Position: Claims Processing Analyst

Location: Ortigas, Pasig

Work setup & shift: Onsite | Day Shift

Our Client, ReSource Pro, is a 21-year-old leading provider of integrated, innovative operational solutions to US-based insurance organizations including brokers, managing general agents, carriers, and third-party administrators. Our Client, ReSource Pro, supports a wide range of business processes, with a focus on activities requiring deep domain expertise. The Company services its clients through a large and growing base of more than 10,500 employees based in the U.S., China, India, and Serbia with 400+ clients.

Job Requirements

Non-negotiables:

• 1-2 years of experience in insurance operations or a related field
• Proficiency in email communication
• Strong problem-solving, data analysis, time management, and planning skills
• Experience in creating and updating SOPs and technical or procedural documentation
• Quality assurance experience in reviewing and optimizing processes or outputs
• and career advancement.
• Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

Your role

As a Claims Processing Analyst, you will:

• Process complex insurance tasks and operate various client systems independently.
• Optimize operations by analyzing problems, developing procedures, and ensuring compliance.
• Enhance customer experience by communicating with clients, addressing needs, and building strong relationships.
• Perform audits and troubleshooting to identify gaps, resolve issues, and meet compliance requirements.
• Conduct training by creating training plans, managing processes, and coaching junior trainers.
• Develop and update SOPs (Standard Operating Procedures) and training plans to ensure alignment with operational goals.
• Implement quality assurance measures to ensure processes meet high standards and client expectations.
• Support other tasks, including data analysis, reporting, and onboarding new clients and tasks.

Preferred skills/expertise:

• Familiarity with OPEX and compliance processes
• Background in insurance Level 1