HDSI: Customer Service Representative

2 weeks ago

Mandaluyong, Philippines RelianceUnited Full time

Job Objective/Job Purpose:
The Customer Service Representative will act as a liaison, provide product/services information, coordinate with providers and facilities for members request, answer questions, and resolve any emerging problems that our customer accounts might face with accuracy and efficiency. S/he is set to be an additional headcount to cover the additional shift (11PM to 7AM) for the Flexicare Customer Service Team.

This role will be hired under Health Delivery System, Inc. - a RelianceUnited company.

Duties and 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 clear and concise logs.
  • Consistently meet individual performance standards/metrics.
  • Assist in other tasks that may be assigned.
Background and Qualifications:
  • Bachelor’s Degree in medical field or any related degree.
  • Having 2 years of solid working experience in TPA, HMO, insurance or insurance broker companies or BPO.
  • Familiar with health insurance / HMO policies and coverages, preferred.
  • Ability to work on shifting schedules and extend beyond company operating hours when needed.
  • Amenable to work onsite as advised.
  • Strong attention to detail.
  • Strong communication (written and oral) and interpersonal skills.
  • Organized, has strong attention to details, and can work with minimal supervision
  • Proficiency in MS Office (Excel, Word, and PowerPoint) and/or G-Suite Tools.
Work Set-Up:

Location: Greenfield District, Mandaluyong City
Work Schedule: 11PM - 7:00AM ; Hybrid (subject to change with management notice)

We are an equal opportunities employer and welcome applications from all qualified candidates.

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