Inpatient Services Supervisor

Maxicare; Makati; On-site; PHP 279,000 - 391,000; Full time

Job summary

Maxicare in Makati is seeking a Customer Care professional with 2–5 years of experience to review LOAs, explain coverage during MAG discussions, and address escalations with internal partners. The role supports the team’s goals by processing requests, guiding members to Maxicare networks, and delivering accurate reporting.

Occasional campaign tasks may be required. Candidate will work under supervision with the Customer Care Department, ensuring smooth operations and responsive service to

Qualifications

• 2–5 years of experience in a similar role or relevant field.
• Experience handling LOAs, eligibility and coverage details.

Responsibilities

• Review, evaluate, and process Letters of Authorization (LOA) with minimal supervision.
• Analyze escalations related to eligibility, coverage, and procedures with internal/external partners.
• Offer first-hand solutions for complaints and route to appropriate internal teams.
• Guide members to Maxicare networks and partners, highlighting exclusive benefits.
• Prepare reports with accurate data and support team goals.
• Contribute to campaigns and tasks during manpower shortages or low SL periods.

Skills

LOA review & processing

Coverage explanation

Escalation handling

Customer guidance & support

Reporting & data accuracy

Job description

2 - 5 Years

Job Description

• Minimal to zero supervision to review, evaluate, and process Letters of Authorization (LOA) following established procedures and professionally explain coverage and non-coverage details during Member’s Availment Guide (MAG) discussion with admitted members.
• Analyze escalations and address concerns related to internal and external partners regarding eligibility, coverage (professional fees, miscellaneous &, etc.), and procedures within the standard turn-around time.
• Offer first‑hand solutions for captured complaints and endorse them to internal departments (MRG, UEF, Sales) as necessary.
• Offer and steer members to the Maxicare Primary Care Networks, Preferred Partners, and Low‑Cost Facilities, while highlighting Maxicare's exclusive benefits including recommended packages, and assisting members in understanding the available services.
• Works directly with the immediate superior in meeting the team and company’s common goal. Prepare and submit reports ensuring that data is accurate and comprehensive.
• Execute various campaigns and tasks as needed during manpower shortages, business continuity planning (BCP) events, or when Service Level (SL) for other teams or sub‑units are critically low, ensuring operations remain smooth and responsive to immediate demands.

Job Snapshot

Updated Date

21-07-2026

Job ID

Job_608

Section/Unit

Customer Care Department

Location