DE029770-Claims Management Associate

Accenture in the Philippines


Date: 3 weeks ago
City: Quezon City
Contract type: Full time
---ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE---

POSITION TITLE: Claims Management Associate

OVERALL PURPOSE:

The Claims Adjudicator is responsible for accurate and timely adjudication of Wellness and Other claims. This may include additional investigation to obtain necessary information (order medical records etc.) to complete the claim review and processing.

RESPONSIBILITIES:

Core Competencies:


  • Attention to detail
  • Proven organizational ability
  • Reliability
  • Ability to work independently
  • Medical allied or has medical background
  • Background or experience in end-to-end claims processing


  • Communication Skills:


  • Excellent written and verbal communication skills in English
  • Remains focused on improving communication skills while continuously enhancing knowledge on client products and services
  • Possesses strong interpersonal skills


  • Problem Solving:


  • Understands the applicable aspects of the client products/services needed to perform their task
  • Ability to accurately and quickly perform mathematical calculations
  • Concentrates on fostering processing efficiencies while meeting quality standards
  • Displays exemplary analysis and problem-solving capabilities


  • Teamwork


  • Works well with others
  • Develops rapport and trust
  • Participates actively in team discussions and activities
  • May assist less experienced or temporary staff when appropriate


  • Client Focus:


  • Focuses on achieving client and company goals
  • Flexible and trainable
  • Aims to maintain excellent relations with the client, client customers (providers), team and internal
  • Strives to maintain a sound knowledge of the support
  • Maintains customer focus and service orientation


  • OTHERS:

    Project Shift Schedule: Night Shift

    Project Rest Day: Weekends Off

    Project/Team Location: Quezon City, Gateway Tower 2

    SKILLS AND QUALIFICATIONS:


  • Graduate with a bachelor’s degree in a health/clinical related field such as nursing, pharmacology, kinesiology, sports medicine or occupational/speech therapy
  • Open to fresh graduate or no experience
  • 6 months of CSR experience is an advantage
  • End-to-end claims processing experience is an advantage


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