Customer Service Representative (Healthcare)

Optum Philippines; Makati; On-site; PHP 201,000 - 312,000; Full time

Job summary

Optum Philippines is hiring a Customer Service Representative to join our onsite team in Makati. You will assist members with healthcare benefits, eligibility, claims, and other inquiries while helping them make informed decisions about their healthcare.

No experience required for eligible educational qualifications, and shifting schedules apply. Ideal candidates have strong English communication skills, enjoy helping people, and are eager to build their careers in healthcare support.

Qualifications

• Handle inquiries about healthcare benefits, eligibility, and claims.
• Educate members on options and care providers.
• Schedule appointments and coordinate with internal specialists.
• Maintain a positive, customer-first mindset.

Responsibilities

• Address customer inquiries and concerns related to healthcare benefits, eligibility, and claims.
• Educate members about healthcare options, benefit plans, and quality care providers.
• Assist members with appointment scheduling and connect them with the appropriate internal specialists.
• Provide timely resolutions and follow up to ensure customer satisfaction.
• Help members, families, healthcare facilities, and health professionals feel confident in the care and support they receive.
• Maintain a customer-focused approach while delivering exceptional service.

Skills

Customer service

English communication

Problem solving

Education

High school diploma or equivalent

College undergraduates

Job description

We're Hiring: Customer Service Representative!

We are looking for friendly, customer-focused individuals to join our team as Customer Service Representatives. In this role, you will assist members with their healthcare benefits, eligibility, claims, and other inquiries while helping them make informed decisions about their healthcare. If you have good English communication skills, enjoy helping people, and are eager to build your career, this is a great opportunity for you!

• Location: Onsite
• Role: Customer Service Representative
• Experience: No experience required for eligible educational qualifications
• Work Schedule: Shifting schedules

What You'll Do:

• Address customer inquiries and concerns related to healthcare benefits, eligibility, and claims
• Educate members about healthcare options, benefit plans, and quality care providers
• Assist members with appointment scheduling and connect them with the appropriate internal specialists
• Provide timely resolutions and follow up to ensure customer satisfaction
• Help members, families, healthcare facilities, and health professionals feel confident in the care and support they receive
• Maintain a customer-focused approach while delivering exceptional service

What We're Looking For:

• Senior high school graduates — no experience required
• College undergraduates — no experience required
• Junior high school graduates or high school graduates under the old curriculum — at least 0–6 months of voice experience
• Good English communication skills (spoken and written)
• Willingness to work onsite
• Flexibility to work on shifting schedules
• Strong problem-solving skills and a customer-first mindset