Bilingual Mandarin Analyst

Siegen HR Solutions; Manila; On-site; PHP 300,000 - 540,000; Full time

Job summary

A leading HR solutions provider in Metro Manila is seeking a Bilingual Mandarin Analyst to assess medical claims and customer eligibility. Candidates must possess strong Mandarin language skills and exceptional attention to detail. This role involves managing claims and ensuring compliance with financial guidelines while meeting tight deadlines and quality targets. The ideal candidate will demonstrate excellent organizational skills and a customer-focused mindset, ensuring that all decisions are accurate and timely.

Qualifications

• Proficient in speaking and understanding Chinese/Mandarin.
• Excellent attention to detail and accuracy in work.
• Strong organizational and time management skills under pressure.
• Strong written communication skills demonstrated in previous work experience.
• Demonstrated analytical and basic math skills.

Responsibilities

• Determine customer eligibility based on contractual language and medical documents.
• Assess and adjust claims for medical appropriateness.
• Ensure timely and accurate payment of covered claims.
• Meet SLA agreements for clients and providers.
• Attain individual and team quality and productivity targets
• Manage both new claims and open claims equality and maintains decision turnaround times (TAT)
• Understand account Operations and Corporate Compliance, Polices and Procedures and best practices
• Stay abreast of ongoing trainings associated with role and business unit objectives

Skills

Chinese/Mandarin language proficiency

Attention to detail

Organizational skills

Time management skills

Ability to work with urgency

Technical savviness

Proficiency in MS Office

Written communication skills

Analytical skills

Basic math skills

Tools

MS Office (Word, Outlook)

Job description

About the job Bilingual Mandarin Analyst

Key Responsibilities

• Determine customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented
• Assess medical appropriateness of claims submitted, and adjust claims as needed
• Pay all covered claims accurately and timely
• Execute on all client and provider SLA agreements
• Attain individual and team quality and productivity targets
• Manage both new claims and open claims equality and maintains decision turnaround times (TAT)
• Understand account Operations and Corporate Compliance, Polices and Procedures and best practices
• Stay abreast of ongoing trainings associated with role and business unit objectives

Qualifications

• Can speak and understand Chinese/Mandarin language
• Excellent attention to detail, quality, and accuracy
• Excellent organizational, workload, and time management skills
• Able to work within tight timeframes to achieve challenging objectives and TATs
• Must have the ability to work with a sense of urgency and be a self‑starter with a customer‑focused mindset
• Must be technically savvy with the ability to toggle between multiple applications and/or computer monitors simultaneously
• Proficient with MS Office applications (Word, Outlook)
• Strong written communication skills demonstrated in previous work experience
• Experience in effectively meeting/exceeding individual professional expectations and team goals
• Demonstrated analytical and basic math skills