baguio site | call center agent | No Experience Required |NeksJob Philippines

Adjudicate claims
Initiating or conducting investigations of questionable claims.
Resolves claims by approving or denying, calculating benefit due, initiating payment, preparing notice to member after case adjudication by indicating remarks in the system.
Documentation of medical claims by preparing worksheets for inpatient cases, data entry in the system, reports, logs and records.
Maintains quality services by following client service practices and responding to customer enquiries.
Performs second layer checking of claims proposed by junior assessors
Handles specific portfolio with specific service agreement
Call Center Agent
Minimum Requirements?
- at least 18 years old and above
- at least HS graduate
- savvy in computer & internet navigation
Bossjob

Baguio, Benguet
Permanent
Full-time