Senior Manager, Claims and Reimbursement

MediCard Phils., Inc. is one of the country's leading HMO and the only HMO founded and run by Doctors. Since its inception, the concept of service-oriented total health care has been the molding ideal of MediCard.  The competition is vast, and the benefits being offered by the competitors are tempting.  However, MEDICard has taken the lead in providing innovative and productive ideas that cut down the cost of health maintenance without compromising its quality.

MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus the confinement.

MediCard is currently looking for assertive, dynamic and energetic individuals to fill up the following vacancy:

Responsible for determining the validity and authorising settlement of insurance claims

• Assess and settle insurance claims arising from policies in force
• Make recommendations and guidelines to insurance claims
• Liaise with solicitors and other third parties during investigation and negotiation to seek guidance on the course of action that serves the best interest of AIA
• Process all insurance claims documents timely
• Answer inquires relating to claims processing
• May develop and deliver functional / technical training in claim related areas
[Use this profile for claim positions covering multiple product lines (e.g. individual health and group health) simultaneously as well as for positions delivering training for claim staff, and use Medical Advisory and Health Services profile for positions handling complex medical claim cases]

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.