Claims Adjudicator (Makati City)

CLAIMS ADJUDICATOR

PLEASE READ THE ENTIRE JOB ADVERTISEMENT!!!

MINIMUM QUALIFICATION

• Candidate must possess at least a Bachelor' s/College Degree in ANY course

•At least with 1 year or more experience as Medical Adjudicator

• Must be proficient in the use of MS Office (particularly good with the use of MS Excel)

• Must have the following requirements: SSS, Pag-ibig, Philhealth, TIN, NBI and Gcash (for payroll processing)

• Must be immediately available for employment

• Available vacancy in MAKATI CITY

JOB RESPONSIBILITIES

• Ensures that the policyholders are getting benefits as prescribed on the policy holder's schedule of benefits and limitations; computes over-all utilization and approves processed claims up to allowable limit of approval

• Handles simple claims processing and these can either be from: (1) medical reimbursement, or (2) local accredited providers (hospitals, clinics, laboratories and doctors)

• Performs proper identification of member claimant and reports or refers fraudulent claims to immediate supervisor

FAQS:

What is Staff Alliance, Inc.?

-Staff Alliance Inc. is a manpower provider providing personnel to different companies for 29 years. We have established and well-known clients. Let us help you in finding the right job for you. Let us be your stepping stone to a brighter future and career ahead of you.

Quarantine Notice on Process for Recruitment:

We are currently on a work from home set-up and the an initial email questionnaire will be sent to qualified candidates

A phone interview will be conducted for candidates who passed

Start date is ASAP even during the Pandemic.

Hired applicants need to pass the following: SSS, Pag-ibig, Philhealth, TIN, NBI, Barangay Clearance, Medical Results, TOR

Want your application be prioritized and expedited? Create an account through our website:

https://www.staff-alliance.com/index.do