Imagenet LLC

Human Resources

• Support onboarding processes for U.S. and Philippines employees, including E-Verify processing (U.S.), background checks, and scheduling orientation
• Provide recruitment coordination support for U.S. and PH hiring efforts (interview scheduling, candidate communication, etc.)
• Ensure complete submission of new hires of the Pre Employment Requirements have been completed based on timeline
• Perform HR administrative tasks for the Philippine team
• Distribute new hire and exit interview surveys and track responses
• Upload and manage employee documents in BambooHR, ensuring profiles are complete and up to date
• Assist with travel planning and booking for employees as needed
• Coordinate 401(k) notifications and communications (U.S.)
• Support Open Enrollment activities for both U.S. and Philippines employees
• Ensure that all offboarding documents and process have been complied with
• Assist with additional HR projects and administrative tasks as needed

HR Coordinator – US, PH HR Operations

Claims Specialist

• Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
• Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
• Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
• Participate in ongoing training and professional development activities.
• Maintain accurate and detailed records of claims processing activities.
• Review claim forms and supporting documents.
• Determine eligibility, verify data accuracy.
• Request additional information when needed.
• Process claims end-to-end.
• Identify and escalate complex or unusual claims for further review or investigation.

Claims Examiner

QA Engineer

• Lead quality assurance and training programs supporting U.S. healthcare operations.
• Develop and maintain standardized onboarding and certification programs for claims and/or contact center teams.
• Conduct QA audits, side-by-side coaching, and training sessions to improve operational performance.
• Support underperforming teams through targeted training and QA interventions.
• Establish and maintain QA scorecards and ensure consistent scoring standards.
• Participate in internal and client-facing calibration sessions to align quality expectations.
• Analyze QA trends and identify root causes for errors, performance gaps, and training needs.
• Partner with Operations leaders to implement improvement initiatives.
• Track and report QA performance, training completion, and certification results.
• Ensure training and QA processes comply with HIPAA and client-specific requirements.

QA & Training Manager – US Healthcare Operations

• Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy and compliance with provider contracts and regulatory guidelines.
• Analyze provider disputes for patterns or recurring issues.
• Identify root causes and work with relevant teams to implement corrective actions and process improvements.
• Develop and track performance related to claims accuracy, turnaround time, and dispute resolution efficiency.
• Conduct thorough root cause analyses on high-impact errors or escalations.
• Support training initiatives by identifying knowledge gaps and assisting in the development of updated procedures and documentation based on audit results.
• Ensure all reviewed processes align with applicable regulatory requirements.
• Participate in internal and external audits as needed.

Claims QA Analyst

Recruitment

• Support end-to-end recruitment for PH and U.S. roles across various levels, preferably in a BPO or high-volume hiring environment.
• Manage multiple hiring requirements while ensuring timelines and hiring targets are met.
• Coordinate closely with hiring managers and team leads to understand hiring needs and provide recruitment support.
• Source candidates through job boards, social media platforms, referrals, and other sourcing channels.
• Conduct initial candidate screening, interview scheduling, endorsements, and offer coordination.
• Maintain a positive candidate experience throughout the recruitment process.
• Update and maintain applicant tracking systems, recruitment trackers, and hiring reports.
• Monitor recruitment progress and support reporting of recruitment metrics and hiring updates.
• Ensure compliance with company recruitment processes and documentation requirements.
• Assist in improving recruitment processes and support employer branding initiatives when needed.

Talent Acquisition Specialist

• Manage day-to-day HR Operations with employment practices and policies both for US and PH.
• Assist with payroll coordination, benefits administration and HR documentation.
• Ensure compliance with federal and state labor laws and company policies.
• Assist with ADA interactive process coordination, including medical documentation requests and tracking, communication drafts to employees and managers.
• Review and administer FMLA requests, including eligibility verification, qualifying reason review, medical certification completeness/sufficiency checks, leave designation, and ongoing leave tracking (continuous and intermittent).
• Support US Workers’ Compensation processes by, assisting with claim intake and documentation, coordinating information with insurers, brokers, or third-party administrators, tracking claim status and related employee communications.
• Support US unemployment claim administration by gathering employment and separation documentation, responding to state agency inquiries, tracking deadlines, and coordinating claim responses with US HR leadership.
• Serve as the first point of contact for employee inquiries and concerns.
• Handle employee relations issues with professionalism and confidentiality.
• Assist in investigations, documentation, and resolution of workplace concerns.
• Support performance management processes and employee engagement initiatives.
• Support employee relations matter by addressing routine questions and concerns, documenting issues, and promptly escalating complex or unresolved matters to US and/or Philippines HR Management in accordance with company protocols.
• Monitor and manage HR inbox, ensuring timely and accurate responses.
• Prepare HR reports, documentation, and internal communications.
• Coordinate meetings, training and HR-related events.
• Support audits and compliance checks needed.
• Tasks that may be assigned from time to time.

HR Coordinator – US, PH HR Operations

Claims Examiner

QA & Training Manager – US Healthcare Operations

Claims QA Analyst

Talent Acquisition Specialist

Global HR Generalist – US, PH HR Operations