Eligibility Processor

4 days ago

Alabang Muntinlupa, 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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