Claims Processor

MEDICARE PLUS, INC.; Metro Manila; On-site; PHP 223,000 - 446,000; Full time

Job summary

Medicare Plus, Inc. in Metro Manila is seeking a Claims Officer/Analyst to manage end-to-end claims workflow. You will acknowledge new claims within 24 hours, organize files, and follow up with insurers and clients to obtain missing information.

The role requires at least 1 year of claims experience, keen attention to detail, and strong communication. Proficiency in Microsoft Office is essential for reporting and record-keeping.

Qualifications

• Bachelor’s degree in medical allied course is required.
• At least 1 year of experience as Claims Officer/Claims Analyst is required.
• Attention to detail and strong communication skills are essential.

Responsibilities

• New claims acknowledgment within 24hrs.
• File and keep organized all claim files.
• Close claims as quickly as possible.
• Filing of emails to understanding.
• Follow up on outstanding claims with the insurer or client to obtain missing information.
• Differentiate client’s urgent and be prompt in your response and delivery.
• Prepare claims history summary for the claims manager and broker.
• Prepare reports as required.

Skills

Keen on details

Good oral and written communications

1 year experience as Claims Officer/ 1

Education

Bachelor’s degree in medical allied course

Tools

Microsoft Office

Job description

Responsibilities

• New Claims acknowledgment within 24hrs
• File and keep organized all claim files
• To close claims as quickly as possible
• Filing of emails to understanding
• Follow up on outstanding claims with the insurer or with the client to obtain missing information/documentation
• Differentiate client’s urgent and be prompt in your response and delivery
• Prepare claims history summary for the claims manager and broker
• Prepare reports as required

Qualifications

• Bachelor’s degree in any medical allied course
• With at least 1 year of experience as a Claims Officer/ Claims Analyst
• Must be keen on details
• Good oral and written communications skill
• Proficient in using Microsoft Office tools