Bayzat

1 day ago

Claims Analyst (Philippines)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 48 minutes agoStatus: Live

Job Summary

Review and manage health insurance claims and pre-authorizations, ensuring documentation meets insurer/TPA requirements and cases are processed within SLA. Coordinate with clients, the team leader, and account managers; submit claims to insurers and track resolution status in the CRM. Monitor a claims dashboard against KPIs, provide clear status updates and additional-information requirements, and support turnaround, escalation, and customer satisfaction goals.

Location: Manila

Workplace: Remote

Employment Type: Full time

Job Function: Insurance & Actuarial

Key Responsibilities

•Understand the claims RI and pre-authorization process and the documentation requirements from insurers/TPAs.
•Review client-submitted documents, follow up to ensure compliance, and provide requirements for additional information.
•Submit claims to insurers, follow up until resolution within insurer SLA, and record accurate claim information in the CRM.
•Monitor the claims dashboard daily to ensure handling of requests within set KPIs.
•Escalate to team leader and account manager when necessary and maintain customer satisfaction for claims and pre-auths.

Key Requirements

•2-3+ years of experience in the health insurance industry (insurers, TPAs, and/or hospitals/clinic insurance departments).
•Medical Doctor degree holder.
•Understand claim and pre-authorization processes and documentation requirements from insurance companies/TPAs.
•Well organized, detail-oriented, and customer centric.
•Strong verbal and written communication skills.

Experience:2-3 yearsHealth insuranceTPAHospitalsClinics

Education:Professional (JD, MD, etc.)

Skills:Detail-orientedCustomer-centricCommunicationOrganization

Tech Stack:CRM

Company Brief

Bayzat

Bayzat provides a GCC‑focused HR, payroll, employee benefits and insurance SaaS platform that automates HR operations, payroll compliance and benefits administration for companies across the Middle East.

Industry: HR Tech

Company Size: Large (251 to 1,000 employees)

Growth: Scaleup

Funding: Series C

Headquarters: Dubai, United Arab Emirates

Founded: 2012

Glassdoor: 3.4

Website LinkedIn Glassdoor

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Bayzat

1 day ago

Claims Analyst (Philippines)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 48 minutes agoStatus: Live

Job Summary

Location: Manila

Workplace: Remote

Employment Type: Full time

Job Function: Insurance & Actuarial

Key Responsibilities

•Understand the claims RI and pre-authorization process and the documentation requirements from insurers/TPAs.
•Review client-submitted documents, follow up to ensure compliance, and provide requirements for additional information.
•Submit claims to insurers, follow up until resolution within insurer SLA, and record accurate claim information in the CRM.
•Monitor the claims dashboard daily to ensure handling of requests within set KPIs.
•Escalate to team leader and account manager when necessary and maintain customer satisfaction for claims and pre-auths.

Key Requirements

•2-3+ years of experience in the health insurance industry (insurers, TPAs, and/or hospitals/clinic insurance departments).
•Medical Doctor degree holder.
•Understand claim and pre-authorization processes and documentation requirements from insurance companies/TPAs.
•Well organized, detail-oriented, and customer centric.
•Strong verbal and written communication skills.

Experience:2-3 yearsHealth insuranceTPAHospitalsClinics

Education:Professional (JD, MD, etc.)

Skills:Detail-orientedCustomer-centricCommunicationOrganization

Tech Stack:CRM

Company Brief

Bayzat

Industry: HR Tech

Company Size: Large (251 to 1,000 employees)

Growth: Scaleup

Funding: Series C

Headquarters: Dubai, United Arab Emirates

Founded: 2012

Glassdoor: 3.4

Website LinkedIn Glassdoor