BestJobs - Jobs - Claims Associate

    Description


  • JOB SUMMARY

    Responsible for the evaluation and prompt processing of claims billed by accredited clinics nationwide, accurate transmittal of checks to our clients, complete and timely transmittal of billback claims; and maintenance of complete and updated claims records.

    a. Sort and log received claims from accredited clinics nationwide

    b. Encode claim data and update claims status in the claim monitoring summary

    c. Evaluate claims received by checking the completeness of required documents and its details as well as the necessity and reasonableness of its payment

    d. Analyze documents received if the claim needs to be denied or approved, based on the account’s Schedule of Benefits, or if there are lacking documents

    e. Draft letters for clients pertaining to claims submitted

    f. Process claims and release check payments within the set turn-around time

    g. Ensures complete, accurate and timely transmittal of processed claims with billback/collectible charges

    h. Conducts reconciliation with accredited providers.

    i. Ensures accurate transmittal of withholding tax to accredited clinics nationwide.

    *Graduate of any allied medical courses
    *Knowledge in claims adjudication is an advantage


  • Requirements

  • Minimum education level: Bachelor´s Degree
  • Language(s): Tagalog ,English
  • Knowledge: Windows
  • Availability for travel: Yes
  • Availability for change of residence: No

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Job summary

  • Claims Associate

  • Makati, National Capital Region

  • Company

    United Coconut Planters Life Assurance Corp
  • Work type

    Permanent contract

  • Type of contract

    Full Time

  • Apply