Business Process Associate II

Crawford & Company; Iloilo City; On-site; PHP 446,000 - 725,000; Full time

Job summary

Crawford & Company Philippines in Iloilo City is seeking a Process Code BSI 005.001 TCM Admin to ensure proper processing of information and reconciliation of adjustments.

The role focuses on information review, adherence to SOPs, and reporting, with a customer-focused, confidential approach and teamwork across processors to support client information management.

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.
• Maintains high degree of professionalism and confidentiality.
• Interpersonal skills - Able to work independently and as a team member.

Responsibilities

• Information Review under SOPs and turnaround times.
• Reviews and identifies adjustments and variances to reconcile.
• Summarizes information to prepare necessary reports.
• Liasses with other processors to reconcile any issues regarding client information.
• Resolves issues and inquiries with a customer-oriented approach.
• Ensures proper file management for client systems via accurate documentation.
• Routes tasks to appropriate processors using internal systems.
• Refers matters beyond authority to immediate superior for direction.
• Upholds Crawford Code of Conduct and confidentiality.
• Performs various administrative duties as assigned.
• Non-clinical staff may not interpret clinical information.

Skills

Analytical skills

Multi-tasking

Detail oriented

Interpersonal skills

Education

Bachelor's degree in related field

Tools

Microsoft Word

Microsoft Excel

Job description

• Process Code BSI 005.001 TCM Admin
• Equipment Field Dell Wyse 5470 Mobile Thin Client Package with 1 monitor, keyboard, mouse, cables
• Work Station Assignment TBD
• Nurse License Not Applicable

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.