Alabang| PHRN Certified| Process Associate
3 weeks ago
Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people – we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI.
Inviting applications for the role of [CUSTOMER SERVICE REPRESENTATIVE], [HEALTHCARE]
In this role, you will be responsible for answering questions and resolve issues of members and providers with regards to their plan – eligibility, benefits and claim concerns. You will determine the applicable coverage provisions.
Responsibilities
Respond to calls and emails from customers, individual members or brokers, plan sponsors, or providers, with questions regarding Tele app/online appointment, and other related topics. Required to use the appropriate systems to search and provide complete answers and be fluent in English and/ or other languages. High standards of politeness and serving the customer are required. Communicate this evaluation to claims handlers by writing case notes that clearly describe your evaluation and summarize the facts that you used to make your evaluation. Strive to answer the unasked question so that the caller does not have to call again. CSR should keep the commitments made to the caller if in case the issue needs a follow up. Answer all calls accurately and timely in accordance with the performance criteria and shall meet or exceed all performance metrics set forth herein. Qualifications we seek in youMinimum Qualifications / Skills
At least associate graduate related in Nursing. Excellent product/process understanding – features, benefit, procedure, and guidelines. Excellent communication skills – comprehension, articulation, effective listening and written. Preferred Qualifications/ Skills Education: Bachelor's degree or higher in Nursing, though an associate degree can be acceptable if all other qualifications are met. Experience: Has relevant hospital or clinical experience in medical fields, and relevant BPO or healthcare experience is a must. PHRN license active, USRN license is also accepted if offer is within allowable grid. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex/age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values diversity and inclusion, respect and integrity, customer focus, and innovation. Get to know us at and on LinkedIn, X, YouTube, and Facebook.Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.
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