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Job Description
Healthcare Claims Supervisor (Onsite)
Work Set-Up: Office-based (Onsite)
Location: Makati, Valero
Position Summary
The Claims Adjudication Supervisor is responsible for leading, developing, and managing the end‑to‑end medical claims adjudication function for US health plan operations. This role ensures high‑quality claims processing, operational accuracy, adherence to KPIs and SLAs, and exceptional client communication. The supervisor will be accountable for building and executing comprehensive training programs (curriculum, modules, assessments, certifications), overseeing quality assurance processes, driving team accountability through structured performance management, and providing timely, consistent business reporting to both internal leadership and external clients. This is a highly visible, client‑facing role requiring strong communication skills, deep knowledge of U.S. healthcare claims adjudication, and the ability to lead teams in a fas...