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Medical Claims Adjudicator

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Manulife

25d ago

  • Job
    Full-time
    Junior Level
  • Data
    Healthcare
  • Quezon City
  • Quick Apply

AI generated summary

  • You should have a Bachelor's Degree, 2+ years of relevant back-office experience, skills in medical adjudication and claim processing, plus proficiency in Microsoft Office.
  • You will enter transaction data accurately, verify document completeness, gather missing info, process claims, check for errors, and work overtime during busy periods.

Requirements

  • Bachelor's Degree holders are welcome to apply
  • At least two (2) years of relevant back-office experience
  • Amenability and readiness to work onsite and from home anytime (dependent on business need AND/OR current external environment/situation)
  • Minimum Skills to Hire/Must Haves:
  • Experience in medical adjudication, claims processing, data entry, and back-office support
  • Proficiency in Microsoft Office applications (Word, PowerPoint, Excel)

Responsibilities

  • Responsible for data entry of transactions with utmost attention to quality and quantity
  • Ensure completeness of all submitted documents and obtain missing information and invoices from medical providers as necessary
  • Process and capture information to system according to established methods and procedures
  • Perform thorough checking for every case and eliminate financial errors
  • Render overtime work on a daily basis during high volume week

FAQs

What is the primary role of a Medical Claims Adjudicator at Manulife?

The primary role is to provide quality financial and administrative services for a select block of complex medical claims, ensuring accurate processing and data entry of transactions.

What qualifications are required for this position?

Candidates should hold a Bachelor's Degree and have at least two years of relevant back-office experience, along with experience in medical adjudication, claims processing, and proficiency in Microsoft Office applications.

Is there an opportunity for career development?

Yes, Manulife offers a supportive and collaborative workplace with clear career development opportunities along with extensive training resources.

What are the working hours for this position?

The role requires rendering overtime work on a daily basis during high-volume weeks, while also being amenable to working onsite and from home based on business needs.

What benefits are provided to employees?

Employees enjoy competitive salary packages, performance bonuses, Day 1 HMO with free coverage for dependents, retirement savings benefits, and a rewarding culture that values wellness.

Is training provided for new employees?

Yes, extensive training resources are available to help new employees succeed in their roles.

What qualities does Manulife look for in a Medical Claims Adjudicator?

Manulife seeks candidates with strong attention to detail, accuracy in data entry, the ability to handle challenging cases, and a collaborative mindset.

Does the company promote diversity and inclusion?

Yes, Manulife is committed to attracting, developing, and retaining a diverse workforce and fosters an inclusive work environment.

Who can request a reasonable accommodation during the application process?

Any applicant who requires assistance during the application process can contact the HR representative via recruitment@manulife.com.

What is the working arrangement for this role?

The working arrangement for this position is hybrid, allowing for a combination of onsite and remote work.

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Manulife

Finance
Industry
10,001+
Employees

Mission & Purpose

Manulife is a leading international financial services group that helps people make their decisions easier and lives better. With our global headquarters in Toronto, we operate as Manulife across our offices in Canada, Asia, and Europe, and primarily as John Hancock in the United States. We have more than 40,000 employees, over 116,000 agents serving ~34 million customers worldwide, and over $1.3 trillion in assets under management and administration.