Job Description
We are looking for a detail-oriented, analytical, and service- driven Claims Adjudication Team Lead to oversee the daily operations of our Claims Adjudication Unit.
This role is ideal for someone with strong claims processing expertise who enjoys leading a team, improving workflows, and ensuring timely and accurate claims adjudication
- LEVEL: Supervisor
- Deployment: Medical Division (Pacific Cross)
- Work Location & Schedule: Rockwell, Makati | 8:00 to 5:00 Mon-Fri
Your Role:
• Supervise and support Claims Adjudicators handling availment and reimbursement claims
• Monitor productivity, accuracy, and turnaround times to meet service level targets
• Review complex or escalated claims within approved authority limits
• Conduct claim audits and investigations to identify processing issues and discrepancies
• Ensure compliance with clai...