Call Center Agent - Local Healthcare Account

iCare HMO; Makati; Presencial; PHP 246.000 - 379.000; Jornada completa

Descripción de la vacante

iCare HMO is seeking a Call Center Agent to join its 24/7 operations in Makati. The role focuses on assisting members with claims, ID cards, LOA issuances, and provider inquiries while delivering high-quality customer service.

The ideal candidate will have a 4-year college degree, experience in insurance/HMO, strong communication, and computer literacy. Willingness to work shifts and onsite in Makati is required. Immediate start is preferred.

Formación

• Good communication skills, both oral and written.
• Customer service oriented and able to handle queries.
• Interpersonal skills to work with diverse members and providers.
• Proficient with computer systems and basic software.

Responsabilidades

• 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 and follow company scripts to engage members about benefits and LOA issuances.
• Ensure member’s coverage and benefits are discussed and LOA issued as needed.
• Assist members during availing by checking charges and advising on non-covered charges.

Conocimientos

Good communication

Customer service

Interpersonal skills

Computer literate

Educación

4-year college degree

Descripción del empleo

The Call Center Agent is involved in the operations of the Call Center Department of iCare which operates 24/7 to ensure that iCare 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. Undergraduates are also welcome to apply.
• Experience in insurance / HMO and value adding services preferred.
• Good communication (oral and written) and interpersonal skills.
• Computer literate
• Customer service oriented
• With decisive and analytical mind
• Willing to do shifting schedules
• Willing to work onsite in Makati City
• Can start ASAP