Business Process Associate II

Crawford; Iloilo; On-site; PHP 279,000 - 391,000; Full time

Job summary

Crawford is seeking a detail-oriented professional to ensure accurate processing of client information and timely reporting. The role emphasizes adherence to SOPs, reconciliation of adjustments, and cross-functional collaboration with other processors.

The candidate should have a bachelor's degree and at least two years in claims or insurance management services, with strong analytical and multitasking abilities, and a high level of confidentiality.

Qualifications

• Bachelor's degree in any related course.
• At least two (2) years working experience in a claims or insurance management services.
• Proficient in word processing and spreadsheet softwares.
• Analytical skills - Identify and evaluate information.
• Ability to multi-task, prioritize and manage time effectively.
• Keen attention to details in order to produce quality output.
• Maintains high degree of professionalism and confidentiality.
• Interpersonal skills - Able to work independently and as a team member.

Responsibilities

• Information Review: Processes client information by adheres to the SOP and turnaround time set forth.
• Reviews and identifies if there are adjustments and variances to reconcile.
• Summarizes information to prepare necessary reports.
• Liaises with other processors to reconcile any issues regarding client information.
• Business Process Support: Resolves issues and other inquiries regarding matters of work in a customer-oriented approach.
• Ensures proper file management for all client systems by accurate and complete documentation.
• Routes tasks to appropriate processors by utilizing internal systems.
• Refers matters beyond limits of authority and expertise to immediate superior for direction.
• Upholds the Crawford Code of Conduct by protecting the confidentiality of information.
• Performs variety of administrative duties and other related tasks from time to time as assigned to contribute to other business processes.
• Non-clinical staff may not conduct any activities that require interpretation of clinical information, including but not limited to, the choosing of a set of criteria to use for handling a request for healthcare services or treatments.

Skills

Analytical skills

Attention to detail

Multitasking

Interpersonal skills

Education

Bachelor's degree

Tools

Microsoft Word

Microsoft Excel

Job description

Job Description

Responsible for ensuring proper processing of information from first line of process to identify and reconcile possible adjustments.

Responsibilities

• Information Review
  • Processes client information by adheres to the standard operating procedures (SOP) and turnaround time set forth
  • Reviews and identifies if there are adjustments and variances to reconcile
  • Summarizes information to prepare necessary reports
  • Liaises with other processors to reconcile any issues regarding client information
• Business Process Support
  • Resolves issues and other inquiries regarding matters of work in a customer-oriented approach
  • Ensures proper file management for all client systems by accurate and complete documentation
  • Routes tasks to appropriate processors by utilizing internal systems
  • Refers matters beyond limits of authority and expertise to immediate superior for direction
  • Upholds the Crawford Code of Conduct by protecting the confidentiality of information
  • Performs variety of administrative duties and other related tasks from time to time as assigned to contribute to other business processes
  • Non-clinical staff may not conduct any activities that require interpretation of clinical information, including but not limited to, the choosing of a set of criteria to use for handling a request for healthcare services or treatments.

Qualifications

• Bachelor's degree in any related course.
• At least two (2) years working experience in a claims or insurance management services.
• Proficient in word processing and spreadsheet softwares.
• Analytical skills - Identify and evaluate information.
• Ability to multi-task, prioritize and manage time effectively.
• Keen attention to details in order to produce quality output.
• Maintains high degree of professionalism and confidentiality.
• Interpersonal skills - Able to work independently and as a team member.