Customer Service Representative (WFH) HEALTHCARE ACCOUNT

eTeam; Metro Manila; On-site; PHP 335,000 - 368,000; Full time

Job summary

eTeam in the Philippines is seeking a Health Insurance Enrollment Specialist to review enrollment data for completeness and accuracy, and to prepare reports for carrier submissions. You will identify and resolve discrepancies before submissions and maintain accurate electronic records.

Ideal candidates have hands-on experience with health insurance enrollment, carrier portals, and strong documentation skills, with a focus on client inquiries and timely carrier processing.

Qualifications

• Hands-on experience in health insurance enrollment.
• Experience using health insurance carrier websites/portals.
• Strong attention to detail and documentation skills.

Responsibilities

• Review health insurance enrollment data for completeness and accuracy.
• Identify and resolve discrepancies before submission to carriers.
• Prepare enrollment reports and census data for carrier submissions.
• Maintain accurate electronic records and documentation.
• Coordinate with insurance carriers to ensure timely processing of client requests.
• Serve as the primary contact for client inquiries via phone, email, and in-person communication.
• Assist with client inquiries and resolve escalated service issues.
• Maintain accurate client records within the agency management system.
• Provide support to the sales team with projects and administrative tasks as assigned.

Skills

Health Insurance Enrollment

Attention to Detail

Documentation Skills

Client Communication

Tools

Carrier Portals

Job description

Location Requirement: NCR candidates only

Salary Range: ₱30,000-₱33,000 per month

Job Responsibilities

• Review health insurance enrollment data for completeness and accuracy.
• Identify and resolve discrepancies before submission to insurance carriers.
• Prepare enrollment reports and census data for carrier submissions.
• Maintain accurate electronic records and documentation.
• Coordinate with insurance carriers to ensure timely processing of client requests.
• Serve as the primary contact for client inquiries via phone, email, and in-person communication.
• Assist with client inquiries and resolve escalated service issues.
• Maintain accurate client records within the agency management system.
• Provide support to the sales team with projects and administrative tasks as assigned.

Required Experience

We are looking for candidates with hands-on experience in health insurance enrollment, particularly those who:

• Have experience using health insurance carrier websites/portals.
• Have previously processed health insurance enrollments and terminations.
• Are familiar with reviewing enrollment information and resolving discrepancies.
• Have experience coordinating with insurance carriers and handling client inquiries.
• Have strong attention to detail and documentation skills.

Recruitment Note: Please prioritize candidates with direct health insurance enrollment experience rather than general customer service or administrative experience.