Generali Life Assurance Philippines Inc.

Claims Processor for Makati and Cebu

Responsibilities

Provider Network Claims Processing

  • Check availability and accuracy of claims details in MAS
  • Make necessary corrections of claims details
  • Verify unlisted claims in MAS with biller
  • Process claims using the prescribed process and based on existing guidelines
  • Prepare transmittal for check preparation
  • Approve payment for claims within authority limit of Php5,000
  • Recommend approval of claims payment beyond authority limit
  • Prepare and submit claims statement & SOA to biller for bill back of excess of benefits to client or company
  • Turn over complete claims documents to Front Desk for proper filin

Customer Service

  • Answer inquiries via email or phone regarding status of claims or overdue payments
  • Documentation of medical claims disputes or complaints
  • Resolution or escalation of claims disputes or complaints
  • Coordination with sales and other work units regarding non-claims related customer concerns received via email or phone

 

Requirements

  • At least 1 year(s) of working experience in the related field is required for this position.
  • Candidate must possess at least a Bachelor's/College Degree on any course.
  • Preferably Fresh / Entry Level specializing in Healthcare - Nurse/Medical Support and Assistant or equivalent.
  • Required skill(s): General Insurance Principles, Product Knowledge, Use of Office Technology, Medical Terminology, Medical Claims and Guidelines Procedures, Analytical Thinking, Attention to Detail, Communication, Interpersonal Skills, Customer Service Skills.
  • Required language(s): English, Filipino.

Additional Information

  • Location: Makati City, NCR.
  • Full Time position(s) are available.
  • Number of vacancies: 2.