Claims Admin at Acquire Intelligence

Pasig, Metro Manila, Philippines -

Full Time

Start Date

Immediate

Expiry Date

25 Aug, 26

Salary

0.0

Posted On

28 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Management, Clerical Administration, Medicare Section 111, Professional Communication, Document Management, Data Entry, Subrogation, Expense Management, Quality Assurance, Stakeholder Management

Industry

Outsourcing and Offshoring Consulting

Description

We’re an award-winning global outsourcer providing contact center and back office services on behalf of our global clients. Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! The Claims Administrative Assistant will be responsible for the day-to-day clerical duties of IPMG - Claims Management Services. ESSENTIAL FUNCTIONS Ensures Claims Best Practices guidelines are followed consistently when applicable. Ensures that defined processes, quality standards and procedures are followed. Maintains files notes in accordance with established procedures. Provide timely information to adjusters, leadership, clients, claimants, doctors, and other stakeholders regarding the status of a pending task. Look at all necessary documentation to find answers prior to reaching out to adjuster for assistance. Understands Medicare screens to meet Section 111 requirements and assists with exception reporting to correct errors timely and accurately. Communicate effectively with all internal and external business partners. Written and verbal communication is professional and timely. Communicate effectively by expressing oneself in a clear and concise manner in one-one and group discussions while listening attentively in collaborative discussions. Foster a sense of energy, urgency, ownership, and personal commitment to work. Participation, coordination, and preparation in client claim reviews and booklet creations. Timely follow-through on all agreed action items with internal and external stakeholders that have been committed to fully execute commitments made. Achieves all metric goals outlined by department manager. Manages PTO with a team and proactive mindset. Partners with Administrative Vendor such as Acquire and Medcor intake forms as needed. Contributes to team coverage at the front desk when needed. Support ISO workflow and quality execution as well as expense management of the same. Monitor and check CMS Voicemail to ensure being checked and distributed timely each day. Responsible for approving insured-entered claims through the external portal and manual entry of new P&C and WC claims directly into the claims operating system with ensuring that entire file is set up to entirety and utilizes resources to ensure accuracy. Responsible for uploading any medical or legal bills/documents and other documents as necessary for claim set up and ongoing updates. Handle subrogation property claims, refunds and contribute to limited backlog. USPS mail and incoming faxes will be scanned and uploaded correctly into the claims. Emails sent by adjusters will be acted upon following specified instructions with urgency and quality. Prepare and mail correspondence as requested by adjusters. Upload documents from the various queues. Payments will be processed for legal bills, invoices, etc. timely and with quality. JOB STATUS AND EXPECTED HOURS This is a full-time position and is exempt. IPMG’s core hours are 8:30 a.m. to 5:00 p.m. Monday through Friday, and any flexibility around that schedule must be approved by management. All employee owners must work 37.5 hours each week to maintain full-time status. Occasional evening and weekend work may be required as essential functions demand. WORK ENVIRONMENT The job operates in a professional office environment and routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. Join the A-Team and experience the A-Life! Acquire Intelligence is an award-winning, global business outsourcer with 10,000 staff and over 16-years’ experience in delivering intelligent contact center and back-office functions for global businesses across many industries including telecommunications, banking and financial services, insurance, media, education and retail. We're an entrepreneurial business that is highly experienced in working with our partners to solve real-life problems quickly. A genuine partnership approach is at the heart of we do. Our teams are highly proficient in exceeding expectations, especially in situations where in-house teams may be typically challenged with the business processes of “big business.” We have Class A offices in 14 locations across Australia, the Dominican Republic, the Philippines and the United States, as well as comprehensive Work-from-Home environments, where client-permitted. We're recognized as being Safe, Flexible and Innovative, giving our clients the capability to Outsource with confidence. As a dynamic organization with the ability to take your career to the next level, we're looking for strong candidates with BPO experience to join our growing team. We value our employees highly and, as such, offer excellent career development programs and competitive compensation and benefits packages. Acquire takes your privacy very seriously. The information collected through this site will only be processed with your prior consent and for the purpose of facilitating your employment opportunities. If you have provided consent and wish to withdraw it, you may click on the account settings and submit a request to delete your information. You may also inform us by writing to the address in the section on “Access Rights to Personal Data” or send us an email to privacy@acquirebpo.com. Please refer to our Privacy Policy at https://acquirebpo.com/au/privacy-policy/

Responsibilities

The role involves managing day-to-day clerical duties for claims management, including file maintenance, document uploading, and processing payments. It also requires coordinating with stakeholders and ensuring adherence to claims best practices and quality standards.