Claims Specialist | Hybrid
SpokeMakati, Philippines
Posted March 18, 2026
Full Time
About the Company
Spoke specializes in embedding seasoned professionals directly into client organizations, enabling deep immersion into their customers, technology, and operational systems. By doing so, the firm delivers targeted solutions in optimization, strategy, cost efficiency, partnership development, and growth acceleration. Spoke's distinctive approach lies in its focus on driving innovation and long-term success rather than merely maintaining status quo. This hands-on, collaborative model positions Spoke as a trusted partner for companies seeking sustainable transformation.
Job Description
The Claims Specialist will resolve member inquiries regarding claims, coverage, plan details, eligibility, and authorizations, utilizing process flow documents, internal systems, and a ticketing system. The ideal candidate will have outstanding communication skills, be highly organized, and demonstrate empathy while ensuring member satisfaction.
Requirements
- Customer service soft skills
- Ability to understand and empathize with customers' concerns
- Effective team player
- Self-motivated with the ability to meet tight deadlines with high accuracy
- Strong multitasking, prioritization, and time management skills
- Willingness to learn and master client products and services to ensure effective customer support
- Comfortable working with minimal supervision
- Customer-oriented with the ability to adapt and respond to different personalities
- Strong problem-solving skills and attention to detailed processes
