Business Process Associate II

Crawford & Company; Manila; Hybrid; PHP 279,000 - 502,000; Full time

Job summary

Crawford & Company Philippines seeks a detail-oriented professional to ensure accurate processing of client information from first-line processing through reconciliation of adjustments. The role emphasizes adherence to SOPs and timely turnaround.

You will coordinate with other processors to resolve issues and maintain complete documentation, supporting various business processes. A Bachelor's degree and at least two years in claims or insurance services are required.

Qualifications

• Bachelor's degree in any related course.
• Minimum 2 years in claims or insurance management services.
• Proficient in word processing and spreadsheet software.
• Analytical skills to identify and evaluate information.
• Ability to multi-task, prioritize and manage time effectively.
• Strong attention to detail and confidentiality.
• Interpersonal skills to work independently and as a team.

Responsibilities

• Information Review: adheres to SOPs and turnaround times.
• Reviews and identifies adjustments and variances to reconcile.
• Summarizes information to prepare necessary reports.
• Liaises with other processors to reconcile any issues regarding client information.
• Resolves issues and inquiries with a customer-oriented approach.
• Ensures proper file management for all client systems through accurate documentation.
• Routes tasks to appropriate processors using internal systems.
• Refs matters beyond limits of authority for direction.
• Upholds Crawford Code of Conduct and confidentiality.
• Performs various admin duties to support other processes.
• Non-clinical staff may not interpret clinical information.

Skills

Analytical skills

Multi-tasking

Attention to detail

Confidentiality

Teamwork

Interpersonal skills

Time management

Education

Bachelor's degree in related field

Tools

Word processing

Spreadsheet software

Job description

• Locations 22nd floor Twenty Four Seven McKinley Building, Manila, 1634, PH 5F Enterprise One, Iloilo, Iloilo City, 5000, PH (Hybrid)
• Process Code 05599
• 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.