Healthcare Claims Support Specialist

John Clements Consultants, Inc.; Taguig; On-site; PHP 220,000 - 320,000; Full time

Job summary

John Clements Consultants, Inc. in the Philippines is seeking a responsive healthcare claims associate to handle inbound and outbound calls, document interactions, and escalate issues as needed.

The role emphasizes accurate exchanges, adherence to service-level timelines, and solid communication with providers and members. This position requires a high school diploma, 1–3 years in healthcare claims or call center work, knowledge of Medicare and benefit plans, and proficiency with MS Word and

Qualifications

• High school diploma or equivalent required.
• 1–3 years in healthcare claims or call center environment.
• Medicare/Medicare Advantage knowledge highly preferred.
• Strong communication skills (verbal and written).

Responsibilities

• Receive and respond to inbound customer calls, providing prompt and accurate assistance
• Handle outbound call requests as needed
• Document all customer interactions in ticketing and tracking systems
• Respond to customer inquiries within established service-level timeframes
• Serve as liaison between the Claims Department and healthcare providers
• Research and investigate customer claims using payer systems

Skills

Verbal and written communication

Attention to detail

Problem solving

Multitasking

Education

High School Diploma or equivalent

Tools

MS Word

MS Excel

Job description

John Clements Consultants, Inc. in the Philippines is seeking a responsive healthcare claims associate to handle inbound and outbound calls, document interactions, and escalate issues as needed.

The role emphasizes accurate exchanges, adherence to service-level timelines, and solid communication with providers and members. This position requires a high school diploma, 1–3 years in healthcare claims or call center work, knowledge of Medicare and benefit plans, and proficiency with MS Word and