Customer Service Representative

4 days ago

Metro Cebu Central Visayas, Philippines KMC Solutions Full time ₱900,000 - ₱1,200,000 per year

Make your next big career move by applying as KMC Solutions' next CUSTOMER SERVICE REPRESENTATIVE I

Provides outstanding customer service to pharmacies, physicians, health plan sponsors, and their members, beneficiaries, or employees by responding to and resolving phone inquiries related to benefit information, claims adjudication, eligibility verification, prior authorization, and other PBM processes. Works under general supervision, relying upon instructions, work process guidelines, policies & procedures, and company knowledge/experience to perform the functions of the job. Extent of supervision ranges from close to moderate based upon demonstrated skill and performance levels as defined for the position. This position is part of a two level career path with progression opportunities described in the Core Service Career Path/Succession Planning Guidelines.

On top of your salary, here are the exciting benefits you can look forward to:

  • Health Insurance/HMO
  • Enjoy unlimited MadMax Coffee
  • Diverse learning & growth opportunities
  • Accessible Cloud HR platform (Sprout)
  • Above standard leaves

Key Responsibilities

  • Respond to customer inquiries and deliver accurate, efficient resolutions.
  • Handle account-related concerns such as eligibility, benefit information, and claims.
  • Maintain performance standards for quality, adherence, and resolution rates.
  • Educate customers on company services and procedures.
  • Maintain professionalism and a positive tone in every interaction.

Qualifications

  • Minimum of
    1 year CSR experience
    (preferably from a US account).
  • Excellent English communication skills with a neutral accent.
  • Strong problem-solving and multitasking abilities.
  • Willing to work
    onsite
    and on a
    night shift schedule
    .
  • Background in a medical or PBM account is an advantage but not required.

Work Details

Location:
Cebu IT Park

Work Setup:
100% Onsite

Schedule:
Night Shift (may vary)

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