87 Claims Management jobs in the Philippines

Company Overview:

We are currently seeking a Claims Intermediary/Handler to join our team on a full-time, remote basis. You will be responsible for overseeing and managing all aspects of the claims process, ensuring timely and accurate resolution of claims for our clients.

Key Responsibilities

• Manage the full lifecycle of insurance claims from lodgement to resolution.
• Advocate for clients by negotiating with insurers and challenging underpaid claims.
• Keep clients informed and supported throughout the process.
• Coordinate inspections, documentation, and evidence to strengthen claims.
• Prioritise and manage multiple cases, ensuring deadlines are met.
• Document all interactions and ensure compliance with company and insurer standards.
• Collaborate with internal teams to ensure smooth handovers and accurate reporting.
• Identify process improvements to enhance efficiency and client satisfaction.

What Were Looking For

• Strong background in claims management, insurance, or related fields.
• Excellent communication and negotiation skills.
• Ability to manage competing priorities and multiple cases at once.
• Detail-oriented with a focus on accuracy and compliance.
• Proactive, solutions-driven mindset.

Perks & Benefits:

• Permanent Morning Shift (Monday-Friday)
• Opportunity to work with a dynamic team & diverse clients
• Work from anywhere with a stable internet connection
• Bi-Monthly Payouts
• Opportunity to earn incentives & bonuses
• Outstanding people culture & non-toxic work environment
• Opportunities for growth & career advancement

Job Type: Full-time

Pay: Php50, Php60,000.00 per month

Benefits:

• Work from home

Work Location: Remote

Hiring: Virtual Assistant US Healthcare Accounts Receivable / Claims Management Specialist
Remote | Full-time / Part-time

Vital Virtuals Global HR Solutions is looking for a
Virtual Assistant
with at least
1 year of experience in Medical Billing and US Healthcare Accounts Receivable & Claims Management
.

Responsibilities:

• Follow up on outstanding claims
• Handle denials, appeals, and resubmissions
• Manage collections & patient balances
• Maintain AR reports & update claim statuses

Qualifications:

• 1+ year AR/claims experience
• Knowledge of billing, denials & collections
• Familiar with EMR/EHR systems (preferred)
• Organized, detail-oriented, strong communicator

Compensation & Benefits:

• $5/hr (first 90 days), $6/hr after
• HMO after 6 months
• Remote, flexible, career growth opportunities

Tools: Time Doctor, Virtual Desktop (Zoom for communication)

Remote position

Position:
Claims Intermediary/Handler for a Claims Management Service Company
Company Overview:
We are currently seeking a
Claims Intermediary/Handler
to join our team on a full-time, remote basis. You will be responsible for overseeing and managing all aspects of the claims process, ensuring timely and accurate resolution of claims for our clients.

Key Responsibilities

• Manage the end-to-end insurance claims process, from lodgement through to resolution.
• Advocate for clients by challenging underpaid claims and negotiating fair outcomes with insurers.
• Provide regular updates and support to clients, ensuring transparency and confidence.
• Coordinate inspections, gather documentation, and collate evidence to strengthen claims.
• Prioritise and manage multiple cases at once, ensuring all deadlines are met.
• Record and maintain detailed case notes to ensure compliance with company and insurer requirements.
• Collaborate with internal teams to ensure smooth handovers, accurate reporting, and strong client outcomes.
• Identify and recommend process improvements to enhance efficiency and service delivery.

What Were Looking For

• Proven background in claims management, insurance, or a closely related field.
• Strong communication and negotiation skills, with a client-first mindset.
• Ability to balance multiple priorities while maintaining accuracy and compliance.
• Highly organised, detail-oriented, and proactive in solving problems.

• Tech-savvy and comfortable working in a remote environment.

• Preferred:

• Experience with property insurance claims in Australia.
• Familiarity with tools such as RingCentral, Zendesk, BuilderTrend, WeatherWatch, HailTrace, or similar claims/project management software.

Perks & Benefits:

• Permanent Morning Shift (Monday-Friday)
• Opportunity to work with a dynamic team & diverse clients
• Work from anywhere with a stable internet connection
• Bi-Monthly Payouts
• Opportunity to earn incentives & bonuses
• Outstanding people culture & non-toxic work environment
• Opportunities for growth & career advancement

Job Overview

We're seeking a highly organized and fluent English-speaking contractor with prior experience handling auto insurance accident claims within the U.S. system. This role involves end-to-end management of all insurance-related incidents for our company vehicles—filing claims, communicating with insurers and third parties, managing timelines, and maintaining detailed records.

Responsibilities

· Manage all insurance claims related to company vehicle accidents (first-party and third-party).

· Liaise with U.S. auto insurance companies, adjusters, and third-party insurers.

· Submit and track claims documentation; ensure timely processing and follow-up.

· Maintain accurate and organized records of all incidents and claims.

· Coordinate with internal departments to gather necessary information.

· Monitor the status of open claims and escalate when needed.

· Help develop processes and systems for claims management and reporting.

· Track successful claim recoveries and contribute to reporting performance outcomes.

Skills & Qualifications

· Proven experience handling U.S. auto insurance claims or similar insurance industry experience (e.g., claims processor, claims adjuster, claims coordinator).

· Excellent English communication skills, both written and spoken.

· Strong attention to detail and ability to manage multiple claims simultaneously.

· Highly organized and self-driven, with a proactive problem-solving mindset.

· Comfortable working independently and collaborating remotely with a U.S.-based team.

· Available to work U.S. daytime hours (California time zone).

· Familiarity with U.S. insurance processes and terminology.

· Experience working with U.S.-based clients or companies preferred.

· Background in repossession, towing, or auto transport industries is a plus.

· Proficiency with tools like Microsoft 365, Excel, or claims management platforms.

Compensation & Benefits

· $200–$250/week based on experience.

· Bonus structure tied to successful insurance claim recoveries.

· Flexible work schedule within the required time window.

· Long-term opportunity with room for growth.

· Paid time off

Job Type: Full-time

Pay: Php45, Php57,070.00 per month

Benefits:

• Paid training

Experience:

• auto insurance claims: 1 year (Preferred)

Work Location: Remote

Job Summary:

An Insurance Claims Agent is responsible for investigating, evaluating, and processing insurance claims filed by policyholders. The role ensures claims are handled promptly, fairly, and in compliance with company policies and legal regulations. The agent acts as the primary point of contact for claimants throughout the claims process.

Key Responsibilities:

• Receive, review, and process new insurance claims in a timely manner.
• Investigate claims by contacting policyholders, witnesses, and other relevant parties.
• Collect and evaluate documentation such as police reports, medical records, and repair estimates.
• Assess damage and determine coverage based on policy terms and conditions.
• Negotiate settlements with claimants or third parties, when applicable.
• Maintain accurate records of claim status, decisions, and correspondence in internal systems.
• Collaborate with underwriters, legal teams, and other departments as needed.
• Identify potential fraudulent claims and refer them to the appropriate investigation unit.
• Communicate claim decisions clearly and professionally to customers.
• Ensure compliance with industry regulations and internal standards.

Qualifications:

• Bachelor's degree holder
• Previous experience in insurance claims, customer service, or related field is advantageous.
• Knowledge of insurance policies and procedures.
• Strong analytical and investigative skills.
• Excellent communication and negotiation skills.
• Ability to handle sensitive and confidential information.
• Proficiency in using claims management software and standard office applications.

Job Type: Full-time

Pay: Up to Php25,000.00 per month

Work Location: Remote

At Limitlessli we specialize in recruiting, hiring, and managing high-caliber remote staff. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.

Are you detail-orientated and skilled in data entry?  Do you thrive in a fast-paced environment?  We currently have an opportunity for a meticulous and efficient Insurance Claims Assistant to join our team.

In this position you will play an important role in our client's claim management process, ensuring the accurate and timely entry of new Workers' Compensation claims into their claims management system.  Your keen eye for detail and exceptional data entry skills are required to ensure the integrity and efficiency of their claims processing.

This position is remote and offers you the flexibility of working from home.

• Receive and review new claims documentation for completeness and accuracy
• Enter new claims information into a claims management system
• Verify the accuracy of data entered against source documents
• Maintain electronic and physical records of all claims entered
• Perform other administrative tasks related to claims processing as required

• Exceptional verbal and written communication skills in English
• Previous experience in data entry or administrative roles preferred
• Strong attention to detail and accuracy
• Proficient in MS Office and other data entry software
• Excellent organizational and time-management skills
• Ability to handle confidential information with discretion

• Senior High School Diploma or equivalent

Industry standards applicable to the state depending on work experience and level of expertise.

US Eastern Standard Time (EST) – 9am to 5pm

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You'll also be required to have a backup internet connection, ensuring that you're well-equipped to complete your work seamlessly.

Don't miss out on this opportunity – apply now and become a valuable member of the Limitlessli team  If you're interested in what you have read, then we invite you to take the next step and submit your application.

Accuracy meets efficiency—be the difference in every claim's journey
at Smartsourcing, a 4-Time Best Company to Work For

Hi We're
Smartsourcing
, and we're looking for a
full-time
,
onsite Vehicle Claims Adjuster
to keep cases moving, documents in order, and deadlines on point. You'll handle claims, recoveries, and logistics tasks with precision—ensuring accuracy, compliance, and seamless coordination every step of the way. Here, your eye for detail and knack for keeping workflows on track will help deliver the gold standard of service our clients expect.

Where?
JEG Tower, Archbishop Reyes, Corner Acacia St., Barangay Kamputhaw, Cebu City, 6000 Cebu

The
Vehicle Claims Adjuster
is responsible for delivering high-quality operational support across Recoveries, Claims, and Logistics workflows. This role ensures timely and accurate processing of cases, coordination of documentation, follow-ups with internal and external stakeholders, and adherence to company policies and compliance standards. The position plays a vital role in maintaining efficiency, accuracy, and service excellence throughout the claims lifecycle and associated logistics activities.

Key Responsibilities

Claims Support

• Monitor and manage the
  Claims Inbox
  and
  Overflow
  queues, ensuring timely allocation and response.
• Process and assess
  Non-Fault
  claims and cases in
  Caspar
  .
• Handle
  Caspar Remaining Requests
  , ensuring all outstanding requirements are addressed.
• Conduct
  Rego Chase
  follow-ups (checked and contacted) and obtain
  Rego papers
  for claim files.
• Support documentation for
  POE bundling
  and
  hearing preparation
  where applicable.

Recoveries Support

• Conduct
  Assessment of Recoverable in WA
  and other regions as needed.
• Complete and review
  Legal Checklists
  .
• Undertake
  Outbound
  activities for reduced settlements and legal file reviews.
• Prepare and process
  Witness Statement Affidavits
  .
• Process
  Recoveries Emails
  and perform follow-ups (
  Email Left
  ).

Logistics Support

• Issue and follow up on
  Collection Notes
  .
• Process
  On Hire
  requests and update email notifications (
  On Hire Email Left
  ).
• Conduct
  Post Hire QA
  and track
  Total Post Hire
  volumes.
• Monitor and action
  Remaining Post Hire Targets
  .
• Chase
  Client Outstanding Documents
  .
• Manage
  Manila Task List
  and resolve
  Task List Outstanding
  items.

TPD & Multi-Stream Support

• Perform
  TPD Chase
  activities, both for files checked by other handlers and files contacted directly.
• Obtain
  Claim Numbers
  and track
  TPD Success Rates
  .
• Coordinate
  Delivery Sent
  confirmations.
• Manage
  Change File Handler
  requests.

General & Ad Hoc Duties

• Provide
  ad hoc operational support
  across Claims, Recoveries, and Logistics as required.
• Participate in
  training
  and skill development programs to stay updated on processes, systems, and compliance standards.
• Maintain accurate records in accordance with company and regulatory requirements.

Requirements

Key Skills & Competencies

• Strong organisational skills with the ability to manage multiple workflows simultaneously.
• High attention to detail and accuracy in data entry and documentation.
• Effective communication skills (written and verbal) for internal and external interactions.
• Ability to work under pressure and meet deadlines in a fast-paced environment.
• Proficiency in case management systems, email platforms, and Microsoft Office Suite.
• Problem-solving skills with a proactive approach to resolving issues.

Qualifications & Experience

• Previous experience in claims processing, recoveries, or logistics within the insurance or legal services sector preferred.
• Experience in administrative or operational support roles with high-volume workflow management.
• Understanding of insurance claims procedures, recoveries processes, and logistics coordination (advantageous).
• Training in compliance, data handling, or legal document preparation (desirable but not mandatory).

Benefits

Step Into the Smartsourcing Experience

Smartsourcing was created with one mission: to change lives. We're here to ensure that businesses flourish and, just as importantly, that every member of the crew is inspired, supported, and set up to thrive. For the fourth year running, we've been recognized as one of HR Asia's Best Companies to Work For. This award isn't just a title—it's a testament to our commitment to making Smartsourcing an incredible place to build a career.
Why You'll Love Working Here

At Smartsourcing, we believe the best work comes from people who feel seen, heard, and valued. That's why we're all about fostering an environment where you can be your true self. We take pride in being certified as a Great Place to Work, because we know that when you love where you work, extraordinary things happen. Here's just a glimpse of what we offer:

• Fixed weekends off
• 5-day Christmas Leave
• HMO coverage for you and your dependent/s from Day 1 of employment
• Group life insurance from Day 1 of employment
• Free lunch + soft breakfast every day
• Free coffee every day (latte, americano, or cappuccino) made by our in-house barista
• For the night shifters, additional NIGHT DIFF
• Sports wellness clubs including hiking and free-diving
• Subsidised gym membership at Anytime Fitness
• Engagement bonuses
• Over-the-top monthly, quarterly, and annual performance bonuses
• Exclusive discounts in selected restaurants and merchants
• Themed BFFs, monthly knockoffs, summer parties
• Community give-back programs and personal development workshops
• And so much more

We're not just another outsourcing company. We're building something that actually matters here – a place where good work meets good culture.

Your next career move starts here—step in, stand out, and make an impact where precision and performance truly matter. Join Smartsourcing.

• Documents specific claims by completing and recording forms, reports, logs, and records.
• Analyzes insurance claims to prevent fraud.
• Prepares reports by collecting, analyzing, and summarizing information.
• Resolves claims by approving or denying documentation, calculating benefits due, and determining compensation settlement.
• Ensures legal compliance by following company policies, procedures, and guidelines, as well as state and federal insurance regulations.
• Maintains quality customer service by following customer services practices and responding to customer inquiries.

Roles and Responsibilities:

Performance management

• Ensure that claims are processed in a timely and judicious manner; with clear, concise, and customer-friendly communications.
• Cognizant of data governance, data privacy and relevant regulations in ensuring continuous, timely and effective processing of claims transactions.
• Plans, schedules, supervises and controls work operations within the team to ensure that the claims volume can be adequately supported.
• Reviews and decides on complex cases referred by claim assessors within authority limit in accordance with proper claims practices.
• Serve as claims fraud manager. Identify and report potential fraudulent claims.
• Closely monitor TATs and SLAs, identify process bottlenecks and recommend improvements accordingly.
• Plans and recommends administrative and operational changes to further improve processing and servicing and to maximize manpower utilization.
• Reviews, edits, approves and/or signs letters, memos and documents and other correspondence to the policy owner, agent or other concerned parties pertaining to processing of Claims transactions.
• Conduct closed-file reviews to assess the performance of each claim assessor and recommend the appropriate action for each.

Customer and Distributor Satisfaction

• Resolve customer and distributor complaints, offer viable courses of action and/or recommend handling of exceptional cases for management approval.
• Collaborate with distributors and conduct training sessions as deemed necessary.
• Respond to email inquiries and escalations in a timely and courteous manner.

People management and development

• Conduct regular conversations with team members to provide feedback on performance, discuss strengths and areas for improvement, and address concerns.
• Evaluate job performance of employees for probationary and/or regular appointments and for performance management purposes.
• Conduct learning sessions to upskill and cross-skill team members.
• Define and discuss performance goals for each team member.
• Drive action plans to improve team engagement.
• Assist the Head of Claims and Policy Benefits in developing and implementing action plans in accordance with set priorities.

Risk management

• Participate in analysis and recommendations of cases referred to the
• Executive in charge for decision on requests for reconsideration and exception cases.
• Review claims processes to identify risk areas and recommend improvements.
• Develop and update the claims adjudication manuals according to new products and developments.

Projects and initiatives

• Provide process owner expertise to various initiatives of the Company through attendance to requested meetings, email and phone consultations and the like.
• Participate in and support automation initiatives by providing inputs, defining requirements and testing enhancements.
• Perform other responsibilities and duties periodically assigned by superior to meet operational and/or other requirements.

Minimum Job Requirements:

• College graduate of any course.
• With at least five (5) years' experience in managing a team of claim assessors.
• With experience in automation and process improvement initiative.
• With keen attention to details.
• Excellent people skills
• With excellent written and oral communication skills in both English and Filipino.
• Must be proficient in MS Office applications.