MBPS

Insurance

ClaimsSeniorAssociate

Philippines FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Entry candidates.

The Brief

“Claims Senior Associate at MBPS. Conduct interviews with claimants. Gather information on work ability, hobbies, functional level, and other income”

What You'll Achieve.

Provide high-quality financial and administrative services; Effectively managing these cases; Ensuring our clients receive timely and accurate benefits

Industry & Context.

Insurance
Problems you'll solve

Apply critical thinking and problem-solving skills

Eligibility Requirements

Fixed night shift

What They're Looking For.

Must Have

Bachelor's degree in any field, At least one year of relevant work experience in a professional setting, Experience in back-office operations or administrative roles, Familiarity with office management tasks, Data entry, Document handling, Providing general support to ensure efficient office operations, Amenable for fixed night shift

Nice to Have

Experience in the Navigator system, Background in medical-related courses, Call handling experience, Claims processing experience, Ability to read medical notes, Understand prescriptions, Familiar with medical terms and abbreviations

What You'll Do.

Conduct interviews with claimants

Gather information on work ability

Communicate with stakeholders

Refer claims to a Permanent Specialist

Request and evaluate medical documentation

Prepare correspondence for claimants and other stakeholders

Coordinate with LTD Case Managers

Permanent Specialists

How You'll Work.

Team & Collaboration

Communicate with stakeholders such as plan sponsors, doctors, and pharmacy providers; Coordinate with LTD Case Managers, Permanent Specialists, and KW TD65 SDA for any inquiries

Communication Scope

Effective communication skills, both verbal and written; Ability to clearly convey information and ideas to diverse audiences

Full Job Description

_We’re looking for a**Claims Senior Associate** to join our Insurance Operations team at MBPS. In this role, you will have the opportunity to provide high-quality financial and administrative services to a select group of complex and challenging cases. By effectively managing these cases, you will play a vital role in ensuring our clients receive timely and accurate benefits, thus contributing directly to our mission of delivering exceptional service and support. _ **Position Responsibilities:** * Conduct interviews with claimants to gather information on work ability, hobbies, functional level, and other income. * Communicate with stakeholders such as plan sponsors, doctors, and pharmacy providers as necessary. * Refer claims to a Permanent Specialist if concerns arise following the telephone interview. * Request and evaluate medical documentation from claimants' doctors to review updates on treatment and condition. * Prepare correspondence for claimants and other stakeholders, and coordinate with LTD Case Managers, Permanent Specialists, and KW TD65 SDA for any inquiries. **Required Qualifications:** * Open for fresh graduates, though preference will be given to candidates with at least one year of relevant work experience in a professional setting. * Candidates with experience in back-office operations or administrative roles are highly desirable. This includes familiarity with office management tasks, data entry, document handling, and providing general support to ensure efficient office operations. * A bachelor's degree in any field is required. * Amenable for fixed night shift. **Preferred Qualifications:** * Candidates with experience in the Navigator system and a background in medical-related courses are preferred. * The team favors candidates with call handling and claims processing experience or those who can read medical notes, understand prescriptions, and are familiar with medical terms and abbreviations. * Demonstrates effective communication skills, b

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