CLAIM PROCESSOR

Staffwise Solutions, Inc.; Pasig; On-site; PHP 167,000 - 279,000; Full time

Job summary

Staffwise Solutions, Inc. in Pasig is hiring on-site for an entry-level role assisting customers and members with inquiries about HMO benefits, coverage, and services.

No experience required, but willingness to work on shifting schedules and good English/Tagalog communication are needed. Coordinate with providers and internal departments to resolve issues and maintain records.

Qualifications

• Nursing / Medical Allied graduates or board passers.
• Nursing undergraduates (3rd year+).
• Experience in HMO or Insurance (LOA Issuer or Claims Processor) is an advantage.
• Non-Medical graduates with at least 1 year of BPO/Call Center experience.
• Good English and Tagalog communication skills.
• Willing to work on shifting schedules.

Responsibilities

• Assist customers and members with inquiries regarding HMO benefits, coverage, and services.
• Handle customer concerns and provide timely and appropriate resolutions.
• Coordinate with healthcare providers and internal departments as needed.
• Maintain accurate records of customer interactions and transactions.
• Ensure excellent customer service and customer satisfaction at all times.

Skills

HMO knowledge

BPO/Call Center experience

Education

Nursing / Medical Allied (Board Passers)

Nursing undergraduates (3rd year+)

Non-Medical graduates with 1 year BPO/Call Center experience

Job description

On-site - Pasig No Exp Required Bachelor Full-time

QUALIFICATIONS

Medical Allied Graduates / Board Passers (Nursing, Medical Technology, Physical Therapy, Pharmacy)

Nursing Undergraduates (at least 3rd year completed)

Experience in HMO or Insurance (LOA Issuer or Claims Processor) is an advantage

Non-Medical Graduates with at least 1 year of BPO/Call Center experience

Good English and Tagalog communication skills

Willing to work on shifting schedules

Duties and Responsibilities

Assist customers and members with inquiries regarding HMO benefits, coverage, and services

Handle customer concerns and provide timely and appropriate resolutions

Coordinate with healthcare providers and internal departments as needed

Maintain accurate records of customer interactions and transactions

Ensure excellent customer service and customer satisfaction at all times