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Senior Manager, Claims and Reimbursement

  • Posted 4 hours ago
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Job Description

MediCard Phils., Inc.is one of the country's leading HMOand the only HMOfounded and run by Doctors. Since its inception, the concept of service-oriented total health care has been the molding ideal of MediCard. The competition is vast, and the benefits being offered by the competitors are tempting. However, MEDICard has taken the lead in providing innovative and productive ideas that cut down the cost of health maintenance without compromising its quality.

MediCardnow boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus the confinement.

MediCardis currentlylooking for assertive, dynamic and energetic individuals to fill up the following vacancy:

Responsible for determining the validity and authorising settlement of insurance claims

. Assess and settle insurance claims arising from policies in force
. Make recommendations and guidelines to insurance claims
. Liaise with solicitors and other third parties during investigation and negotiation to seek guidance on the course of action that serves the best interest of AIA
. Process all insurance claims documents timely
. Answer inquires relating to claims processing
. May develop and deliver functional / technical training in claim related areas

More Info

About Company

Job ID: 152335199

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