Claims Associate Representative (GHB) - Provider Service Organisation

YOUR JOB Delivers administrative, technical, and operative tasks related to the processing, validation, and correction of partner claim data. Works with standardized reports, performs rule‑based corrections in policy administration system, raises IT tickets where required, and supports the accuracy of automated data feeds. Understands and applies simple instructions and procedures. Work is allocated on a daily or task‑by‑task basis with clear direction. This role is an entry point into administrative operations.
What Are Your Main Duties/Responsibilities
Run, prepare, and categorize the weekly reports, including sorting lines by error code and updating BAU trackers.
Correct basic data issues in the policy administration system (e.g., member numbers, procedure codes, diagnosis codes, service dates, partner IDs, net/billed amounts) using defined SOP steps and system prompts.
Follow rule‑based instructions for each error category, applying fixes or routing items to IT when...