Offshore Medical Claims Administrators

Medical Claims Outsourcing Philippines

hire a medical claims administrator - Outsourced PH

Do you need to expand your in-house Medical Claims team? Also known as a Medical Claims Processor or Analyst, a Medical Claims Administrator handles all your company’s insurance claims and reimbursements. They determine which procedures are covered by insurance, resolve issues related to these claims, and help patients arrange payment plans for any outstanding medical bills.

Hire Dedicated Offshore Medical Claims Administrators and save up to 75% compared to hiring locally

Contact us to learn about our transparent fixed monthly rates with no long term contracts.

Outsourced provides dedicated offshore Medical Claims Administrators who are highly qualified and experienced with excellent communication skills. Working remotely from the Philippines, our Claims Processors are organised, enthusiastic and uniquely able to provide support for your busy Medical Claims team. They easily integrate with your in-house team, handling incoming communications, interacting via phone or email with your patients and insurance providers, as well as processing claims and making payments.

To help you cut your company’s operating costs, Outsourced hires a Medical Claims Administrator for your company and provides the infrastructure and resources they need to fulfil their role as a valuable member of your Claims team. Whilst operating remotely, they require minimal supervision, but are still under your direct control, communicating on a daily basis with your team’s supervisor.

We have experience hiring Medical Claims Specialists with various job titles such as;

  • Medical Claims Officer
  • Claims Assessor
  • Hospital Claims Officer
  • Claims Representative
  • Claims Case Manager
  • Claims Consultant
  • Claims Assistant
  • Medical Claims Analyst

Medical Claims Outsourcing Philippines 

In the medical insurance industry, distinct roles are tailored to ensure efficient and fair handling of medical claims, each focusing on specific aspects of the process. Claims Administrators manage the overall operations of claim processing, ensuring compliance with healthcare regulations. Claims Assistants support the process with necessary administrative tasks, ensuring efficient claim progression. Claims Officers and Representatives are the frontline contacts for policyholders, guiding them through the claims process and facilitating initial claim filings. Claims Assessors (or Adjusters) are critical in evaluating medical claims to determine insurance liability, including the assessment of medical procedures and costs involved.

Claims Case Managers handle more complex cases, especially those requiring ongoing medical care, ensuring that treatments are covered according to policy terms. Claims Consultants provide specialized advice on complex medical claims and policy coverage, aiding in navigating the intricacies of healthcare policies. Lastly, Claims Analysts play a pivotal role in analyzing claim data to identify trends, potential fraud, and areas for process improvement, contributing to the overall efficiency and effectiveness of medical claims management.

Together, these roles ensure that medical claims are processed accurately and efficiently, supporting the needs of policyholders while maintaining the insurer’s compliance and financial integrity.

One of the big benefits of hiring an Outsourced Medical Claims Administrators is that their work is scalable and can be matched to the demands of your company. We manage the day to day responsibilities of employing your Medical Claims Administrator (HR, payroll, and so on), whilst you benefit from an employee who is dedicated to your company, but without the financial costs of hiring them yourself.

To hire a Medical Claims Administrator today, contact Outsourced now.

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Some of our 200+ happy clients

“I have been working with Outsourced for a few years now and I must say that they have been an invaluable partner for our business. Their dedication, expertise, and professionalism have truly exceeded my expectations.”

"We have been so happy with the people they have brought on board we have decide to expand the operation. This is testament to the flexibility and determination of the Outsourced team who have been more like an extension of our company rather than a 3rd party."

"Outsourced are an extremely professional organisation, easy to to do business with and lightening fast at sorting things out. The staff are super friendly with a 'can do' attitude. They also treat our team very well and we have no complaints (happy productive staff means a happy client)."

"Outsourced have been an enormous support and very patient as we progress down the outsourcing path. They have integrated perfectly into our team and with all interactions with Outsourced staff we have found them to be incredibly helpful and accommodating."

"I want to stress that we have greatly appreciated the services of Outsourced, the service has been exemplary and the work high quality; the staff have been a pleasure to work with. We would like to retain an ongoing relationship with Outsourced."

“Outsourced have a great office space and a great support team who are always willing to help. We were able to pivot quickly and within 6 weeks we were able to start our team. We are very happy with Outsourced.”

Outsourced Service Categories

There are hundreds of roles we can recruit for you in the Philippines. Below is a list of some of the most popular roles our client’s request within each industry.

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