Health Benefits Call Center Specialist

iCare HMO; Philippines; On-site; PHP 279,000 - 391,000; Full time

Job summary

iCare HMO is seeking a Call Center Agent to handle member inquiries regarding claims, ID cards, LOA issuance, and provider questions. You will ensure benefits are properly explained and assist members in maximizing coverage.

The role requires a 4-year college degree (medical allied preferred), strong communication skills, and willingness to work onsite in Makati with shifting schedules. Immediate start is preferred.

Qualifications

• Excellent verbal and written communication skills.
• Customer service oriented with a proactive approach.
• Analytical mindset with ability to make quick, informed decisions.

Responsibilities

• Attend to clients' general inquiries and follow-ups on claims, ID cards, and similar transactions.
• Deliver assistance to members and ensure proposed solutions meet benefit coverage.
• Accept and handle calls/inquiries from providers with professional conduct.
• Maintain call scripts and lines to entice members to call about benefits, LOA issuance, and network inquiries.
• Ensure member coverage and benefits are discussed, and issue LOA as needed.
• Assist members during availment by verifying charges to maximize benefits and advise on non-covered charges.

Skills

Communication

Customer service

Decisive/Analytical

Computer literacy

Education

4-year college degree

Job description

iCare HMO is seeking a Call Center Agent to handle member inquiries regarding claims, ID cards, LOA issuance, and provider questions. You will ensure benefits are properly explained and assist members in maximizing coverage.

The role requires a 4-year college degree (medical allied preferred), strong communication skills, and willingness to work onsite in Makati with shifting schedules. Immediate start is preferred.