Nestlé

Operational Risk Specialist

Nestlé  •  Meycauayan, PH (Onsite)  •  2 months ago
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Job Description

POSITION SNAPSHOT

Location: Meycauayan, Bulacan,

Nestlé Business Services AOA, Inc.

Bulacan, Central Luzon

Full time

Bachelor’s Degree
2+ year of experience

Joining Nestlé means you are joining the largest food and beverage company in the world. At our very core, we are a human environment – passionate people driven by the purpose of enhancing the quality of life and contributing to a healthier future.

Our Team in Nestlé Business Services is in charge of delivering world class business support to our colleagues and clients in Nestlé globally. We are committed to deliver with passion, reliability, innovation, discipline and excellence. Are you ready to join us?

A day in the life of...

  • Prepare and analyze medical billing and support on completing the payments with Insurers on a timely manner

  • Conduct analysis on medical coding specifies in the documents to properly understand and have a thorough analysis to support medical insurance processes

  • Handle claims, follow-up and review to ensure proper documentation is in place. Attend to insurance queries.

  • Involvement on thorough check and consultation with Nestle doctors about the special case of medical claims.

  • Provide report related to utilization, claims trend or other ad hoc reports needed by the market wherein the source data is taken internally or from Insurer

  • Manage and validate census data and endorse any movement as endorsement based on the agreement on the policy

  • Ensure the maintenance of all necessary data, meet all internal and external reporting requirements. (medical data)

  • Addresses escalated Insurance issues and complaints from the Market and works with the GRS Team/Total Rewards in providing analysis and resolution.

  • Conducts regular calls, debriefs and workstream reviews with the markets and other departments, including identification of improvement opportunities and mitigation measures.

What will make you successful

• Degree in Accounting, preferably a CPA, or Degree in Risk and Insurance Finance

• At least 3 years of working experience in BPO/Shared Services setting and/or had experience working with foreign markets

• Accounting and Actuarial mindset very useful in other activities (reconciliations / data analysis / simulations)

• Knowledge in SAP and MS Applications (preferably proficient in excel)

• Demonstrates the ability to positively influence and guide team members

• Capable of delivering work independently with minimal supervision

• Effectively manages and engages stakeholders

• Proactively identifies, proposes, and implements process improvements

Nestlé

About Nestlé

As the world’s largest food and beverage company we are driven by a simple aim: unlocking the power of food to enhance quality of life for everyone, today and for generations to come. To deliver on this, we serve with passion, with a spirit of excellence, offering products and services for all stages of life, every moment of the day, helping people care for themselves and their families. Our culture is based on our values rooted in respect: respect for ourselves, respect for others, respect for diversity and respect for the future.

We can trace our origin back to 1866, when the first European condensed milk factory was opened in Cham, Switzerland, by the Anglo-Swiss Condensed Milk Company. One year later, Henri Nestlé, a trained pharmacist, launched one of the world’s first prepared infant cereals ‘Farine lactée’ in Vevey, Switzerland.

Today, we employ around 273,000 people and have factories or operations in almost every country in the world. With our headquarters still based in the Swiss town of Vevey, we had sales of CHF 84.3 billion in 2020.

Our portfolio covers almost every food and beverage category – offering products and services for all stages of life, every moment of the day, helping people care for themselves and their families.

House rules: https://nes.tl/HouseRules

Industry
Food & Beverage
Company Size
10,000+ employees
Headquarters
Vevey, CH
Year Founded
Unknown
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