Claims Processing Specialist (Travel Insurance), Muntinlupa

Work Setup: Onsite | Day Shift

Work Location: Alabang

Employment Type: Full-Time

Qualifications:

• Bachelors degree in any related field.
• Previous experience in claims processing, customer service, or a related field is preferred.
• Strong organizational and communication skills.
• Familiarity with claims software or management systems.
• Knowledge of industry-specific regulations and compliance standards (e.g., insurance or healthcare claims).

Key Responsibilities:

• Input claim data into the system, ensuring all information is accurate, up-to-date, and properly filed.
• Assist in collecting and organizing all necessary documentation for claims, including medical reports, receipts, and forms.
• Review and assess claims to determine their validity, ensuring all necessary documentation is submitted and in compliance with relevant regulations.
• Analyze claims data to identify discrepancies, fraud, or errors and escalate complex claims to senior claims staff or managers.
• Conduct initial investigations when necessary to gather additional information or verify claims details.
• Follow up with claimants, healthcare providers, or third-party vendors to ensure timely resolution and payment.
• Serve as a point of contact for customers or policyholders, answering inquiries related to claims status, processing timelines, and required documentation.