Customer Service Representative (Healthcare Account)

Job Objective / Purpose

Customer Service Representative will act as a liaison, provide product/services information, coordinate with providers and facilities for members requests, answer questions, and resolve any emerging problemsour customer accounts might face with accuracy and efficiency.

• Duties and Responsibilities

• Responsibilities:

• Accept inbound calls from Flexicare members and accredited providers requesting for Letter of Authorizations. Address member concerns related to their health benefit program.

Ensure that LOA request is issued within the members benefits based on their respective benefit matrixes, remaining limit and eligibility.

• Conduct outbound calls as needed to assist with claim information or identify missing information

Document all encounters in a clear and concise logs

• Consistently meet individual performance standards/metrics

Assist in other task that may be assigned

• Background and Qualifications

• Bachelor's Degree in medical field or any related degree

At least 2 year(s) of solid working experience in the related field is required for this position.

• With experience working in TPA, HMO, insurance or insurance broker companies or BPO

Ability to work on shifting schedules and extend beyond company operating hours when needed.

• Strong internet connection and has productive work from home set up.

Amenable to work onsite as advised

• Strong attention to detail.

Strong communication (written and oral) and interpersonal skills.

• Familiar with health insurance / HMO policies and coverages, preferred.

Exceptional critical thinking skills and is able to investigate root causes and recommend solutions.

• Strong organizational, multi-tasking and time-management skills.

Proven ability to work independently and as a team member.

• Adheres consistently to the RCI values

You may directly send your job application through the link below:

https://cutt.ly/SVN3XVm

Reliance United, the Health Services Arm of Unilab provides the opportunity to learn new skills as you progress with your career. Join us as we build a healthier community for Filipinos! Apply today.

https://relianceunited.freshteam.com/jobs

Job Type: Full-time

Pay: Php18,

• 00 - Php25,000.00 per month
  
  Benefits:
• Additional leave

Company Christmas gift

• Company events

Employee discount

• Free parking

Health insurance

• Life insurance

Opportunities for promotion

• Pay raise

Staff meals provided
Schedule:

• 8 hour shift

Day shift

• Monday to Friday

Ability to commute/relocate:

• Mandaluyong City: Reliably commute or planning to relocate before starting work (Required)

Education:

• Bachelor's (Preferred)

Experience:

• Customer Service Representative: 1 year (Preferred)

Language:

* English (Preferred)