Claims Examiner

Imagenet is seeking a full-time Claims Examiner in Makati, Metro Manila to join its team and manage the careful review of claims submissions. This Claims Examiner position in Makati, Metro Manila focuses on accurate assessments that support fair and timely resolutions for a steady flow of cases.

Role Overview

In this Claims Examiner role at Imagenet in Makati, Metro Manila, you will examine documentation thoroughly, apply established guidelines, and decide appropriate next steps for each submission. The full-time Claims Examiner opportunity centers on maintaining precision, consistency, and clear communication throughout the entire evaluation cycle so that outcomes remain defensible and well-documented. Working on site in Makati, Metro Manila, you will contribute directly to efficient claims handling that keeps processes moving smoothly for the organization and the individuals involved.

Your Responsibilities

• Examine complete claim files, supporting evidence, and policy terms to verify coverage eligibility and accuracy of requested items.
• Investigate unclear or incomplete details by requesting additional information and coordinating with relevant parties as needed.
• Determine payable amounts based on guidelines, calculate settlements carefully, and prepare documentation that justifies every decision.
• Identify potential discrepancies or irregularities and escalate them following established procedures.
• Maintain detailed digital records of all actions, decisions, and correspondence for audit readiness.
• Respond professionally to inquiries from claimants or internal colleagues while protecting confidentiality.
• Stay current with applicable regulatory standards and internal protocols that govern Claims Examiner work in Makati, Metro Manila.

Who We're Looking For

• Demonstrated experience examining claims or performing closely related analytical review work.
• Strong ability to interpret policy language, cross-check facts, and apply rules consistently under volume.
• Excellent attention to detail paired with solid numerical accuracy for benefit calculations.
• Clear written and verbal communication skills for documenting findings and interacting with stakeholders.
• Comfort using claims-management systems and standard office software in a deadline-driven environment.
• Reliable organizational habits and sound judgment when prioritizing multiple active files.
• A collaborative mindset that fits a full-time Claims Examiner position at Imagenet in Makati, Metro Manila.

Why Join Imagenet

Imagenet is hiring for this Claims Examiner role and offers a supportive team environment where careful analysis is valued and professionals can build expertise handling real claims work on site in Makati, Metro Manila.

How to Apply

To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.