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BPO Jobs Philippines - Claims Processors at Savvysherpa Asia
Home » Jobs » Claims Processors at Savvysherpa Asia

This job ad has been posted over 40 days ago...

Claims ProcessorsFull-time

at Savvysherpa Asia in Cebu City (Published at 2011-12-09)

RESPONSIBILITIES

  • Resolves claims with issues that cannot be automatically handled by the Claims Processing System
  • Applies plan coverage, state variations and other rules to the medical claims that are filed
  • Handles incoming letters
  • Process claims that route out of automatic adjudication within current turnaround standards
  • Proficient in product lines applicabole to processing units
  • Ability to understand and apply plan concepts to include deductible coinsurance, copay, out of pocet, maximums (inside limits and exclusion) state variation
  • Recognizes issues related to variable deductible, coordination of benefits, carve-out, and alternate benefits

REQUIREMENTS

  • Bachelor's Degree in Nursing or any medical related course
  • One year working experience in insurance claims processing
  • One to four years experience specializing in Nursing or other medical related occupations preferably
  • Proficient in PC environment using multiple screens and windows
  • Highly analytical, keen to details and good decision-making skills
  • Knowledgeable in claim paying and support system
  • Basic understanding in checking health related claims to see whether costs are reasonable given the diagnosis

How To Apply

Please email your application letter and CV to recruitmentasia@savvysherpa.com




More About Savvysherpa Asia

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