Claims Officer (HPPI)
Pasig, Metro Manila, Philippines
Full Time
Finance
Mid Level
👋🏻 Hi! We’re HPPI, part of the Hive Health Group
About us
HPPI is an HMO that is part of the Hive Health Group of Companies, which is on a mission to provide the best-in-class health plans for small-medium enterprises (SMEs) in the Philippines.
HPPI’s 30+ years of providing care, combined with Hive Health’s innovative tech capabilities, enables the Hive Health Group of Companies to offer comprehensive, hassle-free digital health plans through our all-in-one platform. Together, we are revolutionizing access to quality, affordable healthcare for millions of Filipinos, one SME at a time.
Responsibilities
- Oversee claims evaluation processes for various services such as maternity, dental, and lab fees, ensuring timely payments.
- Manage and oversee claims processing, ensuring all supporting documents are complete and accurate.
- Manage, lead, and build the team to ensure smooth and efficient claims operations.
- Develop and enhance reporting tools within the Hive Portal, ensuring data accuracy for hospital bills, procedures, and professional fees.
- Drive process improvements for healthcare claims operations with a focus on automation and efficiency.
- Recommend and implement technological solutions to optimize workflows, leveraging operational and technical insights while being hands-on with daily processing.
- Collaborate cross-functionally with healthcare, finance, and product teams to ensure smooth integration of new systems and procedures.
Qualifications
- Must be willing to work onsite in Ortigas
- Education:
- Bachelor's degree in Healthcare Administration, Business, Finance, or a related field.
- Experience:
- Previous experience in healthcare claims processing, preferably in a startup or tech-driven environment.
- Familiarity with medical coding and billing procedures.
- Curious, results-driven, ownership mentality with growth mindset
- Excellent verbal and written communications
- Collaborative team player with the ability to adapt quickly in a fast-paced environment
- Passion for innovation in healthcare
Benefits & Perks of Joining Us
- Health benefits and sick leaves
- Company laptop
- 13th month pay
- Career development and mentorship
- Access to global tech and advisory support from Harvard, Stanford, and more
Apply for this position
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