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Claims Operations Officer / Manager

Hive Health

Hive Health

Operations
San Francisco, CA, USA
Posted on Aug 7, 2025

Location

Pasig Office - On-Site

Employment Type

Full time

Location Type

On-site

Department

Finance

Ready to make an impact? At Hive Health and HPPI, a subsidiary of Hive Health, we’re on a mission to make healthcare radically more accessible for all—and we need passionate, driven individuals to help us make it happen. If you thrive in a fast-paced, innovative environment and want to work on solutions that truly matter, we’d love to meet you!

👋🏻 Hi! We’re HPPI, part of the Hive Health Group

About us

HPPI is an HMO that is part of the Hive Health Group of Companies, which is on a mission to provide the best-in-class health plans for small-medium enterprises (SMEs) in the Philippines.

HPPI’s 30+ years of providing care, combined with Hive Health’s innovative tech capabilities, enables the Hive Health Group of Companies to offer comprehensive, hassle-free digital health plans through our all-in-one platform. Together, we are revolutionizing access to quality, affordable healthcare for millions of Filipinos, one SME at a time.

Responsibilities

  • Manage, lead, and build the team to ensure smooth and efficient claims operations.

  • Develop and enhance reporting tools within the Hive Portal, ensuring data accuracy for hospital bills, procedures, and professional fees.

  • Manage and oversee claims processing, ensuring all supporting documents are complete and accurate.

  • Oversee claims evaluation processes for various services such as maternity, dental, and lab fees, ensuring timely payments.

  • Drive process improvements for healthcare claims operations with a focus on automation and efficiency.

  • Recommend and implement technological solutions to optimize workflows, leveraging operational and technical insights while being hands-on with daily processing.

  • Collaborate cross-functionally with healthcare, finance, and product teams to ensure smooth integration of new systems and procedures.

Qualifications

  • Must be willing to work onsite in Ortigas

  • Bachelor's degree in Healthcare Administration, Business, or a related field.

  • Experience in financial operations, systems integration, or claims management.

  • Ability to absorb and navigate healthcare claims processes

  • Strong analytical mindset, with a track record of deploying improvements in business processes.

  • Experience in process automation and system integration, with the ability to work independently on solutions without reliance on product development teams.

  • Curious, results-driven, ownership mentality with growth mindset

  • Excellent verbal and written communications

  • Collaborative team player with the ability to adapt quickly in a fast-paced environment

  • Passion for innovation in healthcare

Join our team as we revolutionalize healthcare in the Philippines—and beyond!

Day 1 benefits for full-time employees – because we practice what we preach! Enjoy comprehensive healthcare coverage for you and your dependent, and paid time off from the start.
🚀 Grow with us – mentorship, career development, and learning opportunities to help you thrive.
🌍 Global connections – gain insights and support from top minds at Harvard, Stanford, and beyond.