Claims Status Representative
Claims Status Representative
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Salary Not Disclosed
1 Vacancy
Job Description
Turn Complex Claims Into Clear Outcomes
Billing services isn t just about crunching numbers it s about making every second count. Here your expertise in claims processing drives real results without draining your energy. Think clean records streamlined workflows and zero burnout. It s more than a job; it s your chance to balance life s debits and credits on your own terms.
Your Role in a Nutshell
Be part of our client s team as a Claims Status Representative and take charge of reviewing and validating insurance claims with accuracy and insight. You ll play a key role in keeping the billing process moving while helping clients stay informed and supported.
Snapshot of the Role
Shift: Monday to Friday 9:00 PM 6:00 AM
Work Setup: Onsite Cebu
- Review and assess insurance claims for completeness accuracy and policy compliance
- Verify documents and policyholder information to validate claims
- Maintain records of claims approvals denials and settlements in the system
- Communicate with claimants insurance agents and stakeholders to collect documentation and provide updates
- Identify discrepancies or fraud indicators and escalate cases when needed
- Assist in claim settlements by coordinating with adjusters legal teams and thirdparty providers
- Stay informed on industry regulations company policies and claims standards
- Provide feedback to improve claims procedures and processing workflows
- Generate and analyze reports on claims performance and trends
Requirements
What You ll Bring to the Table
- Bachelor s degree in Business Administration Insurance Finance or a related field (preferred)
- 1 3 years of experience in claims processing insurance or a related field
- Experience in healthcare billing or insurance (preferred)
- Strong analytical and problemsolving skills
- Excellent attention to detail and document accuracy
- Effective communication and interpersonal skills
- Proficiency in MS Office (Excel Word Outlook) and claims management systems
- Ability to work independently and handle multiple tasks efficiently
- Knowledge of insurance policies industry regulations and claims adjudication processes (a plus)
Benefits
What s in It for You
- Competitive Salary Package
- Night differential pay to maximize your earnings
- Prime office location in Cebu (Conveniently accessible by PUVs with nearby restaurants and banks)
- Fixed weekends off
- Unlimited upskilling through Emapta Academy courses (Want to know more Visit 24/7 access to our office gyms (Ortigas and Makati) with a free physical fitness trainer!
- Exclusive Emapta Lifestyle perks (hotel and restaurant discounts and more!
- Unlimited opportunities for employee referral incentives across the organization
- Standard government and Emapta benefits
- Fun engagement activities for employees
- Mentorship and exposure to global leaders and teams
- Career growth opportunities
- Diverse and supportive work environment
Welcome to Emapta Philippines!
Join a team that values camaraderie excellence and growth. Recognized as one of the Top 20 Dream Companies of Filipinos in 2024 Emapta stands proudly alongside industry giants offering stability and exciting career opportunities. Your career flourishes here with competitive compensation international clients and a work culture focused on collaboration and innovation. Work with global clients across industries supported by a stable foundation and likeminded professionals passionate about making an impact. We empower your success with opportunities for personal and professional development in an inclusive environment. Apply now and be part of the #EmaptaEra!
What You ll Bring to the Table Bachelor s degree in Business Administration, Insurance, Finance, or a related field (preferred) 1 3 years of experience in claims processing, insurance, or a related field Experience in healthcare billing or insurance (preferred) Strong analytical and problem-solving skills Excellent attention to detail and document accuracy Effective communication and interpersonal skills Proficiency in MS Office (Excel, Word, Outlook) and claims management systems Ability to work independently and handle multiple tasks efficiently Knowledge of insurance policies, industry regulations, and claims adjudication processes (a plus)
Employment Type
Full Time
