Claims Processor

The Claims Processor is responsible for reviewing, processing, and adjudicating insurance claims accurately and efficiently. This role ensures compliance with company policies, regulatory guidelines, and contractual agreements while maintaining a high level of accuracy and customer service.

Qualifications: 
Graduate of Bachelors of Science (preferably medical course) 
24-30 years old 
Computer literate (Knowledgeable in Microsoft Office) 
Relevant work experience is a plus

Job description:
Evaluates claims receive by checking the completeness of documents, necessity and
reasonableness of expenses. 
Encoding and simplification of diagnosis-data entry. 
Conducts routine reconciliation of Outstanding Accounts with Providers to be reported
to Provider Relation Department. 
Ensures that all medical claims documents are properly filed and labeled. 
Perform other duties and responsibilities as maybe assigned by the immediate superior