Claims Head (HMO Industry)

Position: Claims Manager

The Claims Supervisor is responsible for overseeing the daily operations of the claims department, ensuring claims are processed accurately, efficiently, and in compliance with company policies, regulatory requirements, and service standards. The role includes supervising claims staff, monitoring performance, resolving complex claims issues, and driving continuous process improvements to enhance customer satisfaction and operational effectiveness.

Qualifications:

• Bachelor's degree in Business Administration, Insurance, Finance, Healthcare Administration, or a related field.
• Relevant claims certifications preferred.
• Minimum 3-5 years of claims processing experience.
• At least 1-2 years of supervisory or team leadership experience.
• Amenable to work in a pure onsite location in Ayala, Makati
• Can start ASAP

Key Responsibilities (but not limited to):

• Supervise, coach, and mentor claims adjusters, examiners, and support staff.
• Assign workloads and monitor productivity to ensure timely claim processing.
• Conduct performance evaluations and provide ongoing feedback and training.
• Foster a positive and collaborative work environment.
• Prepare and present operational reports to management.
• Monitor departmental KPIs, including claim turnaround times, accuracy, and productivity.
• Assist with budgeting, staffing, and resource planning activities.
• Analyze claims data and performance metrics to identify trends and improvement opportunities.
• Develop and implement process enhancements to improve efficiency and accuracy.
• Support department initiatives and strategic objectives.

Pay: Php25,000.00 - Php40,000.00 per month

Benefits:

• Health insurance
• Life insurance

Ability to commute/relocate:

• Makati: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• What is your expected monthly salary? (Max offer: 40k)

Education:

• Bachelor's (Required)

Experience:

• claims processing: 3 years (Required)
• supervisory or team leadership: 2 years (Required)

Work Location: In person