Claims Processing Specialist (Travel Insurance)

WHR Global Consulting; Muntinlupa; On-site; PHP 279,000 - 446,400; Full time

Job summary

WHR Global Consulting is looking for a Claims Processing Specialist in Muntinlupa. The role involves inputting and assessing claims data, ensuring compliance with industry regulations, and serving as a primary contact for customer inquiries. Candidates should possess a Bachelor's degree in a related field along with communication and organizational skills. Prior experience in claims processing or customer service is preferred. This is a full-time, on-site position offered in a dynamic work environment.

Qualifications

• Bachelor's degree in any related field.
• Previous experience in claims processing or customer service preferred.
• Strong organizational and communication skills required.

Responsibilities

• Input claim data into the system, ensuring accuracy and proper filing.
• Assist in collecting and organizing necessary documentation for claims.
• Review and assess claims for validity and compliance.
• Analyze claims data for discrepancies or fraud.
• Conduct initial investigations to gather additional information.
• Follow up with claimants for timely resolution and payment.
• Serve as point of contact for customers regarding claims.

Skills

Organizational skills

Communication skills

Familiarity with claims software

Knowledge of industry regulations

Education

Bachelor's degree in any related field

Job description

Claims Processing Specialist (Travel Insurance)

WHR Global Consulting

Negotiable

On-site - Muntinlupa

1-3 Yrs Exp

Bachelor

Full-time

Job Description

Work Setup

Onsite | Day Shift

Employment Type

Full-Time

Qualifications

• Bachelor’s degree in any related field.
• Previous experience in claims processing, customer service, or a related field is preferred.
• Strong organizational and communication skills.
• Familiarity with claims software or management systems.
• Knowledge of industry‑specific regulations and compliance standards (e.g., insurance or healthcare claims).

Key Responsibilities

• Input claim data into the system, ensuring all information is accurate, up-to-date, and properly filed.
• Assist in collecting and organizing all necessary documentation for claims, including medical reports, receipts, and forms.
• Review and assess claims to determine their validity, ensuring all necessary documentation is submitted and in compliance with relevant regulations.
• Analyze claims data to identify discrepancies, fraud, or errors and elevate complex claims to senior claims staff or managers.
• Conduct initial investigations when necessary to gather additional information or verify claims details.
• Follow up with claimants, healthcare providers, or third‑party vendors to ensure timely resolution and payment.
• Serve as a point of contact for customers or policyholders, answering inquiries related to claims status, processing timelines, and required documentation.