Claims Processor

Date Posted: December 23, 2021

Job Location: Makati City

Job Description:

Job Description:

- Checks completeness of required documents

- Process all eligible claims with 5-15 working days TAT depending on pre-agreed credit term with the Provider with the 10-15% margin for error/correction

- Ensures that all medical claims for check payment request has secured proper approval

- Prepares Check Payment Request within 2-7 working days TAT depending on the pre-agreed term with the provider with 10-15% margin for error/correction

- Forward apppoved CPR to Accounting within 24 hours TAT

- Updates tracking records of all received check payments

- Prepares attachments of check payments (Cover latter, Computation Sheet, Withholding Tax Certificate) within 1-2 days working days TAT

- Transmits check payments to Providers within 1-2 working days TAT

- Conducts routine reconciliation of Outstanding Accounts with Provider

- Provides detailed report on the reconciliation made

- Ensures that Outstanding Account are settled within 3-5 working days after reconciliation

- Ensures that all medical claims documents are properly filed and labeled

- perform other clerical activities 

- Other duties may be assiged from time to time

Qualifications:

Qualification:

- With a Bachelor's degree with any courses

- Computer literate

- Flexibile

- Willing to work as soon as possible

- With pleasing personality

- We accept fresh graduates