Claims & Overpayments Recovery Specialist

Carelon Global Solutions Philippines, Inc.; Taguig; On-site; PHP 300,000 - 420,000; Full time

Job summary

Carelon Global Solutions Philippines, Inc. is hiring a CSR (Financial Ops Recovery Spec I) in Taguig. You will review paid claims for overpayments, determine amounts, and process refunds while ensuring accurate balancing of accounts.

The role may involve supporting cash application, claim audits, collections, and vendor validation as needed. A high school diploma and 1–2 years in relevant work are required.

Qualifications

• H.S. diploma required; 1–2 years in claims processing or customer service.
• Associate degree preferred.

Responsibilities

• Review and validate paid claims for overpayments using system queries or reports.
• Determine and calculate overpayments and process refunds.
• Research voluntary refunds for accuracy.
• Balance accounts accurately and support cash receipts, cash application, audits and collections as needed.

Skills

Claims processing

Customer service

Cash application

Education

High School diploma

Associate degree preferred

Job description

Carelon Global Solutions Philippines, Inc. is hiring a CSR (Financial Ops Recovery Spec I) in Taguig. You will review paid claims for overpayments, determine amounts, and process refunds while ensuring accurate balancing of accounts.

The role may involve supporting cash application, claim audits, collections, and vendor validation as needed. A high school diploma and 1–2 years in relevant work are required.