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MoNeed

Claims Analyst - MoneeInsure

MoNeed
Philippines, Manila
1-3 Years
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Job Description

Job Description

Claims Evaluation and Processing

  • Utilize our CRM system as the primary system for claims management and processing.
  • Review and assess claims documentation for accuracy and completeness.
  • Analyze coverage and liability based on policy terms and conditions.
  • Determine the legitimacy of claims and identify potential fraudulent activities.
  • Calculate claim payouts and ensure timely and accurate processing of claims.

System Enhancement and Coordination

  • Coordinate with the Product Management Team to suggest Bytesforce system enhancements for claims processes
  • Support quality assurance and user acceptance testing (UAT) efforts, working with relevant stakeholders to align with system and customer requirements.

Operational Optimization

  • Work alongside business and cross-functional teams to constantly optimize operational processes and improve the product experience for both internal and external users.
  • Identify and suggest opportunities for process improvements and increased efficiency.

Requirements

  • A Bachelor's Degree in Finance, Commerce or any medical field
  • Minimum of 1 year of experience in a Life / general Insurance firm.
  • Good understanding of the local life and health insurance product market.
  • Understanding of health-related claims and overall Filipino health service systems (i.e. public / private healthcare, clinics, other providers) network
  • Good understanding of local regulatory requirements, particularly from a claims perspective

More Info

Job Type:
Permanent Job
Industry:
Other
Function:
Insurance
Employment Type:
Full time

About Company

MoNeed

Job ID: 149618081

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Last Updated: 23-06-2026 09:05:09 AM
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Claims Analyst - MoneeInsure

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quality assurance, User Acceptance Testing, CRM system, Operational Optimization, claims management, local regulatory requirements, process improvement