Medical Claims Analyst

Marine Benefits, Inc.

$359-449[月給]
ハイブリッドワーク - マカティ1年以上3年未満の経験大卒正社員
共有

職務内容

福利厚生

  • 手当

    通信費手当, 食事手当

  • 福利厚生

    クリスマスボーナス, 住宅ローン基金, 有給休暇, 医療給付金, SSS/GSIS

  • 保険健康とウェルネス

    HMO

  • その他

    利益の共有

  • 特典報酬

    無料の食事, 退職金制度

  • 休暇

    出産・育児休暇, 育児休暇, 病気休暇, ひとり親休暇, 女性特別休暇, バケーション休暇

  • ワークライフバランス

    フレキシブル時間, 在宅勤務

続きを読む

説明

  • Assure accurate insurance claims adjudication in a timely manner.
  • Assure timely submission of invoices/claims utilization report.
  • Validate documents received as well as members' information to adjudicate the Claims based on the submitted information.
  • Apply the Plan policy and its exclusion as well as underwriting guidelines to determine coverage for claims.
  • Deny claims according to SOB, exclusions and policies.
  • Assure timely payment of invoices from providers and ensure all information and documents needed are accurate and complete.
  • Keep management aware of members' issues from providers to enhance operations and escalate to the higher-ups when necessary.
  • Coordinate with providers all Claims unpaid and do reconciliation.
  • Answer inquiries and handle complaints from providers.

Top Benefits or Perks:

  • The countries best medical coverage for you and your family, with an annual limit of 100,000 USD (almost 6,000,000 PHP) per insured member.
  • Profit sharing (0-4 months extra salary per year – Performance based – Potential of 100K).
  • Flexible hybrid work set-up (7-10 days in the office per month).
  • Subsidized mobile plan (1,000 PHP).
  • Internet allowance (1,000 PHP).
  • 1-time 20,000 PHP allowance for home-office set-up.

要件

  • Bachelor's degree in nursing or related course.
  • Registered Nurse is an advantage.
  • Thorough knowledge of the claims process in medical insurance with a minimum 1 year of relevant experience.
  • Structured and organized.
  • Good oral and written English communication skills.
Registered Nurse is an advantageEnglish proficientCustomer serviceTeam playerStrong work ethicInterpersonal skillsBack office support
Preview

Doris Dalisay

HR ManagerMarine Benefits, Inc.

応答率が高い

勤務地

29/F, Pacific Star Bldg, Makati Avenue, 1226 Sen. Gil J. Puyat Ave, Makati, Metro Manila, Philippines

掲載日 29 November 2024

報告する

Bossjobの安全に関する注意事項

海外勤務をお考えの際は下記の事項に注意して下さい。まずパスポートなどの身分証明証は不必要に提示しない。

そして下記に該当する企業を見つけた際は、 直ちに報告をお願いいたします。

  • 保証や担保を要求する会社には注意
  • 投資や資金調達を勧誘する
  • 不当な利益を得ていると思われる企業
  • 違法と思われる状況
  • その他不審に感じた場合