Claims Analyst - Junior (Nighshift) at Arch Global Services (Philippines) Inc.
Taguig, National Capital District, Philippines -
Full Time


Start Date

Immediate

Expiry Date

14 Oct, 26

Salary

0.0

Posted On

16 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Claims Processing, Data Management, Microsoft Excel, Salesforce, Analytical Thinking, Problem Solving, Written Communication, Verbal Communication, Multitasking, Records Acquisition, Document Validation, Reporting

Industry

Outsourcing and Offshoring Consulting

Description
Company Description AGSI was incorporated in April 2016. We are committed to supporting the goals of Arch divisions through exceptional service delivery. We pride ourselves on maintaining flexibility and responsiveness to adapt to business unit and industry demands while focusing on sound project management. We are dedicated to growing and developing our employees as we build strong teams with strategic leadership. Job Description The Claims Analyst is responsible for reviewing, processing, and monitoring insurance or benefits claims to ensure accuracy, completeness, and compliance with company policies and regulatory requirements. This role supports claims documentation, data management, and coordination across internal teams and external stakeholders to ensure timely and accurate claims resolution. Claims Processing & Review Review, verify, and process claims documents to ensure completeness, accuracy, and compliance with established guidelines Encode and update claims data in claims management systems and internal databases Validate supporting documentation prior to claims processing Documentation & Records Management Maintain organized, accurate, and confidential claims files and supporting records Prepare and update claims-related reports, trackers, and monitoring sheets Ensure recordkeeping complies with company policy and data privacy requirements Claims Monitoring & Coordination Track claim status from intake through resolution; follow up on pending or outstanding requirements Liaise with internal departments, clients, or agencies to obtain necessary documentation Escalate discrepancies, delays, or issues to supervisors as needed Research & Data Validation Research and acquire relevant records from external sources as required Verify claim-related information using online tools, databases, and lookup resources Perform data acquisition, validation, and quality checks on incoming claims information Administrative & Reporting Support Generate claims reports and status updates for management review Support scheduling, data entry, and general administrative functions for the claims team Respond to routine claims inquiries from internal stakeholders or clients Compliance & Process Improvement Ensure all claims activities align with company guidelines, regulatory standards, and internal SOPs Identify gaps in documentation or workflow and support process improvement initiatives Qualifications Proficient in Microsoft Office Suite (Excel, including pivot tables, Word, Outlook) and Google Workspace applications Experience with Salesforce or similar claims/case management systems Strong administrative and organizational skills, including reporting, scheduling, and monitoring High attention to detail with strong analytical and problem-solving abilities Excellent written and verbal communication skills Ability to multitask, prioritize, and meet deadlines in a fast-paced environment Ability to work independently with minimal supervision 1–3+ years of experience in claims processing, claims administration, or related insurance/BPO operations Background in fulfillment, records acquisition, or document validation is a plus Additional Information Bachelor's degree in Business Administration, or related field, or equivalent work experience
Responsibilities
The Claims Analyst is responsible for reviewing, processing, and monitoring insurance claims to ensure accuracy and compliance with company policies. This includes managing claims documentation, updating internal databases, and coordinating with stakeholders for timely resolution.
Loading...