Duties & Responsibilities:- 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
Job Types: Full-time, Permanent
Pay: Php20,- 00 - Php25,000.00 per month
Benefits: - Additional leave
Company Christmas gift
Health insurance Paid training
Schedule:
Overtime
Supplemental Pay: Bonus pay
* Overtime pay