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    • Input claim information accurately into the claims management system, ensuring all details are captured for proper claims processing.
    • Accurately enter, update, and maintain healthcare-related financial records, including invoices, claims, and payment transactions.
    • Interacts effectively with customers, insurance agents, police, and other personnel involved in claim process.
    • With non-life insurance background.
    • Interacts effectively with customers, insurance agents, police, and other personnel involved in claim process.
    • With non-life insurance background.
    • Verify insurance and authorizations: Confirm patient insurance coverage and check pre-authorizations for treatments or procedures to minimize delays in billing.
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    • Coordination for VIP access/availments.
    • Experience in handling Claims and/or LOA (Letter of…
    • Advises the Immediate Superior on claims matters.
    • Files and segregates claims documents for proper documentation and future reference.
    • Medical Plan (HMO) from Day 1 of employment with free dependents.
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    • Assists members in filing claims for reimbursement.
    • This job is responsible for the accurate implementation of Member's Healthcare benefit policy and focusing…
    • Approves the benefit applications and insurance claims within the set authority limit.
    • Evaluates the submitted claim and plan benefit applications and processes…
    • Clearinghouse platforms for claim submission and ERA retrieval.
    • Post insurance and patient payments accurately in the practice management system.
    • Approves the benefit applications and insurance claims within the set authority limit.
    • Daily approved claims and plan benefits.
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    • Performs all related claims facilitating tasks, as well as receiving and releasing of claim documents and checks to clients, advisors & other departments in SL,…
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    • K. Monitor status of both Philhealth and PCSO claims.
    • H. Checks and screens Philhealth and PCSO claims before transmittal.
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    • Appraises and approves claims within prescribed approval limits, performs initial review of claims beyond authorized approval limits and submits recommended…

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Job Post Details

Sutherland logo

Disability Claims Associate - Insurance Account - job post

Sutherland
3.5 out of 5 stars
Taguig
PHP 20,000 - PHP 35,000 a month

Job details

Pay

  • PHP 20,000 - PHP 35,000 a month

Job type

  • Permanent
  • Full-time

Location

Taguig

Full job description

Your day-to-day:

  • Review and verify the claims documentation, including medical records, claim forms, and supporting paperwork are aligned with the applicable and appropriate claim
  • Input claim information accurately into the claims management system, ensuring all details are captured for proper claims processing
  • Assess the completeness of the claim files against policy requirements
  • Ensure compliance with all relevant laws, policies, and regulations concerning disability claims and sensitive personal information
  • Provide administrative support with documents as required by the claims department

Key strengths for this role:

  • With good to excellent English communication skills
  • At least HS Graduate (old or new curriculum)
  • At least 1 year experience handling voice customer service Disability Claims OR Life Insurance Intake
  • Handled claims inquiries from direct claimants, HR and alike
  • Has good understanding on medical terminologies and insurance policies

The good stuff coming your way:

At Sutherland, you’re a big deal. That’s why from day one, you’ll enjoy perks and benefits designed to help you grow, achieve more, and build the career you deserve.

  • Paid training
  • Paid time off
  • Vision, dental, and health benefits
  • HMO + Dependent
  • Flexible scheduling based on program needs
  • Performance incentives on selected programs
  • World-class virtual support
  • Career development & advancement opportunities

Ensure your line stays open between 10 AM and 7 PM as our team may reach out.

Pay: Php20,000.00 - Php35,000.00 per month

Benefits:

  • Health insurance
  • On-site parking
  • Opportunities for promotion
  • Paid training

Work Location: In person

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