Claims SMEs
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- Process new claims or modifies existing claims according to the appropriate and applicable action
- Analyze claims to determine appropriate action to approve or deny a claim for payment
- Determine accurate payment criteria for clearing pending claims based on defined policies and procedures
- Research claims edits to determine appropriate benefit application utilizing established criteria, applies physician contract pricing as needed for entry-level claims
- Review and address provider inquiries regarding claims, billing, and other RCM related issues
Qualifications:
Minimum of 3 years of experience in medical claims processing experience; SME/Lead/Trainer experience a strong advantage
Proficient knowledge on US Healthcare Practice, Medical Coding (ICD-10, CPT4, DRG, HCPCS), Clinical Documentation Improvement, medical terminologies, EDI, or HIPAA protocols
- Excellent verbal and written business communication skills
- Strong attention to detail and the ability to make appropriate decisions based on information presented
- Amenable to work nightshift, onsite (McKinley, Taguig) and 5 months contract
Subject Matter Expert
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The Subject Matter Expert – Record to Report is accountable for delivering accurate and timely financial reporting activities, including Journal Entry Processing, Month-End Close, Balance Sheet Reconciliations, Fixed Assets Management, and Compliance. Working closely with the Team Leader, Service Delivery Manager, and other process teams, the SME ensures compliance with accounting standards (IFRS/GAAP), company policies, and audit requirements. The SME serves as the escalation point for complex accounting issues, drives process improvements, and provides training to Analysts to enhance their technical knowledge and operational performance.
JOB ROLE AND RESPONSIBILITIES:
The scope of the role will continue to broaden, but key areas of responsibility are as follows:
People
- Serve as a technical mentor to Analysts, providing guidance on accounting processes.
- Share knowledge through structured training and informal coaching.
- Deliver targeted workshops.
- Support Team Leader in performance coaching for the RTR team.
Partnership
- Collaborate with cross-functional teams to ensure accuracy and completeness in reporting.
- Engage with auditors, both internal and external, to address queries.
- Work with Order to Cash & Procure to Pay SMEs to ensure end-to-end accounting integrity
Operational
- Manage or process high-value, priority, complex or exception journals & reconciliations, and/or be a functional expert in a technology within the IT Landscape.
- Monitor closing activities to ensure adherence to deadlines.
- Maintain compliance with accounting standards, tax laws, and internal policies.
- Analyze KPIs and identify areas for performance improvement.
- Participate in automation and reporting enhancement initiatives.
Other
- Prepare audit schedules and respond to audit requests.
- Keep RTR process documentation current and accurate.
- Contribute to finance transformation projects.
SKILLS AND EXPERIENCE REQUIRED:
- Minimum 3 - 5 years' experience in accounting, preferably Record-to-Report in Shared Services or corporate finance.
- Solid technical accounting knowledge (IFRS & local GAAP) and experience with month-end close activities.
- Experience with ERP GL modules (SAP FI-GL preferred) and reconciliation tools (BlackLine).
- Strong analytical skills, attention to detail and ability to explain technical accounting issues to nonaccountants.
- Advanced Excel skills (pivot tables, lookups); exposure to Power BI or reporting tools helpful.
- Customer service mindset and solid problem-solving/analytical ability.
- Professional accounting qualification (CPA, ACCA, CIMA) desirable.
- Strong Excel skills; familiarity with consolidation/reporting tools advantageous.
Subject Matter Expert
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What you will be doing:
- Answer inbound/place outbound calls within guidelines established by the client and contact center management.
- Act as liaison between the Supervisor and in/outbound associates as directed.
- Maintain campaign Knowledge Center as directed by supervisor or client.
- Assist in training and coaching in/outbound associates on product/services and campaign changes.
- Provide customers accurate answers and solutions to their questions and problems.
- Determine information to add to the knowledge center.
- Identify trends of issues and make recommendations for solutions to Supervisor.
- Lead or participate in weekly meetings with client counterparts / PIC.
- Participate in client-led training sessions in center or in client facilities.
- Perform other duties as assigned.
What we're looking for:
- At least 2 years BPO experience with 1 year experience as SME in a technical account
- Must be CEFR B2 Level
Subject Matter Expert
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About DigiPlus Interactive Corp.
DigiPlus Interactive Corp. pioneered digital entertainment in the Philippines. It introduced leading platforms BingoPlus and ArenaPlus, widely known for their engaging experiences in interactive gaming and sports entertainment. DigiPlus also operates GameZone, with more to come.
For more information, visit:
JOB OVERVIEW
The Subject Matter Expert (SME) plays a pivotal role in delivering exceptional customer experience by handling complex inquiries, mentoring team members and new hires. This role requires a proactive approach to resolving customer issues and contributing to the continuous improvement of processes and most especially of team members (CSR).
RESPONSIBILITIES
- Provide real-time support to our SRs and handle escalated or complex customer inquiries and provide timely, accurate resolutions.
- Serve as a role model for team members (CSR) by demonstrating best practices in customer service and communication.
- Collaborate with supervisors and managers to identify trends in customer feedback and suggest process improvements.
- Assist with onboarding and training of new hires, ensuring they have a strong foundation in company policies and customer service standards.
- Monitor team performance metrics and provide coaching or support to improve outcomes.
- Participate in quality assurance reviews, offering feedback to maintain and enhance service standards.
- Stay updated on company products, policies, and procedures to ensure accurate and consistent information is provided to customers.
QUALIFICATIONS
- At least one (1)year of tenure in the Customer Service Department with good standing and no current warnings
- Strong interpersonal and problem-solving skills
- Ability to coach, mentor, and inspire team members to achieve high performance
- Proficiency in our Standard Operating Procedures
- Detail-oriented with strong organizational skills
Subject Matter Expert
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The Subject Matter Expert – Purchase to Pay is accountable for ensuring accurate and efficient execution of the end-to-end Procure to Pay process, covering Vendor Master Data, Invoice Processing, Payment Runs, and AP Reconciliations. The SME works closely with the Team Leader, Service Delivery Manager, Procurement, and Continuous Improvement teams to deliver services within the Service Partnership Framework. They act as the escalation point for complex supplier issues, provide training to Analysts, and support process standardization and compliance efforts. The role is instrumental in driving operational excellence, supporting transformation initiatives, and ensuring that PTP processes meet performance, cost, and quality objectives.
The scope of the role will continue to broaden, but key areas of responsibility are as follows:
People:
- Lead by example, maintaining professionalism and integrity in all dealings.
- Coach and mentor Analysts to strengthen process knowledge.
- Support the Team Leader in managing performance and skill development.
- Provide targeted training to address performance or knowledge gaps.
Partnership:
- Liaise with Procurement and other business units to resolve escalated vendor or payment issues.
- Support alignment of Procure to Pay practices with business requirements and policy updates.
Operational:
- Manage or process high-value, priority, complex or exception transactions, and/or be a functional expert in a technology within the IT Landscape.
- Ensure compliance with procurement, payment, and accounting policies.
- Oversee vendor master data quality and maintenance.
- Analyse KPI performance and identify opportunities for process improvement.
- Participate in process automation and standardization projects.
Others:
- Support audits by providing accurate documentation and explanations.
- Maintain updated Procure to Pay process documentation.
- Participate in transformation and change management activities.
SKILLS AND EXPERIENCE REQUIRED:
- 3-5 years' experience in Procure to Pay or accounts payable within Shared Services or multinational companies.
- Bachelor's degree in finance, Accounting, or Business Administration.
- Strong understanding of AP processes, vendor master data, and payment operations.
- ERP systems knowledge (SAP preferred).
- Advanced Excel skills (pivot tables, lookups); exposure to Power BI or reporting tools helpful.
- Strong analytical, problem-solving, and communication skills.
- Strong collaboration and partnership mindset, ability to work in a matrix organization.
- Delivery focused mindset.
Subject Matter Expert
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Job Summary
: The Subject Matter Expert (SME) Provides Floor Support, Facilitates Learning Session(s), and Coaching to Frontline Employee(s). You will Play a Crucial Role in Enhancing Operational Knowledge and Driving Performance Improvement(s) by Serving as the Primary Support on Product Knowledge and Best Practice(s) in Handling Customer Interaction(s). You will also Help Provide Insight(s) on Identified Opportunities and Recommend Change(s) to Enhance Performance Outcome(s).
Essential Duties and Responsibilities
:
- Provide Floor Support and Assistance to Frontline Employee(s) in Resolving Complex Customer Issue(s), Collaborate with Team Leader(s) and Management to Align Training Effort(s) with Identified Opportunities in Current Contact Center Process(es) and Customer Satisfaction, Serve as a Go-To Resource for Frontline Employee(s) with Question(s) or Challenge(s) and Provide Mentorship while Fostering a Collaborative Work Environment for Learning and Development
- Contribute in the Development and Maintenance of a Knowledge Base that would Include Frequently Asked Question(s), Product Information, and Other Best Practice(s) in Resolving Customer Issue(s) to Support Frontline Employee(s) in Real-Time Interaction(s), Help Analyze Call Metric(s) and Performance Data to Identify Trend(s), Area(s) for Improvement, and Best Practice(s)
- Gather and Analyze Customer Feedback to Understand Pain Point(s) and Expectation(s), Actively Participate in Focus Group Discussion(s) or Meeting(s) to Share Idea(s) on Product Specific Update(s) and Opportunities with Operational Transaction(s), Create Report(s) as Needed on Performance, Common Issue(s) Encountered, and Customer Feedback to Inform and Help with Leadership Decision(s) and Overall Strategic Planning within Operations
Minimum Hiring Qualifications
:
- Associate's Degree in a Related Field or 1 Year(s) of Relevant Experience as a Subject Matter Expert or a Similar Function, Experience or Background within a Contact Center Environment is an Advantage - Internet or Social Media Savvy with Background on Content Moderation or Social Media Management is Required (Portfolio Required for Submission), Experience with 'SPRINKLR' is a Huge Plus
- Highly-Motivated Individual with Skills to Support and Coach Frontline Employee(s) to Achieve Performance Expectation(s), Strong Communication Skills and Ability to Work Well Under Pressure, Ability to Multi-Task, Prioritize Effectively, and Meet Timeline(s) on Deliverable(s)
- Ability to Mentor, Coach, and Provide Direction(s) to Frontline Employee(s), Ability to Work Well Under Pressure and Follow through on Item(s) to Completion, Proficient with Microsoft Office Tool(s), Willingness to Work on Shifting Schedule(s) and Rest Day(s), and Working on Holiday(s), Can Commit to Work On-Site in the Assigned Work Location(s)
Get Hired and Enjoy the Following
:
- Interact/Collaborate and Learn from Industry Experts
- Multiple Opportunities for Learning and Development
- Enjoy a Fun - and Competitive Working Environment
Work Location
: Concentrix Bridgetowne (Quezon City)
Subject Matter Expert
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Job Duties: Handle L2 escalations and resolve technical/process issues Act as subject matter expert and provide guidance to end-users oordinate with cross-functional teams for issue resolution ocument best practices, solutions, and process improvements.
Job Requirements: ntry level or experience IT/technical support ith analytical and decision-making skills amiliarity with ticketing systems and escalation workflows xcellent communication ability and learner mindset
Education- Bachelor of Science in Information System or related field
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Subject Matter Expert
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TotalEnergies Global Services Philippines is currently recruiting for a Subject Matter Expert (SME).
The SME is expected to perform the following key activities:
- Act as subject matter expert support for TGSP operations team that understands the end-to-end process and particularities, supporting tools and technologies, checking of requirements for team members performing this process
- Provide subject matter expertise on TGSP projects, following standard methodologies and RACI, while proactively communicating and collaborating with stakeholders to ensure timely, accurate deliveries and address potential issues early on.
- Initiate process reviews and liaise with the operations team to identify and recommend improvements, using data analytics and performance metrics for concrete insights.
- Contribute to process documentation and reporting, incorporating feedback loops to continuously improve quality and relevance.
- Interface with TGSP teams to ensure compliance with cross-team accountabilities, fostering a culture of accountability and transparency through regular meetings and clear communication channels.
- Drive process excellence and continuous improvements (efficiency, effectiveness, and automation) by setting specific, measurable goals and tracking progress to enhance internal customer satisfaction and efficiency.
- Involvement in issue investigation and process reviews, using structured problem-solving methodologies like Six Sigma or Lean to ensure root causes are identified and effective corrective and preventive actions are implemented.
- Define, analyze, and report KPIs, business metrics, and SLAs, incorporating regular reviews with stakeholders to ensure alignment with business objectives and make necessary adjustments.
- Identify and manage risks within processes and projects to ensure operational stability and compliance.
QUALIFICATIONS/EXPERIENCE REQUIRED:
- Bachelor's degree in Finance, Accounting, or related field. Professional certifications such as CPA, CMA or equivalent is preferred.
- Minimum of 5 years' experience in related roles, preferably in a Shared Service Center or Business Process Outsourcing environment.
- Amenable to work in BGC, Taguig
Skills:
- Advanced proficiency in Microsoft Excel and other financial analysis tools. Proficiency in using PowerPlatforms (PowerApps, PowerAutomate, PowerBI) is preferred.
- Strong background in ERP systems such as SAP, MBC, or similar is a must.
- Solid project management skills with experience in leading and managing projects. Certification in Lean Six Sigma or Agile methodologies is preferred.
- Experience in change management practices.
- Proficiency in data and process analysis.
Competencies:
- Excellent organizational and time management abilities.
- Ability to mentor and train team members.
- Strong communication skills and ability to connect with various stakeholders.
- Detail/results-oriented with an analytical mindset and strong problem-solving and interpersonal skills.
- Adaptability to changing environments and priorities.
- A strong focus on internal and external customer satisfaction.
Job Types: Full-time, Permanent
Work Location: In person
Subject Matter Expert
Posted today
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Job Description
The Subject Matter Expert – Record to Report is accountable for delivering accurate and timely financial reporting activities, including Journal Entry Processing, Month-End Close, Balance Sheet Reconciliations, Fixed Assets Management, and Compliance. Working closely with the Team Leader, Service Delivery Manager, and other process teams, the SME ensures compliance with accounting standards (IFRS/GAAP), company policies, and audit requirements. The SME serves as the escalation point for complex accounting issues, drives process improvements, and provides training to Analysts to enhance their technical knowledge and operational performance.
JOB ROLE AND RESPONSIBILITIES:
The scope of the role will continue to broaden, but key areas of responsibility are as follows:
People
- Serve as a technical mentor to Analysts, providing guidance on accounting processes.
- Share knowledge through structured training and informal coaching.
- Deliver targeted workshops.
- Support Team Leader in performance coaching for the RTR team.
Partnership
- Collaborate with cross-functional teams to ensure accuracy and completeness in reporting.
- Engage with auditors, both internal and external, to address queries.
- Work with Order to Cash & Procure to Pay SMEs to ensure end-to-end accounting integrity
Operational
- Manage or process high-value, priority, complex or exception journals & reconciliations, and/or be a functional expert in a technology within the IT Landscape.
- Monitor closing activities to ensure adherence to deadlines.
- Maintain compliance with accounting standards, tax laws, and internal policies.
- Analyze KPIs and identify areas for performance improvement.
- Participate in automation and reporting enhancement initiatives.
Other
- Prepare audit schedules and respond to audit requests.
- Keep RTR process documentation current and accurate.
- Contribute to finance transformation projects.
SKILLS AND EXPERIENCE REQUIRED:
- Minimum 3 - 5 years' experience in accounting, preferably Record-to-Report in Shared Services or corporate finance.
- Solid technical accounting knowledge (IFRS & local GAAP) and experience with month-end close activities.
- Experience with ERP GL modules (SAP FI-GL preferred) and reconciliation tools (BlackLine).
- Strong analytical skills, attention to detail and ability to explain technical accounting issues to nonaccountants.
- Advanced Excel skills (pivot tables, lookups); exposure to Power BI or reporting tools helpful.
- Customer service mindset and solid problem-solving/analytical ability.
- Professional accounting qualification (CPA, ACCA, CIMA) desirable.
- Strong Excel skills; familiarity with consolidation/reporting tools advantageous.
Technical Subject Matter Expert
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Position: Technical Subject Matter Expert (SME)
Location: Onsite (Mandaluyong)
Schedule: Day Shift
Why You'll Love Working Here
- Fixed weekends off
- Collaborative, growth-oriented environment
- Accessible location – near transport, food spots, and malls
- Stable daytime schedule
As a Technical SME at VoltX Energy, you will be the go-to expert for both customers and the support team. You'll provide advanced guidance, ensure technical details are explained in clear, customer-friendly language, and help raise the overall quality of our customer service.
What You'll Do
- Act as the escalation point for complex customer concerns via calls and emails
- Guide and coach agents in handling technical and process-related queries
- Translate technical information into clear explanations for customers
- Work with internal teams to resolve escalated issues
- Maintain and improve the Knowledge Base for accuracy and consistency
- Monitor service quality and suggest process improvements
What We're Looking For
- 2+ years of experience as a senior agent, lead, or SME
- Minimum of 2 years' experience in the technical aspects of solar or related fields
- Bachelor's degree in Electrical Engineering preferred
- Strong grasp of customer service processes and systems
- Excellent communication skills for explaining complex information clearly
- Proven experience handling escalations and coaching team members
- Familiarity with CRM software (HubSpot, Salesforce, or similar)
- Strong problem-solving and escalation management skills
- High attention to detail with the ability to juggle multiple priorities
- Proactive, patient, and able to support both customers and teammates effectively.
Nice-to-Have
- Experience supporting Australian, US, or UK-based customers.
- Previous work in a project-based industry guiding customers through multi-step processes (e.g., telecommunications, construction, logistics).
- A basic understanding of or interest in renewable energy or technology products.