TRAVEL CLAIMS ADJUDICATOR

TRAVEL CLAIMS ADJUDICATOR

Polytechnic University of the Philippines
Not Specified
Not Specified

Job Description



Description:

Duties and Responsibilities:

.The Travel Claims Adjudicator is responsible for the timely processing of medical and non-medical claims as provided by Travel Product Coverage.
.Responsible for evaluating and collating of assessment information for any of the following medical and non-medical claims.
.Provides a thorough review of the details of claims and ensure that these are within policy coverage before submitting these for approval.
In cases of vague incidences vis-a-vis policy provisions he or she is expected to seek clarification
to ensure that the claims are processed within turn-over time.

Qualifications:
  • Graduate of NURSING or allied medical course
  • With HMO/insurance experience is an advantage
  • Prior experience in a customer service role in a call center setting is required
  • Good communication skills both oral and written
  • Highly organized so as to be able to manage multiple group and member accounts efficiently

Requirements:

Skills:
Clerical, Teamwork, Technical Writing, Critical Thinking, Computer/Technical Literacy, Interpersonal Abilities, Adaptability/Flexibility

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