Senior Data Processor (US Healthcare)

Global Administrators Inc.; Eastern Manila District; Hybrid; PHP 391,000 - 580,000; Full time

Benefits offered by this job

Fixed weekends off

HMO within first month of employment

Insurance coverage upon regularization

Paid time off during probation

Onsite and virtual activities/events

Open door policy

Performance-driven environment

Learning and growth opportunities

Job summary

Global Administrators Inc. is seeking a dedicated professional to manage and process tasks for assigned clients in a hybrid Manila-based role. You will ensure high-quality client experiences, coordinate with onshore teams, and act as the main point of contact for carrier partners.

This position requires delivering timely updates and thorough case management while maintaining data accuracy. The role emphasizes benefits administration, COBRA, billing and claims, with a strong client-facing

Qualifications

• Extensive US Healthcare experience is required (background in benefits administration, COBRA, Billing, Claims)
• Strong background in processing benefits administration transactions (e.g., plan reinstatements, terminations, and related cases)
• Client-facing experience is a strong plus
• Willingness to work on 9:00 PM – 6:00 AM shift, including flexibility for alternate schedules to support client-required conference calls, web conferences, and meetings

Responsibilities

• Client Experience and Communication: Deliver positive client experiences through high-quality service and communication; provide regular updates to the onshore team on client data issues and errors; act as main contact for carrier partners; share updates with Client Services and technical partners.
• Timely Response and Resolution: Respond promptly to inquiries from clients, carriers, and internal partners; keep clients informed with regular updates through resolution.
• Case Management and Audit: Prioritize, review, and work on open client cases; run and review audit reports to verify accuracy; conduct random audits on enrollments and data transmitted to carriers and handle manual processing tasks.
• Task and Deliverable Management: Oversee client deliverables, track progress, complete tasks, provide updates via tools and MS Teams; participate in client calls and training.
• File and System Maintenance: Review inbound/outbound files daily; maintain carrier and client SFTP setups and implement updates.
• Technical Issue Resolution: Identify and address root causes of systemic issues; research and resolve issues from error reports; explain errors to clients in non-technical terms.
• Process Execution and Risk Mitigation: Execute client-specific processes and prepare risk mitigation reports.

Skills

US healthcare experience

Benefits administration

Client-facing experience

Night shift availability

Job description

What are some of the perks once you become part of this awesome team?

• Fixed weekends off

• HMO within first month of employment

• Insurance coverage upon regularization

• Paid time off even during probationary period

• Fun onsite and virtual activities/events

• Open door policy with avenues to gather employee feedback

• Highly performance-driven work environment, encouraging promotions from within

• Various learning and personal/professional growth and development opportunities

We are offering a hybrid work arrangement! The company will also be providing the PC and equipment needed. Although during your first month (or until the HLM approves of the transition), you will be reporting on-site to complete company and/or client-required trainings. With this, the following requirements will be required prior the on-boarding:

• Minimum of 25mbps internet speed (actual bandwidth via speed test) *higher than 25mbps would be required if there will be other people in the household who would be either working from home or heavily using the internet during your shift

• Dedicated space or room with good ventilation for the PC set-up.

• Table that can fit two 24" monitors and a chair, ideally positioned close to the outlet and internet modem

• Work from home location is within NCR.

Note: We welcome candidates with previous supervisory or leadership experience who are looking to focus on an individual contributor role rather than managing a team.

General Objective:

Responsible for overall management and processing of tasks specific to each assigned client.

What are some of the responsibilities?

• Client Experience and Communication

  • Deliver positive client experiences through high-quality service and communication.

  • Provide regular updates to the onshore team on client data issues, review file warnings and errors in daily stand-ups, and identify team members responsible for resolution.

  • Act as the main point of contact for carrier partners, managing file updates and requests.

  • Share relevant updates with Client Services and technical partners as needed.

• Timely Response and Resolution

  • Respond promptly to inquiries from clients, carriers, and internal partners within the expected time frames. Keep clients informed with regular updates through resolution.

• Case Management and Audit

  • Prioritize, review, and work on open client cases.

  • Run and review full and quick audit reports to verify that all member records are accurate and transactions are processed correctly to ensure accurate coverage.

  • Conduct random audits on enrollments and data transmitted to carriers (e.g., OE, Post OE, Ad hoc) and handle various manual processing tasks, including EOI approvals/denials, manual audits, in-progress transaction cleanups, reporting, and coverage terminations.

• Task and Deliverable Management

  • Oversee client deliverables, track progress, complete assigned tasks, and provide updates via company tools (AdaptiveWork), email, and MS Teams.

  • Actively participate in client calls, meetings, and training sessions (e.g., new hire training, refresher courses) as needed.

• File and System Maintenance

  • Review inbound and outbound files daily.

  • Maintain carrier and client SFTP setups and implement updates as necessary.

• Technical Issue Resolution

  • Identify and address root causes of systemic issues.

  • Research and resolve identified technical issues from error reports.

  • Provide detailed explanations of errors to clients, translating technical issues into non-technical terms, and proactively inform onshore colleagues of errors impacting their tasks.

• Process Execution and Risk Mitigation

  • Execute client-specific processes and procedures.

  • Complete risk mitigation reports, including audits, team activity, and case manager reports.

What are the ideal requirements?

• Extensive US Healthcare experience is required (background in benefits administration, COBRA, Billing, Claims)

• Strong background in processing benefits administration transactions (e.g., plan reinstatements, terminations, and related cases).

• Client-facing experience is a strong plus

  (ability to participate in weekly meetings, confidently facilitate client calls and address member-level inquiries or cases)

• Willingness to work on 9:00 PM – 6:00 AM shift, including flexibility for alternate schedules to support client-required conference calls, web conferences, and meetings