Consultative Analytics Data Specialist II

Crawford and Company Ungka, Philippines

Posted 3 days ago Permanent Competitive

Job 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.

Job ID 300004351910267

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