Insurance Claims Process Specialist II

Crawford & Company; Manila; On-site; PHP 223,000 - 446,000; Full time

Job summary

Crawford & Company Philippines is seeking a detail-oriented professional to ensure accurate processing and reconciliation of client information. The role supports information review and business process tasks, following SOPs and maintaining confidentiality.

Main duties include identifying adjustments, preparing reports, and liaising with processors to resolve issues while preserving file integrity and timely delivery. Strong communication and analytical skills are essential.

Qualifications

• Bachelor’s Degree or equivalent professional experience.
• At least two years in claims or insurance management services.
• Proficient typing skills.
• Good communication skills.
• Proficient in word processing and spreadsheet software.
• Analytical skills to identify and evaluate information.
• Ability to multi-task and manage time effectively.
• High degree of professionalism and confidentiality.
• Interpersonal skills to work independently and as a team.

Responsibilities

• Processes client information by adhering to SOPs and turnaround times.
• Reviews and identifies adjustments and variances to reconcile.
• Summarizes information to prepare reports.
• Liaises with other processors to reconcile issues.
• Resolves issues and inquiries with a customer-oriented approach.
• Ensures proper file management with accurate and complete documentation.
• Routes tasks to appropriate processors using internal systems.
• Refers matters beyond limits of authority and expertise to immediate superior for direction.
• Upholds confidentiality and Crawford Code of Conduct.
• Performs administrative duties and other related tasks as assigned to contribute to other processes.
• Non-clinical staff may not interpret clinical information.

Skills

Typing skills

Communication skills

Word processing

Analytical skills

Time management

Attention to detail

Confidentiality

Independence & teamwork

Education

Bachelor’s Degree or equivalent

2+ years in claims/insurance management

Job description

Crawford & Company Philippines is seeking a detail-oriented professional to ensure accurate processing and reconciliation of client information. The role supports information review and business process tasks, following SOPs and maintaining confidentiality.

Main duties include identifying adjustments, preparing reports, and liaising with processors to resolve issues while preserving file integrity and timely delivery. Strong communication and analytical skills are essential.