baguio site | call center is up | Healthcare Account | earn up to 16k monthly salary |NeksJob Philippines
Workplace: Benguet
Salary: Agreement
Work form: Full time
Posting Date: 07/01/2026
Deadline: 20/11/2022
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
18 years of age and above ·
At least HS/SHS Graduate
Good to excellent English communication skills
Communication and Computer savvy
Amenable to work in shifting schedule.
Willing to start ASAP
Bossjob
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
18 years of age and above ·
At least HS/SHS Graduate
Good to excellent English communication skills
Communication and Computer savvy
Amenable to work in shifting schedule.
Willing to start ASAP
Bossjob
Other Info
Baguio, Benguet
₱16,000 per month
Permanent
Full-time
₱16,000 per month
Permanent
Full-time
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NeksJob Philippines
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About the company
NeksJob Philippines jobs
₱ 15,000.00 monthly · Batanes, Cagayan Valley · 14 September (updated)