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REDUCE CLAIM DENIALS WITH AN OFFSHORE MEDICAL CLAIMS SPECIALIST

Free your practice from claims backlogs and denial write-offs, and keep your revenue cycle moving with dedicated offshore professionals in the Philippines.

Scale Your Broking Capacity with an

Offshore Broking Assistant

Free your onshore brokers from routine administration, protect profit margins, and deliver faster client service with dedicated offshore professionals in the Philippines.
300+
Businesses Helped
1k+
Skilled Professionals
20 days
Avg time to hire
97%
Staff Retention
THE BUSINESS CHALLENGE

Solving broking capacity

bottlenecks

Insurance and mortgage brokers face constant pressure to grow portfolios while maintaining strict compliance and service standards. However, senior onshore brokers often spend up to 40% of their working hours on administrative back-office tasks rather than advising clients and closing new business.

Common bottlenecks include:

rising-costs

Margins under pressure?

High onshore labor costs making administrative hiring unsustainable

team-burnout

Core team stretched thin?

Onshore broker burnout caused by repetitive data entry and document processing

high-turnover

Delayed customer service?

Delayed renewal processing and quote generation due to capacity limits

hiring-bottlenecks

Hiring hurdles?

Difficulty finding and retaining qualified talent locally

THE BUSINESS CHALLENGE

SOLVING CLAIMS
BOTTLENECKS 

Medical practices lose revenue when claims are delayed, denied, or fall out of step with payer requirements. However, practice staff often don't have time to chase every claim through to resolution, and denials pile up as a result. 

Common bottlenecks include:

rising-costs

Margins under pressure?

High cost of local claims and coding staff

team-burnout

Core team stretched thin?

Slow claims turnaround delaying practice revenue and reporting

high-turnover

Delayed customer service?

Slipped follow-ups and referrals frustrating patients and providers

hiring-bottlenecks

Hiring hurdles?

Difficulty finding experienced claims and coding talent locally

THE HAMMERJACK SOLUTION

SUPPORT BUILT AROUND

YOUR BROKERS

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We help you build a dedicated offshore support model. By pairing your onshore brokers with a specialized offshore Broking Assistant in the Philippines, you remove administrative friction, lower operating overhead, and create real operational leverage.

What could your business achieve with the right team behind it?

THE HAMMERJACK SOLUTION

Support built around your PRACTICE

We help you build a dedicated offshore support model. By pairing your onshore practice with a specialised offshore Medical Claims Specialist in the Philippines, you remove administrative friction, lower operating overhead, and create real operational leverage.

What could your business achieve with the right team behind it?

Medical Claims Specialist

role overview &

key responsibilities

A dedicated offshore Broking Assistant handles the end-to-end administration of the policy lifecycle, client communications support, and system updates, allowing your local team to focus on high-value client advisory. 

Policy Administration & Processing
  • Preparing insurance quotes, policy schedules, and renewal documentation
  • Entering and updating client records in broking management systems
  • Processing policy variations, endorsements, and cancellations
  • Issuing certificates of currency and tax invoices

Underwriter & Insurer Coordination
  • Following up with underwriters on pending quote requests and terms
  • Gathering required underwriting information and risk submission files
  • Comparing insurer quotes against client requirements using standard templates

Claims Support & Tracking
  • Logging initial claim notifications and organizing supporting documentation
  • Following up with claims assessors and insurers on claim statuses
  • Updating clients on claim progress under the direction of the lead broker

Client Onboarding & Communication
  • Assisting with client onboarding documentation and compliance checks
  • Sending automated renewal reminders and follow-up notices
  • Managing email inquiries and organizing client files in your CRM

Role Overview &

Key Responsibilities

A dedicated offshore Medical Claims Specialist manages the claims lifecycle from preparation through to resolution, chasing denials and keeping your revenue cycle on track so your billing team isn't buried in follow-up.

Claims Preparation & Coding Accuracy
  • Preparing claims for submission to Medicare, private health funds, and payers
  • Checking CPT, ICD-10, and procedure codes against clinical documentation
  • Reviewing claims for completeness against payer-specific requirements before lodgement
  • Correcting and resubmitting claims flagged for errors prior to submission

Claims Submission & Tracking
  • Submitting claims through payer portals and clearinghouses
  • Monitoring claim status from submission through to payer decision
  • Following up on outstanding and aged claims with payers
  • Maintaining accurate claims logs and status records

Denials & Appeals Management
  • Reviewing denied and rejected claims to identify root causes
  • Preparing resubmissions and appeal documentation for payers
  • Escalating recurring denial patterns for practice review
  • Tracking appeal outcomes and turnaround times

Compliance & Reporting
  • Checking claims against payer and regulatory billing requirements
  • Preparing claims performance reports on denial rates and turnaround
  • Supporting internal or payer audits with documentation and claim history
  • Flagging patterns that point to documentation or coding gaps

Skills and Qualifications

When you partner with hammerjack, we source candidates tailored to your specific software stack and broking workflows.

  • Education: Bachelor’s degree in Business, Finance, Commerce, or a related discipline
  • Industry Context: Direct experience supporting broking or financial services workflows
  • System Knowledge: Familiarity with broking platforms (such as Ebix Evolution, Steadfast SVU, WinBEAT, Salesforce, or Xero)
  • Communication: High proficiency in written and spoken English for professional correspondence
  • Core Competencies: Exceptional attention to detail, strong data accuracy, and adherence to compliance protocols

Skills and Qualifications

When you partner with hammerjack, we source candidates tailored to your specific claims systems and payer workflows.

  • Education: Bachelor's degree or equivalent qualification in Health Information Management, Business, or a related discipline
  • Industry Context: Direct experience in medical claims processing, coding, or health insurance claims management
  • System Knowledge: Familiarity with practice management and claims or billing platforms 
  • Communication: High proficiency in written and spoken English for professional correspondence with payers
  • Core Competencies: Exceptional attention to detail, strong analytical skills, and persistence in following claims through to resolution
HOW IT WORKS

Offshore that works. Real leverage.

icon_start_with_you
Understanding what you are solving for

We start with where your team is stretched, then build a plan around your budget, timeline, and the roles that would give you the most room.

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Finding the right talent

Our in-house recruiters source degree-qualified, experienced professionals, screened and tested for skill and long-term cultural fit with your brokers.

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Full support for you and your staff

A dedicated Customer Success Manager and People & Culture partner look after the relationship on both sides, so your team stays engaged and aligned.

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Get real offshore value

We handle the employment, HR, IT, and compliance infrastructure. You keep control of the work, and get back capacity to grow.

FAQ

Will offshore admin staff follow our processes?
Yes. Staff are trained on your systems and workflows.
Can roles align to our operating hours?
Yes. Working hours can be structured to suit your needs.
Is offshore admin suitable for long-term roles?
 Yes. Teams are built for stability and continuity.

Don't just take our word for it

Real results, real partners. Discover how businesses like yours solved challenges and grew with us.

Tell us the roles you need filled

We'll handle the rest.