Eligibility Processor

6 days ago

Ayala Alabang, National Capital Region, Philippines WHR Global Consulting Full time

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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