The Role
Processes client information per SOPs and turnaround times, identifies and reconciles adjustments and variances, prepares reports, liaises with processors, resolves inquiries, manages files and routes tasks, escalates complex issues, maintains confidentiality, and performs related administrative duties.
Summary Generated by Built In
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.
- 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.
Skills Required
- Bachelor's degree in any related course
- At least two (2) years working experience in 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 to produce quality output
- Maintains high degree of professionalism and confidentiality
- Interpersonal skills - able to work independently and as a team member
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The Company
What We Do
Based in Atlanta, GA Crawford & Company(R) (www.crawco.com) is the world's largest publicly listed independent provider of claims management and outsourcing solutions to carriers, brokers and corporates, with an expansive global network serving clients in more than 70 countries. The company’s shares are traded on the NYSE under the symbols CRD-A and CRD-B.
