Business Process Associate II

Crawco; Iloilo City; On-site; PHP 200,000 - 360,000; Full time

Job summary

Crawco in Iloilo City, Philippines, is seeking a details-oriented processor to ensure accurate information flow from intake to reconciliation. The role emphasizes strict adherence to SOPs, timely reporting, and confidentiality.

The successful candidate will have a Bachelor's degree, at least two years in claims or insurance services, and strong analytical and multitasking abilities to support multiple client files daily.

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 adhering to SOPs and turnaround times.
• Reconciliation: Reviews and identifies adjustments and variances to reconcile.
• Reporting: Summarizes information to prepare necessary reports.
• Liaison: Liaises with other processors to reconcile issues regarding client information.
• Business Process Support: Resolves issues and inquiries with a customer-oriented approach.
• File management: Ensures proper file management for all client systems with accurate documentation.
• Task routing: Routes tasks to appropriate processors using internal systems.
• Escalation: Refers matters beyond limits of authority to immediate supervisor.
• Compliance: Upholds Crawford Code of Conduct by protecting confidentiality of information.
• Administrative duties: Performs various duties and tasks to support other business processes.
• Clinical note restriction: Non-clinical staff may not interpret clinical information.

Skills

Analytical skills

Attention to detail

Multitasking

Interpersonal skills

Professionalism

Time management

Teamwork

Independent work

Education

Bachelor's degree

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.