Claims Process Specialist II: Reconciliation & Reporting

Crawford; Iloilo; Presencial; PHP 279.000 - 391.000; Jornada completa

Descripción de la vacante

Crawford is seeking a detail-oriented professional to ensure accurate processing of client information and timely reporting. The role emphasizes adherence to SOPs, reconciliation of adjustments, and cross-functional collaboration with other processors.

The candidate should have a bachelor's degree and at least two years in claims or insurance management services, with strong analytical and multitasking abilities, and a high level of confidentiality.

Formación

• 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.

Responsabilidades

• Information Review: Processes client information by adheres to the 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.

Conocimientos

Analytical skills

Attention to detail

Multitasking

Interpersonal skills

Educación

Bachelor's degree

Herramientas

Microsoft Word

Microsoft Excel

Descripción del empleo

Crawford is seeking a detail-oriented professional to ensure accurate processing of client information and timely reporting. The role emphasizes adherence to SOPs, reconciliation of adjustments, and cross-functional collaboration with other processors.

The candidate should have a bachelor's degree and at least two years in claims or insurance management services, with strong analytical and multitasking abilities, and a high level of confidentiality.