Crawford & Company
Job Description Responsible for ensuring proper processing of information from first line of process to identify and reconcile possible adjustments. 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. Qualifications Bachelor's degree in any related course. At least two (2) 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.
Crawford & Company
