Business Process Associate II

Crawford Job Listings - Global; Manila; Hybrid; PHP 360,000 - 600,000; Full time

Job summary

Crawford Job Listings - Global in Manila is seeking a Claims/Information Processor to ensure proper handling of client information, identify adjustments, and reconcile variances. The role supports operations with accurate documentation and timely reporting while upholding confidentiality and company standards.

The ideal candidate will have a Bachelor’s degree or equivalent experience, 2+ years in claims or insurance services, and strong analytical and multitasking abilities.

Qualifications

• Bachelor’s Degree or equivalent professional experience
• At least two 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
• High degree of professionalism and confidentiality

Responsibilities

• Review client information following SOPs and turnaround times
• Identify adjustments and variances to reconcile
• Summarize information to prepare reports
• Coordinate with other processors to reconcile issues
• Resolve inquiries in a customer‑oriented manner
• Ensure proper file management and documentation
• Route tasks using internal systems
• Escalate matters beyond authority as needed
• Maintain Crawford Code of Conduct and confidentiality

Skills

Analytical skills

Attention to detail

Time management

Interpersonal skills

MS Word & Excel

Communication skills

Education

Bachelor’s Degree or equivalent professional experience

Tools

Microsoft Office

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.