Client Relations Associate (HMO/Life Insurace)

Position: Support Services Specialist

Qualifications:

• Graduate of any allied medical course, preferably BS Nursing
• Work experience is not required. Call center or HMO experience is an advantage.
• Comprehensive knowledge of medical terminology, medical conditions, and procedures
• Strong oral and written communication skills
• Skilled in MS Office applications
• Client orientation, with strong customer service skills
• Attention to detail, patience, and analytical skills

Duties and Responsibilities:

• Respond to member queries received through PhilCare’s digital and social media platforms: Member Gateway, Facebook, Twitter, Email, Livechat, and Heyphil.
• Handle outpatient approvals to support the spillover of calls from the call centers.
• Issue Letters of Authorization (LOA) for member and affiliated provider requests received on digital channels, following authorized limits, guidelines, and protocols.
• Resolve member concerns or issues that may otherwise become complaints.
• Make occasional call-outs to PhilCare affiliated providers who requested a call back for LOA issuance and availment-related concerns.
• Perform other tasks assigned by the Department and Division Head.

Ability to commute/relocate:

• Makati: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Do you have a Bachelor's degree? Please state your course.
• What is your expected monthly salary?

Experience:

• HMO/Life Insurance: 1 year (Preferred)

Work Location: In person