Claims Process & Data Reconciliation Specialist

Offres d’emploi Crawford - Mondiales; Iloilo; On-site; PHP 223,000 - 357,000; Full time

Job summary

Crawford Mondiales in Iloilo, Philippines seeks a Data Processing Specialist to ensure accurate handling of client information, adhering to SOPs and turnaround times.

You will review adjustments, prepare reports, coordinate with fellow processors, manage files, and support other business processes while upholding confidentiality and professional standards.

Strong attention to detail, the ability to multi-task, and collaborative teamwork are essential in this fast-paced role.

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 software.
• 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

• Process 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
• 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

Analytical skills

Time management

Multi-tasking

Problem solving

Interpersonal skills

Education

Bachelor's degree in related field

Tools

Word processing

Spreadsheet software

Job description

Crawford Mondiales in Iloilo, Philippines seeks a Data Processing Specialist to ensure accurate handling of client information, adhering to SOPs and turnaround times.

You will review adjustments, prepare reports, coordinate with fellow processors, manage files, and support other business processes while upholding confidentiality and professional standards.

Strong attention to detail, the ability to multi-task, and collaborative teamwork are essential in this fast-paced role.