness to work on-site...

Assistant Manager-Customer Care Voice-Claims - FNOL Join to apply for the Assistant Manager-Customer Care Voice-Claims - FNOL role at EXL We are seeking a Customer Service Representative to assist customers with their inquiries via calls, chat, and emails, encompassing generic queries, account/application status, and insurance-related concerns. The ideal candidate will demonstrate ownership,...

Optum Makati, National Capital Region, Philippines Responsibilities - Responsible in triaging assigned client claims and make determinations on opening cases for medical record review, in addition, the team also does a thorough review of medical records/documentation and claim history to identify aberrant patterns or trends and exercise independent decision making to determine appropriate...

A Sr Collections Specialist in RCM is responsible for identifying, analyzing and resolving issues related to medical billing, claims processing, denials and payment discrepancies. They conduct root cause analysis to determine recurring problems and provide recommendations to help implement corrective actions to improve revenue cycle efficiencies. Analysts are expected to work closely with...

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...

ROLE AND RESPONSIBILITIES - Responsible in triaging assigned client claims and make determinations on opening cases for medical record review, in addition, the team also does a thorough review of medical records/documentation and claim history to identify aberrant patterns or trends and exercise independent decision making to determine appropriate follow-up. - Once the claim information is...

Overview This function is responsible for Collections for Healthcare unpaid claims. The position in this function interact with customers gathering support data to ensure invoice accuracy and also work through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection function. Educate customers...

Overview A Sr Collections Specialist in RCM is responsible for identifying, analyzing and resolving issues related to medical billing, claims processing, denials and payment discrepancies. They conduct root cause analysis to determine recurring problems and provide recommendations to help implement corrective actions to improve revenue cycle efficiencies. Analysts are expected to work closely...