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
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
Permanent
Full-time
Permanent
Full-time
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NeksJob Philippines
About the company
NeksJob Philippines jobs
₱ 15,000.00 monthly · Batanes, Cagayan Valley · 14 September (updated)
Business Development Representative (On-Site Cebu Business Park)
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About the company
NeksJob Philippines jobs
₱ 15,000.00 monthly · Batanes, Cagayan Valley · 14 September (updated)