Consultative Analytics Data Specialist II

7 days ago

Manila, National Capital Region, Philippines Crawford Full time
Description

Responsible for acquiring and analyzing workers' compensation, claim information to manage data within scope of responsibility.

Responsibilities
  • Gather, analyze, and manage workers' compensation claim data, including medical records and work status updates, to ensure accurate and timely entry.
  • Communicate with healthcare providers and stakeholders to collect and verify missing or unclear claim information.
  • Collaborate with claim teams and escalate issues to internal or client contacts per SOPs to resolve RTW or job offer concerns.
  • Partner with cross-functional teams to validate data, update internal guidelines, and maintain consistency with evolving client protocols.
  • Research and improve processes, participate in ad hoc projects, and provide operational support to optimize efficiency and effectiveness.
  • Conduct quality assurance reviews and evaluate final claim determinations to ensure compliance with regulatory standards.
  • Test tools and workflows, document issues, and provide feedback to support continuous system and process improvement.
  • Support year-end OSHA log creation, including reviewing client changes, preparing hours/headcount, and implementing required log updates.
Qualifications
  • Bachelor's degree or equivalent.
  • At least two (2) years working experience in a claims or insurance management services.
  • Excellent oral and written communication skills.
  • Highly organized thinking, writing and presenting so that key points are delivered powerfully and clearly to the intended audience.
  • Capable of quickly learning new tools and programs.
  • Able to manage multiple competing priorities.
  • Proficient in MS Excel and PowerPoint.
  • Skilled at simplifying complex concepts for a non-technical audience.
  • Strives to establish and systematize best practices within team.

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