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.
Replied 7 minutes ago
Working Location
Ortigas Center. Ortigas Center, Pasig City, Metro Manila, Philippines
Posted on 09 June 2025
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