Customer Care Representative - Agency

Elevance Health; Pasig; On-site; PHP 180,000 - 240,000; Full time

Job summary

Elevance Health is seeking a Customer Care Representative to handle inquiries about insurance benefits, contracts and claims, responding via phone and email. You will document outcomes, coordinate with internal teams, and support customers with accurate information while maintaining service quality.

Training is provided and progression is encouraged. The role requires a HS diploma or equivalent and up to 1 year of related experience in an automated customer service environment.

Qualifications

• Strong oral, written and interpersonal communication skills.
• Problem-solving and analytical abilities.
• Ability to facilitate and coordinate with others to address customer needs.

Responsibilities

• Responds to customer questions via phone and written correspondence regarding insurance benefits, contracts, eligibility and claims.
• Documents information, activities, and changes in the database; ensure accurate tracking and analysis.
• Develops and maintains positive customer relations and coordinates with internal teams to handle requests in a timely manner.

Skills

Oral communication

Written communication

Interpersonal skills

Problem solving

Analytical skills

Education

HS diploma or equivalent

Job description

Pasig, National Capital Region, Philippines · Taguig, National Capital Region, Philippines · Iloilo, Philippines

Aug 3, 2026

Position Title:

Customer Care Representative - Agency

Shift:

Job Description:

Responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.

Primary duties may include, but are not limited to: Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. Analyzes problems and provides information/solutions. Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database. Thoroughly documents inquiry outcomes for accurate tracking and analysis. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. Researches and analyzes data to address operational challenges and customer service issues. Provides external and internal customers with requested information. Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature. Uses computerized systems for tracking, information gathering and troubleshooting. Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims. Seeks, understands and responds to the needs and expectations of internal and external customers. Required to meet department goals. Requires a HS diploma or equivalent; up to 1 year of previous experience in an automated customer service environment; or any combination of education and experience, which would provide an equivalent background. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Elevance Health is a transformative health organization dedicated to enhancing human health through integrated solutions and a digital platform, serving over 118 million people globally.