Claims Adjuster - W3
UST
Taguig, National Capital Region, Philippines
3d ago

Job Description

  • Process new claims or modifies existing claims according to the appropriate and applicable action
  • Analyze claims to determine appropriate action to approve or deny a claim for payment
  • Determines accurate payment criteria for clearing pending claims based on defined policies and procedures
  • Research claims to determine appropriate benefit application utilizing established criteria; applies physician contract pricing as needed for entry-level claims
  • Review and address provider inquiries regarding claim adjudication
  • Ability to understand and apply knowledge of medical coding (if applicable) and various medical claims forms to the claims process
  • Demonstrated ability to work on high volume of claims
  • Maintain quality standards
  • Report this job
    checkmark

    Thank you for reporting this job!

    Your feedback will help us improve the quality of our services.

    Apply
    My Email
    By clicking on "Continue", I give neuvoo consent to process my data and to send me email alerts, as detailed in neuvoo's Privacy Policy . I may withdraw my consent or unsubscribe at any time.
    Continue
    Application form