Claims Analyst jobs in Manila
- Wells FargoTaguig
- Experience in ATM/debit card claims, disputes, fraud, or non-fraud claims processing.
- The role is primarily focused on back-office claims review and case…
- View all Wells Fargo jobs - Taguig jobs - Claims Associate jobs in Taguig
- Salary Search: Fraud & Claims Operations Associate salaries in Taguig
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- Lennor GroupPasig
- Ability to explain EOBs, claims, and denials effectively.
- Strong understanding of claims processing for providers (physicians and/or hospitals).
- View all Lennor Group jobs - Pasig jobs - Claims Analyst jobs in Pasig
- Salary Search: Medical Claims Analyst salaries in Pasig
Hospital Claims Specialist - Potential WFH after Training
Urgently hiringNewImagenetLLCMakati- Medicare and Medi-Cal claims processing.
- Familiarity with payer platforms and claims adjudication systems.
- Strong understanding of CPT, HCPCS, and ICD-10-CM/PCS…
- UNICON Insurance and Reinsurance BrokersPasig
- Claims Processing: Review and validate claims documentation, accurately input claims data, maintain up-to-date records, and coordinate with insurers and…
- View all UNICON Insurance and Reinsurance Brokers jobs - Pasig jobs
- Salary Search: Claims Officer (Motor and Life) salaries
- R1 RCM, Inc.Quezon City
- Medical Plan (HMO) from Day 1 of employment with free dependents.
- View all R1 RCM, Inc. jobs - Quezon City jobs - Claims Investigator jobs in Quezon City
- Salary Search: Claims Investigation & Resolution Analyst salaries
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- Targets RMSOrtigas
- In-depth knowledge on claims payments processing, claims status and tracking, Medical Billing, AR Follow ups, Denials and Appeals-outbound healthcare providers.
- View all Targets RMS jobs - Ortigas jobs - Claims Analyst jobs in Ortigas
- Salary Search: Claims Analyst - Follow Up salaries in Ortigas
- Health Business Solutions LLCManila
- Knowledge of compliance and audit requirements related to hospice care claims.
- Minimum of 2 years experience in insurance denials management with a focus on…
- Philippine British Assurance CompanyMakati
- Spot inconsistencies, pre-existing damages, or red flags to prevent fraudulent claims.
- 1 to 2 years of solid experience in the non-life insurance sector as a…
- View all Philippine British Assurance Company jobs - Makati jobs
- Salary Search: CLAIMS EVALUATOR (Motor) salaries
- See popular questions & answers about Philippine British Assurance Company
- Arch Capital Group Ltd.Manila
- Process existing claims in IRIS system.
- Analyze first and subsequence claims loss advice.
- Liase with claim handlers to review significant amount of total…
- View all Arch Capital Group Ltd. jobs - Manila jobs - Claims Analyst jobs in Manila
- Salary Search: Claims Analyst - Mid salaries in Manila
- Arch Capital Group Ltd.Manila
- Process existing claims in IRIS system.
- Analyze first and subsequence claims loss advice.
- Liase with claim handlers to review significant amount of total…
- View all Arch Capital Group Ltd. jobs - Manila jobs - Claims Analyst jobs in Manila
- Salary Search: Claims Analyst - Mid salaries in Manila
- Principal Global Services (Philippines) LLCTaguig
- Analyze and process information received/not received to decide if claim moves to IGO or if claim follows our NIGO process where a determination is made on the…
Medical Claims Examiner (Professional Claims)
Urgently hiringNewImagenetLLCMakati- 2+ years of experience working closely with US healthcare claims or in a claims processing/adjudication environment.
- Work Setup: In‑Office Training Required.
View similar jobs with this employerSun LifeTaguig- Appraises and approves claims within prescribed approval limits, performs initial review of claims beyond authorized approval limits and submits recommended…
- View all Sun Life jobs - Taguig jobs - Claims Analyst jobs in Taguig
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- Oversee reconciliation of claims against billing reports and account receivables.
- Identify gaps in current claims workflows and implement scalable solutions.
- View all Shopee jobs - Manila jobs - Logistics Specialist jobs in Manila
- Salary Search: Logistics Claims, Dispute & Compliance Specialist salaries in Manila
- See popular questions & answers about Shopee
Claims Examiner (Provider Dispute) - Potential WFH after Training
Urgently hiringNewImagenetLLCMakati- Utilize EZCap to review claims history, adjudication data, and notes.
- Reviewed healthcare claims for accuracy and compliance, ensuring timely resolution across…
- Alliedbankers Insurance CorporationManila
- Preferably with at least 1 year experience in evaluation motor claims.
- Approves evaluation reports routed by the Sr. Claims Assistant within authority limit and…
Job Post Details
Job details
Full job description
About this role:
Wells Fargo is seeking a Fraud & Claims Operations Associate to support the ATM Debit Card Claims Fraud & Non-Fraud (ADCC) team. In this role, you will primarily review and assess ATM/debit card disputes and claims, particularly higher-value cases, including both fraud and non-fraud claims.
The role is primarily focused on back-office claims review and case handling, with minimal outbound calls, mainly to provide customers with updates regarding their claims. You will review transaction and case information, investigate disputes, and support the appropriate resolution of each case.
In this role, you will:
- Participate in researching and examining complex transactions and referrals in order to prevent and detect fraud activities, policy violations, and merchant disputes with low to high risk within fraud and claims functional area
- Review complex transactions and referrals to prevent and detect fraud activities, policy violations, and merchant disputes in low to high risk tasks and deliverables
- Receive direction and exercise judgment within defined parameters while developing an understanding of investigative techniques and all facets of portfolios serviced by the division to quickly examine information and determine liability as well as impact of each case
- Provide financial or business evidence and detailed data detecting patterns, trends, anomalies, and schemes in both transactions and relationships across multiple businesses or products to the more experienced management as well as specialists working within the team
Required Qualifications:
- 6+ months of Customer Service, Financial Services, Fraud, Investigations experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
Desired Qualifications:
- Experience in ATM/debit card claims, disputes, fraud, or non-fraud claims processing
- Experience reviewing and investigating financial transactions, disputes, or customer claims
- Strong analytical and decision-making skills, with the ability to review case details and supporting information
- Ability to identify transaction patterns, discrepancies, or potentially fraudulent activity
- Strong attention to detail and ability to maintain accurate case documentation
- Good written and verbal communication skills, including the ability to provide clear customer updates when outbound contact is required
- Experience working in a banking, financial services, fraud, claims, or back-office operations environment is preferred
Job Expectations:
- Must be amenable to a Monday to Friday schedule, with shifts starting anytime between 4:00 PM and 11:30 PM.
- Must be flexible to move to a different process or shift schedule based on business needs.
- Must be amenable to 100% onsite work at the McKinley office.
Posting End Date:
30 Dec 2026- Job posting may come down early due to volume of applicants.
We Value Equal Opportunity
Wells Fargo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected characteristic.
Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit’s risk appetite and all risk and compliance program requirements.
Candidates applying to job openings posted in Canada: Applications for employment are encouraged from all qualified candidates, including women, persons with disabilities, aboriginal peoples and visible minorities. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process.
Applicants with Disabilities
To request a medical accommodation during the application or interview process, visit Disability Inclusion at Wells Fargo.
Drug and Alcohol Policy
Wells Fargo maintains a drug free workplace. Please see our Drug and Alcohol Policy to learn more.
Wells Fargo Recruitment and Hiring Requirements:
a. Third-Party recordings are prohibited unless authorized by Wells Fargo.
b. Wells Fargo requires you to directly represent your own experiences during the recruiting and hiring process.