Claims & Data Reconciliation Specialist

Crawford & Company; Manila; On-site; PHP 350,000 - 480,000; Full time

Job summary

Crawford & Company Philippines is seeking a detail-oriented professional responsible for processing client information from the first line of processing to identify and reconcile potential adjustments. The role emphasizes adherence to SOPs and timely turnaround for accurate reporting.

The candidate will review data, prepare necessary reports, and liaise with other processors to resolve issues while maintaining confidentiality and professional standards.

Qualifications

• Bachelor's degree in any related field.
• At least two years working experience in a claims or insurance management services.
• Proficient typing skills.
• Good communication skills.
• 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 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.

Skills

Proficient typing

Communication skills

Analytical skills

Time management

Interpersonal skills

Education

Bachelor's degree

Tools

Word processing

Spreadsheets

Job description

Crawford & Company Philippines is seeking a detail-oriented professional responsible for processing client information from the first line of processing to identify and reconcile potential adjustments. The role emphasizes adherence to SOPs and timely turnaround for accurate reporting.

The candidate will review data, prepare necessary reports, and liaise with other processors to resolve issues while maintaining confidentiality and professional standards.