HMO Call Center Agent

1 week ago

Makati City, National Capital Region, Philippines iCARE - Insular Health Care, Inc. Full time ₱104,000 - ₱130,878 per year

The Customer Service Representative/Medical Support Center Associate is involved in the operations of the Medical Support Center (call center) of IHC which operates 24/7 to ensure that IHC members availing of the medical benefits are assisted accordingly to contribute to employee engagement, and retention in proportion but not limited to the medical needs of the company and covered companies and individuals.

JOB DESCRIPTION:

  • Attends to clients' general inquiries and/or follow-ups on claims transactions, ID cards, and other similar transactions.
  • Delivers assistance to members.
  • Accepts calls/inquiries from providers.
  • Maintain company spiels and lines that will entice members to call them regarding their benefit including medical network inquiries, concerns and LOA issuances.
  • Ensure that the member's coverage and benefits is discussed appropriately and issue the letter of authorization (LOA).
  • Assist the member during their availment by checking medical facility charges and professional fees to maximize member's benefits and to prevent incurrence of excess charges beyond the benefit coverage and advises member on non-covered charges.

JOB REQUIREMENTS:

  • Graduate of any 4-year college course, preferably medical allied.
  • Experience in insurance / HMO and value adding services preferred.
  • Good communication (oral and written) and interpersonal skills.
  • Computer literate
  • Possess positive characteristics.
  • Can work under pressure.
  • Customer service oriented
  • With decisive and analytical mind
  • Willing to do SHIFTING schedules.

Job Types: Full-time, Fixed term

Contract length: 5 months

Benefits:

  • Company Christmas gift
  • Health insurance
  • Opportunities for promotion

Application Question(s):

  • What is your expected salary for this position?
  • When can you start?

Education:

  • Bachelor's (Preferred)

Experience:

  • Customer service: 1 year (Preferred)

Work Location: In person

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