Enrollment Fulfillment Specialist

Maxicare Healthcare Corporation; Makati; On-site; PHP 335,000 - 469,000; Full time

Job summary

Maxicare Healthcare Corporation in Makati is seeking a Membership Endorsement Specialist to support the end-to-end handling of member endorsements and data validation. This role ensures accurate processing of individual, family, and corporate accounts and timely updates to the system.

The position requires coordination with Sales, Accounts, Agents and Brokers, plus generation of QA reports and timely information flow to all stakeholders involved in onboarding and renewals.

Responsibilities

• Checks endorsements and determines the needs of the members for immediate processing.
• Validates endorsements of members’ application forms (Individual and Family Account) considered as Medical accounts.
• Validates enrollees endorsement/s from Corporate Accounts.
• Coordinate with interdependencies for any pending requirements / disapproved enrollees and monitor compliance.
• Process, encodes and uploads membership details of approved enrollees to the system
• Collates data, prepares and submits Quality Assurance report on processed enrolment, cancellation, correction of member’s details, and membership movements.
• Logs all endorsements received and identifies those processed and unprocessed transactions.
• Collates data and prepares a report or tabulation as to status of all processed members, including as well all pending and disapproved enrollees. Informs Sales, Accounts, Agents, and Brokers.
• Validates data on New Business and updates the Masters List of accounts.
• Validates the membership movements only for the Renewal Accounts
• Releases business updates to concerned departments after APD releases
• Releases e-welcome letters to members for new and renewed members

Job description

• Checks endorsements and determines the needs of the members for immediate processing
• Validates endorsements of members’ application forms (Individual and Family Account) considered as Medical accounts.
• Validates enrollees endorsement/s from Corporate Accounts.
• Coordinate with interdependencies for any pending requirements / disapproved enrollees and monitor compliance.
• Process, encodes and uploads membership details of approved enrollees to the system
• Collates data, prepares and submits Quality Assurance report on processed enrolment, cancellation, correction of member’s details, and membership movements.
• Logs all endorsements received and identifies those processed and unprocessed transactions.
• Collates data and prepares a report or tabulation as to status of all processed members, including as well all pending and disapproved enrollees. Informs Sales, Accounts, Agents, and Brokers.
• Validates data on New Business and updates the Masters List of accounts.
• Validates the membership movements only for the Renewal Accounts
• Releases business updates to concerned departments after APD releases
• Releases e-welcome letters to members for new and renewed members