Eligibility Processor

POSITION TITLE: Eligibility Management Processor (Insurance Benefits Processor)
WORK LOCATION: Alabang
WORK SETUP: Onsite
WORK SCHEDULE: Night Shift
Qualifications

• Graduate of any course
• Open to fresh graduates with good communication skills
• Preferably with benefits administration/insurance experience or at least experience in customer service and data entry in a BPO setting
• At least 1 year of work experience (more than 1 year can be considered if agreeable to working conditions and salary)
• Proficient in Microsoft Office tools and adaptable to client systems
• Exceptional written and oral communication skills
• Typing skills of 200 CPM at 100% accuracy
• Strong problem-solving, decision-making, and critical thinking skills
• Ability to work in a fast-paced and diverse environment while maintaining high professional and ethical standards
  

Job Summary/Description
Under the direct supervision of the Supervisor, the Eligibility Management Processor is responsible for accomplishing data entry tasks in accordance with client quality requirements and specifications.
Responsibilities/Duties

• Handle and analyze Eligibility Management processing of cases in accordance with client processes and specifications to meet targets and deliverables
• Ensure accuracy of encoded data including benefit enrollments, benefit terminations, and processing changes on customer benefit elections
• Adhere to standard operating procedures and work instructions for work alignment across the channel
• Attend project orientation, job-related training, and company-initiated training as needed
• Perform other tasks related to benefit processing to support daily business operations
• Ensure compliance with company rules, regulations, and policies including QMS, ISMS, EHS, EMS, and the Data Privacy Act
• Comply with all Non-Conformity Corrective Action Preventive Action Concessions (NCAPACs) and audit findings within the prescribed period
• Report security incidents and/or identified security weaknesses
• Perform other tasks as may be assigned from time to time

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