Customer Service

7 hours ago

Work from Home, Philippines Oriental Merchants, Inc. Full time ₱276,000 - ₱300,000 per year

Rayomar Insurance Business Agencies, Inc. is a proud member of Rayomar Management Inc.'s group of companies. Rayomar, one of the country's progressive investment and management entity since 1982 , has operation and ownership of several companies involved in shipping, crewing, logistics, freight forwarding and international trading.

Strongly believing in the protection and well-being of it's employees and their families whether at home or wherever they maybe around the globe, it established Rayomar Insurance Business Agencies (RIB) in 2004.

JOB RESPONSIBILITIES:

Operations Management

  • Review and process medical claims, verifying eligibility, coverage, and documentation.
  • Resolve claim discrepancies by coordinating with members, providers, and internal teams.
  • Assist clients with inquiries, complaints, and guidance on benefits.
  • Support fund transfers and membership servicing activities.
  • Provide after-hours and emergency support for urgent medical availments.
  • Maintain accurate records and prepare reports on claims and client concerns.
  • Disseminate updates on company products, services, and network changes.
  • Escalate complex or exceptional cases for further assessment.
  • Ensure compliance with regulatory policies (PhilHealth, or other discount etc.).
  • Protect confidential and sensitive member information at all times.

Reports to Management

  • Submit daily, weekly, and monthly claims status reports to the Medical Claims Coordinator.
  • Provide updates on high-value, pending, or escalated claims requiring management review.
  • Highlight recurring issues, provider discrepancies, or unusual claim patterns.

QUALIFICATIONS:

  • Bachelor's degree in Nursing, Medical Technology, Pharmacy, or any healthcare-related field (preferred).
  • Experience in medical claims processing or HMO/insurance operations is an advantage.
  • Strong knowledge of medical terminology, procedures, and billing codes.
  • Excellent analytical and problem-solving skills.
  • Good communication skills (verbal and written).
  • High attention to detail and accuracy.
  • Ability to work independently and manage multiple tasks.
  • Proficient in MS Office and claims processing systems.

Work Set-up:

  • Work from home
  • Shifting Schedule

Job Type: Full-time

Pay: Php23, Php25,000.00 per month

Benefits:

  • Company Christmas gift
  • Company events
  • Health insurance
  • Life insurance
  • Work from home

Work Location: Remote

  • Service Manager

    5 hours ago

    Work from Home, Philippines Vancouver Appliance Service Pros Full time ₱248,000 - ₱323,000 per year

    We are seeking a highly organized and proactive Remote Service Manager to ensure the seamless operation of our appliance service business. You will be the operational backbone, owning critical processes from warranty claims and parts logistics to customer escalations and performance analytics. Your goal is to drive efficiency, maximize revenue collection,...

  • Insurance Service Representative

    2 weeks ago

    Work from Home, Philippines Global Guard Insurance Service Full time ₱416,000 per year

    Join a Company Where You Can Grow and Make an ImpactLooking for a role that lets you develop your skills, help others, and be part of a supportive team that values your effort every single day?What We're Looking ForPrevious customer service background (insurance experience is a plus)Bilingual in English and Spanish preferredStrong communication and...

  • Customer Service Representative

    1 week ago

    Work from Home, Philippines Famco Distribution OPC Full time ₱240,000 - ₱300,000 per year

    We are hiring a customer service representative to manage customer queries and complaints. You will also be asked to process orders, and modifications, and escalate complaints across a number of communication channels. To do well in this role you need to be able to remain calm when customers are frustrated and have experience working with computers.Customer...

  • Customer Service Representative

    2 weeks ago

    Work from Home, Philippines MUVR Full time ₱240,000 - ₱360,000 per year

    Job SummaryWe are seeking a dedicated and enthusiastic Customer Service Representative to join our team. The ideal candidate will be responsible for providing exceptional customer support and client services, ensuring that all inquiries and issues are addressed promptly and effectively. This role requires strong communication skills, a positive attitude, and...

  • Customer Service Representative

    7 hours ago

    Work from Home, Philippines Comrise Full time ₱150,000 - ₱250,000 per year

    About the Role: Are you passionate about helping people and making a difference every day? We're looking for a friendly, solution-oriented Customer Service Representative to join our team As the voice of our company, you'll be the first point of contact for our customers, helping them with questions, solving problems, and ensuring they have a seamless and...

  • Customer Service Representative

    6 hours ago

    Work from Home, Philippines Smart Outsourcing Solution Full time ₱720,000 - ₱960,000 per year

    We are seeking a Spanish-speaking Customer Service Representative who excels in communication, empathy, and attention to detail. The ideal candidate will have a strong background in customer service, a passion for helping others, and the ability to manage interactions across phone, chat, and email with professionalism and care.As the voice of our brand for...

  • Customer Service Representative

    5 hours ago

    Work from Home, Philippines xpress Full time ₱144,000 - ₱216,000 per year

    JOB DESCRIPTIONWe are looking for a dedicated Customer Service Representative to join our team. The role requires a professional who can maintain a positive and empathetic attitude while delivering excellent service to our customers. You will serve as the first point of contact, handling inquiries, resolving concerns, and ensuring customer satisfaction...

  • Customer Service Representative

    6 hours ago

    Work from Home, Philippines WinSolutions Corp Full time ₱300,000 - ₱600,000 per year

    Job Title: Customer Service Representative (Email, Chat & Limited Calls)Location: WFHEmployment Type: Full-TimeWorking Hours: Monday–Friday, 8:00 AM–5:00 PM UK TimeAbout UsWe are a fast-growing UK-based eCommerce company selling across our own website, eBay, and Amazon. We pride ourselves on delivering outstanding customer experiences through prompt,...

  • Customer Service Specialist

    1 week ago

    Work from Home, Philippines UpSkill MNL Full time ₱300,000 - ₱360,000 per year

    Job Qualifications:High school diploma or equivalent; or Bachelor's degree preferred.Minimum of 1-2 years of experience in a customer service or call center role.Excellent verbal and written communication skills.Strong problem-solving abilities and attention to detail.Ability to handle multiple tasks simultaneously and work under pressure.Proficiency in...

  • Customer Service

    7 hours ago

    Work from Home, Philippines Outdesk Full time ₱480,000 per year

    Job BriefWe are seeking a reliable, full-time Customer Service to handle daily order processing, sales invoicing, credit issuance, and administrative support. The role requires extreme attention to detail, accuracy in data entry, and crucial hands-on experience using NetSuite for accounting and order management. This position is responsible for managing...