Claims Examiner (Hybrid)
Private Advertiser · Makati City
Job description
About the role
The Medical Claims Examiner will work in a hybrid setting, reviewing and adjudicating medical claims to ensure they meet payer requirements. This full‑time position offers a blend of office and remote work, allowing flexibility while maintaining close collaboration with the team.
Key responsibilities
- Review submitted medical claims for completeness and accuracy.
- Adjudicate claims in line with payer policies and regulatory guidelines.
- Maintain detailed records of claim decisions and supporting documentation.
- Communicate claim outcomes to relevant stakeholders as needed.
Required profile
- Ability to assess medical documentation and determine claim eligibility.
- Strong attention to detail and adherence to compliance standards.
- Familiarity with insurance or payer requirements for medical claims.
- Willingness to work in a hybrid environment.
Required skills
What we offer
- HMO coverage effective from day one, including one dependent.
- Equipment provided to support remote work.
- Potential for additional work‑from‑home days.
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Published 3 weeks ago
Expires 1 month from now
26 views · 0 interested
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Private Advertiser
Makati City
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