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Claims Analyst jobs in Manila

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    • Liase with claim handlers to review significant amount of total incurred claims movement.
    • Process existing claims in IRIS system.
    • View all Arch Capital Group Ltd. jobs - Manila jobs - Claims Analyst jobs in Manila
    • Salary Search: Claims Analyst - Mid salaries in Manila
    • Medical Plan (HMO) from Day 1 of employment with free dependents.
    • Oversee reconciliation of claims against billing reports and account receivables.
    • Identify gaps in current claims workflows and implement scalable solutions.
    • The operations analyst will process data into system, ensure accuracy, create queries, and reports for various duties that can involve underwriting support,…
    • Demonstrate basic working knowledge of healthcare claims processing.
    • The ideal candidate will have a basic understanding of healthcare claims and reimbursement…
    • Knowledgeable in EOB interpretation and claims processing.
    • Perform outbound calls to insurance companies for claim status and resolution.
    • ✅ Ability to understand claim activity, identify potential risks, and support effective claims management decisions.
    • ✅ Associate or Bachelor’s Degree in:
    • Document management and claim closure.
    • Support claim lifecycle activities till closure.
    • Assist in claim system updates and documentation.
    • Ability to manage multiple claims and priorities.
    • Experience using claims management systems and related software.
    • Strong leadership and team management skills.
  • View similar jobs with this employer
    • Appraises and approves claims within prescribed approval limits, performs initial review of claims beyond authorized approval limits and submits recommended…
    • Knowledge of insurance products and claims handling procedures.
    • Maintains organized digital and physical records of all claims transactions and correspondence.
    • Maintain clear, complete, and audit-ready claim notes to support all claim decisions.
    • Medicare and Medi-Cal claims processing.
    • Verify claim status and collect unpaid claims from insurance.
    • Process claims payments, manage denials, and track claim statuses.
    • Work on the provider side.
    • The operations analyst will process data into system, ensure accuracy, create queries, and reports for various duties that can involve underwriting support,…
    • Verify claim status and collect unpaid claims from insurance.
    • Process claims payments, manage denials, and track claim statuses.
    • Work on the provider side.
Claims Analyst - Mid
Arch Capital Group Ltd.
·
3.3
Manila
Full-time
Apply on company site

Job details

Pay information not provided
Full-time
Manila

Full job description

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.

  • Process and/or review bureau claims settlement
  • Process existing claims in IRIS system
  • Analyze first and subsequence claims loss advice
  • Liase with claim handlers to review significant amount of total incurred claims movement
  • Perform ad hoc reconciliations and assist in quarterly and annual audit.


Qualifications

  • Working knowledge of claims process.
  • Technical Skills: MS Excel, MS Word
  • Excellent communication and interpersonal skills.
  • Strong analytical skills with the ability to collect, organize and analyze significant amounts of information with high attention to detail and accuracy.
  • Ability to work unsupervised, work on tight deadlines, pro-active and team player.
  • Good working knowledge of Microsoft Excel and data reconciliation.
  • Insurance background is preferred but not required.


Additional information

  • Four-year degree in a business-related field


Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn’t the right fit but you’re interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch’s Talent Acquisition team.


10400 Arch Global Services (Philippines) Inc.
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