MAJOR:

• Responsible for the claims analysis, training, process assessment, and coordination with all the verticals relative to the status of total claims from a corporate perspective.
• Manage activities in coordination with the various finance department personnel, Operations Cluster Heads, Operations Managers, OPEX and Billing Processors.
• Responsible for providing periodic reports that will lead to achieving the P&L targets by ensuring a timely supply of information and other data that will establish the overall corporate picture of claims’ impact on profitability.
• Provide analysis and recommend proactive measures to reduce claims incidences.
• Prepare accurate and timely submission of periodic reports generated from a regularly updated Claims Register and other necessary reports.

MINOR:

• Perform the random validation of the pre-booking, adjudication, and closure as a form of process assessment and provide update on a regular basis to Cluster Heads and Operations Managers.
• Validate at random from sites or branches to ensure above-standard implementation of claims processes.
• Performs other duties that may be assigned by his/her immediate superior.

Qualifications:

• Graduate of any four-year course
• Minimum of two (2) years job related experience
• Computer literate, good in planning, problem solving
• Above average communication skills and presentation skills
• Above average analytical and negotiation skills.
• Proactive, innovative, goal/result oriented, with good interpersonal relations, open minded, flexible, customer oriented, committed to work, team player.
• Willing to be assigned at Taguig.

Please refer to job description.