Claim and Processing Associate
Topserve Service Solutions, Inc.
Job Description
Benefits
Government Mandated Benefits
13th Month Pay, Pag-Ibig Fund, Paid Holidays, Philhealth, SSS/GSIS
Insurance Health & Wellness
Health Insurance, Life Insurance
- Reviewing client's insurance coverage and interviewing those who have filed a claim.
- Analyzing and investigating complicated insurance claims to help prevent fraud.
- Performing detailed site inspections.
- Reviewing and processing new claims reports.
- Upholding relationships and communication with insurance departments and clients.
- Organizing and presenting claim review plans.
- Assisting customers in determining need and eligibility of services available, calculating and assigning appropriate reserves to claims, and managing reserve adequacy throughout the life of the claim.
- Determining benefits due pursuant to the client contract.
- Handling claims files.
- Investigating claims by determining applicable policy coverage, evaluating damages, and settling assigned claims.
- Experience as a claims processor or similar role in insurance is a plus
- Familiarity with insurance policies and claims procedures
- Good data entry and data processing skills
- Attention to detail and analytical skills
- Ability to handle confidential and sensitive information
- Good communication and negotiation skills
- Bachelor’s degree in any course is a must
- Wiling to work on-site in Ortigas, Pasig
Leonila Alejo
RecruiterTopserve Service Solutions, Inc.
Reply 0 Times Today
Working Location
Ortigas Center. Ortigas Center, Pasig City, Metro Manila, Philippines
Posted on 09 June 2025
Explore similar jobs
View more similar jobsMotor Claims Associate
Fortune General Insurance Corporation₦503.8-629.8K[Monthly]
On-site - Pasig<1 Yr ExpBachelorFull-time
ALMA ROSE MOSQUERAHR Supervisor
Claims Specialist
Autoitalia Philippines Enterprises, Inc.₦503.8-629.8K[Monthly]
On-site - San Juan1-3 Yrs ExpBachelorFull-time
Jhon Edward VillastiqueHR Assistant
Insurance Claims Adjuster (Non-Motor)
WHR Global Consulting₦755.7-881.7K[Monthly]
On-site - Muntinlupa1-3 Yrs ExpBachelorFull-time
Wayne LipardoFounder
Claims Processor
Paramount Life & General Insurance Corporation₦503.8-629.8K[Monthly]
On-site - Makati1-3 Yrs ExpBachelorFull-time
renee.ursua hrRecruiter
Claims Specialist
SPD Jobs Incorporated₦478.6-529K[Monthly]
On-site - MakatiFresh Graduate/StudentBachelorFull-time
Jannelle SombrioRecruitment Supervisor
Sign In to Chat with Boss
Bossjob Safety Reminder
If the position requires you to work overseas, please be vigilant and beware of fraud.
If you encounter an employer who has the following actions during your job search, please report it immediately
- withholds your ID,
- requires you to provide a guarantee or collects property,
- forces you to invest or raise funds,
- collects illicit benefits,
- or other illegal situations.
