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Claims Evaluator

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Hybrid

Claims Evaluator

Pioneer Your Insurance

Claims Evaluator

1 month ago

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Important information


Contract type:

Permanent

Location:

Makati City, Metro Manila, Philippines

Work mode:

Hybrid

Published on:

21 September 2026

What they need


Job Role

  • Reviews and approves claims within the assigned scope
  • Maintains effective communication, coordination and good relationship with clients, concerned business units and other parties involved in claims review process
  • Recommends enhancements in the claims review and approval system and procedures to reflect current Microinsurance market trends
  • Implements approved enhancement of systems in the assigned area
  • Maintains a filing system for claims review and approval
  • Helps prepare claims reports to monitor the loss performance of Microinsurance
  • Reviews letter of denial

Qualifications

  • Graduate of bachelor's degree course - Business Management, Medical or Communications
  • Proficient in MS applications
  • Amenable to fieldwork
  • At least 3 years' experience in processing insurance claims

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