Senior Claims Operations Leader

MediCard Phils., Inc.; Philippines; On-site; PHP 600,000 - 900,000; Full time

Job summary

MediCard Phils., Inc. is seeking a senior claims team leader to oversee performance management, risk controls, and process improvements within the claims group.

You will lead a team, ensure timely processing of claims, monitor SLAs, coach staff, and coordinate with internal partners to sustain high-quality service and compliance. Strong English and Filipino communication, data-driven decision making, and proficiency in MS Office are essential.

Qualifications

• Requires strong analytical and detail-oriented mindset.
• Proficient in MS Office applications for reporting and daily tasks.
• Excellent written and oral communication in English and Filipino.
• Experience in managing a claims team and achieving targets.

Responsibilities

• Oversee performance management of the claims team and ensure timely processing of transactions.
• Cognizant of data governance, privacy, and regulatory requirements in claims processing.
• Lead planning and supervision of team workload to ensure adequate support for claims volume.
• Escalate and resolve complex operational and customer issues within authority limits.

Skills

Analytical skills

MS Office proficiency

Bilingual English/Filipino

Leadership

Education

College degree

Tools

MS Office

Job description

MediCard Phils., Inc. is seeking a senior claims team leader to oversee performance management, risk controls, and process improvements within the claims group.

You will lead a team, ensure timely processing of claims, monitor SLAs, coach staff, and coordinate with internal partners to sustain high-quality service and compliance. Strong English and Filipino communication, data-driven decision making, and proficiency in MS Office are essential.