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)
Visit the RelianceUnited Website here:
https://tinyurl.com/ysjsn7ps
Apply for other roles via RelianceUnited Careers:
https://tinyurl.com/446sye6j