Mandarin Claims Processor

Company Profile: The company is one of the world’s leading management consulting, technology services and outsourcing organizations in the Philippines. This consulting company is known to provide customer service to companies around the world.

• Preferably Bachelor’s degree graduate
• Has a work experience in a BPO setting is a plus
• Can speak, read and write Mandarin and English, conversational to business level
• Willing to work in Shifting Schedule and Flexible/ Any Shift

• Visa Processing
• Leave Credits
• 13th month pay
• Medical Allowance
• Miscellaneous Allowance
• Loans
• Dental
• Sports (e.g. Gym)
• Performance Bonus
• Monthly Gatherings and Outings
• Government Mandated Benefits
• Dayshift Should be open for Shifting Schedule as well

• Determine customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented.
• Assess medical appropriateness of claims submitted and adjust claims as needed.
• Pay all covered claims accurately and timely.
• Execute on all clients and provide SLA agreement.
• Attain individual and team quality and productivity targets.
• Manage both new claims and open claims equally and maintain decision turnaround times.
• Understand Cigna Operations and Corporate Compliance, Policies and Procedures and best practices.
• Stay abreast of ongoing training associated with role and business unit objectives.

Please send me your resume to [email protected] or you may call us to 09176381869
Look for Ms. Taki

Tel No. : 8245 2829
Mobile: GLOBE : 09176381869
Skype: live:mandarinjobs
FB: @Mandarin Cantonese Opening
Instagram: @JKmandarin_cantonese
Twitter: @JKManCanJobs
WECHAT: J-KMandarinCantonese
E: [email protected] W: