Member Benefit Officer
2 weeks ago
- Responds to inquiries and questions from providers and subscribers.
- Verifies and checks the member’s coverage plan.
- Analyzes provider requests for consultations and laboratory procedures to determine if they are covered under the member’s healthcare plan.
- Advises providers about the approval status of their requests.
- Facilitates the administration of health benefits for all HMO members or cardholders by ensuring proper coordination between patients and providers.
- Addresses all inquiries, concerns, and requests from members regarding their health benefits.
- Handles complaints and explains the reasons for any disapproved requests, ensuring that all concerns are addressed.
- Conducts orientation sessions for corporate accounts on benefits, inclusions, limitations, eligibility status, and the procedures for using the HMO card.
- Reviews members’ plans and utilization.
- Updates approved utilization records in the HMPlus system.
- Discusses and explains members' healthcare benefits.
- Processes and issues Letters of Authorization (LOA) to members.
- Coordinates and collaborates with key team members for planning and execution.
- Researches and reviews new medical trends and materials that align with our needs.
- Organizes Medical Concierge materials and documents by establishing and maintaining organized files.
- Monitors project timelines and the calendar of activities within the department regarding requirements and other projects.
- Provides support for various tasks and duties as assigned, which may include research, data compilation, customer service, analysis, and program management.
- Upholds the Data Privacy Act and protects the company by keeping all information confidential.
- Performs other assigned tasks as needed.
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Member Benefit Officer
2 weeks ago
Pasig, Philippines Medicare Plus, Inc. Full time- Responds to inquiries and questions from providers and subscribers. - Verifies and checks the member’s coverage plan. - Analyzes provider requests for consultations and laboratory procedures to determine if they are covered under the member’s healthcare plan. - Advises providers about the approval status of their requests. - Facilitates the...
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Member Service Associate
8 hours ago
Pasig, National Capital Region, Philippines Private Advertiser Full time ₱250,000 - ₱400,000 per yearAbout the role Join our dynamic team We are seeking an enthusiastic and customer-focused Member Service Associate to play a crucial role in providing exceptional support to our valued members. As a Member Service Associate, you will be responsible for handling inquiries, resolving issues, and ensuring the satisfaction of our healthcare plan participants....
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Compensation and Benefits Officer
7 hours ago
Pasig, National Capital Region, Philippines Optimum Solutions Pte Ltd Full time ₱400,000 - ₱600,000 per yearCompensation and Benefits OfficerLocation:Pasig CityEmployment Type:Full-timeAbout the RoleWe are seeking aCompensation and Benefits Officerwho is well-versed in Philippine labor laws and government-mandated benefits. The ideal candidate will ensure accurate payroll processing, compliance with statutory requirements, and effective employee support on...
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HR Officer
4 weeks ago
Pasig, Philippines JFE Civil Engineering & Construction Corporation Full timePayroll Prepare employees' compensation through company HRIS day after the cut-off date Timely endorsement of payroll for checking of Admin and HR Chief and JFE Manila Branch Manager Ensure the correct employee account number Ensure that Government mandatories, Tax and other forms of deductions and additions to payroll are accurate Answer queries about...
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Compensation and Benefits Officer
8 hours ago
Pasig, National Capital Region, Philippines M and J Solutions Provider Inc. Full time ₱600,000 - ₱800,000 per yearQualification:A graduate of BSBA Human Resource, Financial, Accounting related coursesPreferably with 1-2 years experience with the end-to-end payroll process.Experience with Government benefits and contributions, Alpha List and 1601.Extensive knowledge of labor legislation.Knowledgeable enough with Timekeeping and PayrollPreferably with experience in...
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HR Benefits Administration Officer
2 weeks ago
Pasig, National Capital Region, Philippines Rentokil Initial Full time ₱250,000 - ₱450,000 per yearRentokil Initial:Rentokil Initial is an international business services company employing over 35,000 colleagues across 70 countries.We strive to protect people and enhance lives, for example by controlling pests, improving hygiene and improving interior spaces with plants and scenting. We are experts in the fields we operate in, investing in training,...
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Dining Team Member
7 hours ago
Pasig, National Capital Region, Philippines Frankie's New York Buffalo Wings Full time ₱70,000 - ₱80,000 per yearDining Team Members:Take the guest's order, communicate the order to the Kitchen Area, deliver the food/drinks within the standards, and process the billing.Check availability of any discount or privilege card of the guests.Check back with guests to see how they enjoy their stay, the food, and the ambiance, among the many.Provide and request the guest to...
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Compensation And Benefits
3 weeks ago
Pasig, Philippines First Delta Group Security Services Inc. Full timeDevelop and implement competitive compensation strategies. Analyze market trends to ensure attractive benefits offerings. Administer salary reviews, bonus programs, and employee perks. Collaborate with HR to enhance employee engagement through compensation and benefits. Ensure compliance with regulations and internal policies. Provide guidance on...
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Compensation And Benefits
3 weeks ago
Pasig, Philippines Cepat Kredit Financing Inc Full timeCompensation And Benefits Specialist Join to apply for the Compensation And Benefits role at Cepat Kredit Financing Inc . Location: Manila, National Capital Region, Philippines. Responsibilities Assist in job evaluations, salary benchmarking, and market analyses to support compensation planning. Help maintain job classification and salary structures to align...
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Benefits Specialist
2 weeks ago
Makati City, National Capital Region, Philippines Epic Healthcare Staffing Shared Services, Inc. Full time ₱900,000 - ₱1,200,000 per yearAbout the Position:Epic Staffing Group is looking for a(n) Benefits Specialist who will be responsible in reviewing deductions, track catchups, and collaborate with providers, internal teams, and external departments. Additionally, this role will assist in benefits presentations, support team members post-training, and participate in departmental projects...