Customer Care Senior Representative

NTT DATA, Inc.; Quezon; On-site; PHP 260,000 - 340,000; Full time

Job summary

NTT DATA, Inc. in the Philippines is seeking a detail-oriented Quality Assurance Associate to review electronic records and submissions in accordance with established policies.

You will learn our CRM system and access internal resources to obtain required information. You will perform inbound and outbound calls to insurance companies, medical facilities and customers in the US, respond to requests by phone or in writing, analyze medical claims for quality, and maintain accurate records with a

Qualifications

• Proficiency in Microsoft Office programs and general computer operations.
• Must have mastery of the English language, both oral and written.
• Must be detail-oriented and organized to maintain accurate records.
• Must have the ability to focus and work quickly.
• Able to work independently.
• Sense of urgency in reporting any concerns to immediate supervisor.
• 1-2 years’ experience working in the medical field preferred.

Responsibilities

• Performs timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies.
• Identifies opportunities and reports on inaccuracies that may be present in reviewed documents.
• Learns CRM system and is able to access different internal online resources to obtain required information in a timely manner.
• Performing inbound and outbound calls to insurance companies, medical facilities and customers in the US.
• Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met
• Analyzing medical insurance claims for quality assurance
• Resolving moderately routine questions following pre-established guidelines
• Performing routine research on customer inquiries.
• Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team

Skills

MS Office

English proficiency

Attention to detail

Independent worker

Time management

Education

High School diploma

Tools

CRM system

Microsoft Office

Job description

Select how often (in days) to receive an alert: Create Alert

• Performs timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies.
• Identifies opportunities and reports on inaccuracies that may be present in reviewed documents
• Learns CRM system and is able to access different internal online resources to obtain required information in a timely manner.
• Performing inbound and outbound calls to insurance companies, medical facilities and customers in the US.
• Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met
• Analyzing medical insurance claims for quality assurance
• Resolving moderately routine questions following pre-established guidelines
• Performing routine research on customer inquiries.
• Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team

Requirements:

• Proficiency in Microsoft office programs and general computer operations
• Ability to learn and follow basic direction on process
• Must have mastery of the English language, both oral and written
• Must be detail-oriented and organized to maintain accurate records
• Must have the ability to focus and work quickly
• Able to work independently
• Sense of urgency in reporting any concerns to immediate supervisor
• High School diploma or equivalent required
• 1-2 years’ experience working in the medical field preferred

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