Business Process Associate II

Crawford & Company; Iloilo; On-site; PHP 300,000 - 420,000; Full time

Job summary

Crawford & Company is seeking a detail-oriented professional in Iloilo, Philippines to support claims processing and information management. The role focuses on reviewing client information, identifying adjustments, and preparing reports while maintaining strict confidentiality and adhering to SOPs.

You will collaborate with processors and supervisors to ensure accurate routing and issue resolution, supporting diverse business processes.

Qualifications

• Bachelor's degree in any related course.
• At least two (2) years working experience in a claims or insurance management services.
• Proficient typing skills.
• Good communication skills.
• 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 adhering to SOPs and turnaround times; identifies adjustments and variances to reconcile; summarizes information for necessary reports; liaises with other processors to reconcile issues.
• Business Process Support: Resolves issues and inquiries in a customer-oriented approach; ensures proper file management with documentation; routes tasks to appropriate processors; refers matters beyond authority to supervisor; protects confidentiality; performs related administrative duties as assigned; non-clinical staff should not interpret clinical information.

Skills

Typing skills

Communication skills

Word processing

Spreadsheets

Analytical skills

Multi-tasking

Attention to detail

Interpersonal skills

Professionalism

Education

Bachelor's degree in related course

Tools

Microsoft Office

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 typing skills.
• Good communication skills.
• 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.