Claims Inspection Representative

Abbott Laboratories; Taguig; On-site; PHP 279,000 - 502,000; Full time

Job summary

Abbott Laboratories in the Philippines, Taguig, is seeking a Claims Inspection Representative to join our Finance category. You will review insurance claims against a checklist to ensure accuracy and compliance before release.

You will identify discrepancies, document findings clearly, and coordinate with internal teams to correct issues. This role emphasizes attention to detail, data integrity, and strong communication in a healthcare environment.

Qualifications

• College diploma or equivalent; more education in healthcare or management preferred.
• 2+ years in healthcare accounts or Revenue Cycle Management.
• 1–2 years data processing experience preferred.
• 1–2 years customer service or provider relations experience preferred.

Responsibilities

• Conduct thorough reviews of submitted claims using a standardized checklist to ensure accuracy and compliance.
• Identify discrepancies or non-conformities (Failpoints) and communicate corrective actions to internal teams.
• Maintain accurate patient information in data management systems.
• Respond to inquiries from insurance companies, patients, and internal departments.

Skills

Communication

Teamwork

Attention to detail

Problem solving

Time management

Customer orientation

Education

College diploma or equivalent

Tools

Excel

Word

Outlook

Job description

Location Philippines - Taguig City Category Finance

Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical science and technology.

Our rapid diagnostics solutions are helping address some of the world’s greatest healthcare challenges.

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You will have access to:

• Career development with an international company where you can grow the career you dream of.
• A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
• A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.

The Opportunity

As the Claims Inspection Representative, you will be responsible for handling claims review through an established checklist to ensure accurate claim requirements are met before it is released to the insurance.

What You’ll Do

• Conduct thorough reviews of submitted claims by applying a standardized checklist of requirements to ensure accuracy, completeness, and compliance with internal policies and payer guidelines.
• Accurately identify discrepancies, errors, or non-compliance issues referred to as Failpoints during the claims review process. These findings must be clearly documented and promptly communicated to the appropriate internal departments to initiate necessary corrective actions and ensure process integrity.
• Maintains accurate patient information in relevant Acelis Connected Health data management systems.
• Applies knowledge of company processes and procedures to respond to incoming communication from insurance companies, patients and internal departments.
• Performs other related duties as assigned.

Requirements

• College diploma or equivalent, but more education, especially in management or healthcare, is preferred.
• Minimum of 2 years of experience in healthcare accounts (preferably Revenue Cycle Management work experience).
• One to two years data processing experience preferred.
• One to two years customer service or provider relations experience preferred.
• Proficiency with technology, especially computers, software applications, and phone systems.
• Good verbal and written communication skills.
• Strong understanding of company products, policies, and services.
• Fostering Teamwork
• Analytical Thinking
• Commitment to Job Deliverables
• Leadership
• Decision Making
• Trustworthiness and Ethics
• Attention to Details
• Problem Solving
• Attention to Communication
• Technical Expertise
• Customer Orientation
• Managing Change
• Managing Performance
• Stress Management
• Initiative
• Personal Credibility
• Interpersonal Skills
• Flexibility
• Thoroughness
• Self Confidence

Required Skills

Communication

• Excellent interpersonal skills
• Detailed & Team Oriented
• Professional communication & Writing Organization/Time Management Skills

Technical Skills

• Detail-oriented
• Basic Excel, Word and Outlook experience required.
• Demonstrates proficiency and accuracy using Alere Home Monitoring data management systems which are directly related to the specific job function.
• Strong Computer/Software Skills

Physical Abilities

• Perform some repetitive motion activities.
• Sit for long periods of time.
• Requires close vision and the ability to adjust eye focus often.
• Required to reach with hands and arms.

Work Schedule

• Must be able sit at a standard workstation for long period.
• Must be able to work with a standard computer and monitor using keyboard.
• No lifting required for this position.
• Must have the ability to get to work on time and work for the entire assigned shift.
• Must be able to work a night shift from minimum 8:00 PM to 8:00 AM Philippine Standard Time.

Location

This position is based in Philippines.

Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott and on Twitter @AbbottNews and @AbbottGlobal.

INNOVATIVE BENEFITS

We support our colleagues around the world as they care for themselves and their families with offerings tailored to their unique needs.

DIVERSITY & INCLUSION

We strive to provide environments where all employees feel welcome and able to bring their full selves to work. To do this we integrate diversity, equity, and inclusion across Abbott.

SUSTAINABILITY FOR OUR FUTURE

At Abbott, sustainability means managing our efforts so we can help the greatest number of people around the world live fuller lives through better health.

WE'RE RECOGNIZED AROUND THE WORLD

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An Equal Opportunity Employer

Abbott is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. Employment decisions are based on qualifications, merit, and business needs.

EEO (ENGLISH)

EEO (SPANISH)

PAY TRANSPARENCY NONDISCRIMINATION PROVISION

We provide reasonable workplace accommodations. U.S. residents only: To request accommodation, please call 224-667-0340 or email [e-mail] .

Abbott is committed to pay equity and transparency. Compensation is determined using objective, job-related, and gender-neutral criteria in compliance with applicable laws and local regulations.