Business Process Associate II

Crawco; Manila; Hybrid; PHP 360,000 - 480,000; Full time

Job summary

Crawco in Manila is seeking a detail-oriented Operations Specialist to support claims processing and reconciliation. You will ensure information is reviewed according to SOPs and timelines, identify adjustments, and prepare reports.

The role emphasizes accuracy, confidentiality, and cross-functional collaboration. Minimum of a Bachelor’s or equivalent, 2+ years in claims/insurance, and strong Word/Excel skills are required to succeed in this role.

Qualifications

• Bachelor’s Degree or equivalent professional experience.
• At least two years in a claims or insurance management service.
• Proficient with word processing and spreadsheet software.

Responsibilities

• Review information adhering to SOPs and turnaround times.
• Identify adjustments and variances to reconcile.
• Summarize information to prepare reports.

Skills

Word processing

Spreadsheets

Analytical skills

Multitasking

Attention to detail

Professionalism

Interpersonal skills

Education

Bachelor’s Degree or equivalent

Job description

• Locations 22nd floor Twenty Four Seven McKinley Building, Manila, 1634, PH (Hybrid)
• 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 or equivalent professional experience in lieu of a degree
• 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.