Claim and Processing Associate
Topserve Service Solutions, Inc.
Job Description
Benefits
Government Mandated Benefits
13th Month Pay, Pag-Ibig Fund, Paid Holidays, Philhealth, SSS/GSIS
Insurance Health & Wellness
Health Insurance, Life Insurance
- Reviewing client's insurance coverage and interviewing those who have filed a claim.
- Analyzing and investigating complicated insurance claims to help prevent fraud.
- Performing detailed site inspections.
- Reviewing and processing new claims reports.
- Upholding relationships and communication with insurance departments and clients.
- Organizing and presenting claim review plans.
- Assisting customers in determining need and eligibility of services available, calculating and assigning appropriate reserves to claims, and managing reserve adequacy throughout the life of the claim.
- Determining benefits due pursuant to the client contract.
- Handling claims files.
- Investigating claims by determining applicable policy coverage, evaluating damages, and settling assigned claims.
- Experience as a claims processor or similar role in insurance is a plus
- Familiarity with insurance policies and claims procedures
- Good data entry and data processing skills
- Attention to detail and analytical skills
- Ability to handle confidential and sensitive information
- Good communication and negotiation skills
- Bachelor’s degree in any course is a must
- Wiling to work on-site in Ortigas, Pasig
Leonila Alejo
RecruiterTopserve Service Solutions, Inc.
More than ten replies today
Working Location
Ortigas Center. Ortigas Center, Pasig City, Metro Manila, Philippines
Posted on 09 June 2025
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