Medical Claims Processing jobs

Job Overview

We are seeking an experienced Insurance Processing Specialist with strong Commercial Lines experience to support the day-to-day processing and servicing of insurance accounts. The ideal candidate is highly organized, detail-oriented, and comfortable managing multiple renewals, urgent requests, and complex accounts while meeting strict deadlines.

Experience with AMS360 and strong knowledge of insurance processing workflows are highly preferred.

Key Responsibilities

• Create and process ACORD forms, which will be the primary responsibility of the role.
• Request, track, and follow up on loss runs.
• Process policy renewals and conduct timely follow-ups with carriers and relevant parties.
• Handle RAIS follow-ups and submissions.
• Complete insurance portal submissions accurately and within required timelines.
• Process portal-based renewals and ensure all required information is submitted.
• Prepare and complete supplemental applications as needed.
• Prepare, organize, and attach supporting documentation required for submissions and renewals.
• Monitor renewal dates and manage multiple accounts according to urgency, priority, and turnaround requirements.
• Handle urgent and high-priority accounts with appropriate attention and follow-through.
• Ensure all tasks are completed in compliance with established renewal timelines, carrier requirements, and internal processes.
• Prioritize daily workload based on deadlines, urgency, and account requirements.
• Manage and process complex, large, or time-sensitive accounts while maintaining accuracy and attention to detail.
• Maintain complete and accurate documentation within AMS360 and applicable carrier portals.
• Follow up proactively on outstanding items to prevent delays in the renewal and submission process.

Qualifications & Skills

• Previous experience in U.S. insurance operations or commercial lines insurance.
• Hands-on experience creating ACORD forms.
• Experience processing renewals, loss runs, RAIS submissions, and supplemental applications.
• Experience working with insurance carrier portals and portal-based renewals.
• Working knowledge of AMS360.
• Strong organizational and time-management skills.
• Ability to manage multiple accounts and competing deadlines.
• Strong attention to detail and accuracy.
• Ability to identify and prioritize urgent and high-priority requests.
• Strong written and verbal communication skills.
• Ability to work independently and follow established processes.
• Comfortable handling complex and high-value insurance accounts.

Preferred Experience

• Commercial Lines insurance experience.
• Experience supporting an insurance agency, broker, or account management team.
• Experience working with multiple carrier portals.
• Experience managing a high volume of renewals and time-sensitive submissions.

Ideal Candidate

The ideal candidate is a highly organized insurance professional who can work independently, prioritize effectively, and consistently meet strict renewal deadlines. They should be comfortable handling everything from routine ACORD creation and loss run requests to complex, urgent, and high-priority commercial accounts.

Pay: Php45,000.00 - Php55,000.00 per month

Work Location: Remote