Claims Representative jobs in Manila

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...

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...

The Customer Service Representative (CSR) provides frontline support in the end-to-end Order-to-Cash (OTC) cycle by managing customer inquiries, processing orders, resolving delivery-related issues, and ensuring proactive communication on order status. The role ensures smooth daily operations by connecting external customers with internal teams, delivering accurate and timely service, and...

Accountabilities: First point of contact for consumers via telephoneProvide authentication during all consumer contacts to uphold security and privacy of PII and SPII.Provide disclosures to consumers.Assist consumers in filing disputes for all products.Must be able to review and analyze reports and instruct the consumer on the best way to dispute a specific claim.Research dispute requests to...

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...

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,...

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...

This is a remote position. Role: Implementation Consultant (Technical Business Analyst) Schedule: Mondays to Fridays, 9:00 am – 6:00 pm, New York City, New York, USA About the Company A global advisory and resourcing firm established in 2005, with headquarters in New York, London, and Sydney. The company specializes in delivering tailored consulting, digital, technology, and talent solutions...

Senior Manager, Global Lead for Tax Controversy (Bangkok/Singapore Based, Relocation Provided) Location: Agoda Manila, National Capital Region, Philippines Job Summary As a Senior Manager, Global Lead for Tax Controversy you will be responsible for leading the company’s global tax controversy and audit strategy end‑to‑end. You will report directly to the Head of International Tax. This role...

Position Summary Vertex Search has been retained by a leading independent consulting and engineering firm with a strong international footprint across Europe and Asia. This organization specializes in Renewable Energy particularly large-scale Solar PV, Wind, and Battery Energy Storage Systems (BESS). It has delivered lender-grade technical advisory, owner’s engineering, and due diligence...

Job Summary:The Coding Denial Representative is responsible for reviewing the payor’s denials and identifying the root cause of the denials account. The Coding Denial Representative determines if the account is appealable or not.Coding Denial Representative must understand and comply with the process established by the Federal and State regulations, Payor’s specific guidelines, Official Coding...

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...

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, 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...

Easy and Fast One-day Hiring Process! Earn up to 25k monthly plus more benefits! We are looking for a Healthcare Specialist Representative in our Metro Sites! This is for urgent hiring, don’t miss this opportunity and Apply Now!Responsibilities:• Answer inquiries regarding medical services, insurance coverage, and billing• Assist patients with scheduling appointments and accessing medical...