Medical Insurance Support Specialist

Staffwise Solutions, Inc.; Pasig; On-site; PHP 245,520 - 357,120; Full time

Job summary

Staffwise Solutions, Inc. is seeking an HR/Operations Officer in Pasig to provide member support on benefits, LOA issuance, and policy coverage. Fluency in English and Tagalog and willingness to work in shifting schedules are required.

The role involves handling inquiries, processing LOAs, addressing member concerns, and coordinating with insurers and service providers to maintain high service levels.

Qualifications

• Medical Allied Graduates / Board Passers (Nursing, Medical Technology, Physical Therapy, Pharmacy)
• Medical Allied Undergraduates (at least 3rd year completed)
• Experience in HMO or Insurance (LOA Issuer or Claims Processor) is an advantage
• Non-Medical Graduates with at least 1 year of BPO/Call Center experience
• Good English and Tagalog communication skills
• Willing to work on shifting schedules

Responsibilities

• Provides the highest standards of service to members regarding general inquiries on benefit utilization, LOA issuance, exclusions, approval status, policy coverage, and other related concerns.
• Handles member complaints and feedback, providing appropriate resolutions consistently and professionally.
• Meets service-level targets by achieving high productivity within predetermined timeframes.
• Coordinates with the technical team, insurers, brokers, or service providers to meet requirements.
• Performs other ad hoc tasks assigned by superiors as needed.

Skills

Medical Allied Graduates

Board Passers

HMO/Insurance experience

BPO/Call Center experience

English communication

Tagalog communication

Shifting schedules

Education

Medical Allied Undergraduates

Job description

Staffwise Solutions, Inc. is seeking an HR/Operations Officer in Pasig to provide member support on benefits, LOA issuance, and policy coverage. Fluency in English and Tagalog and willingness to work in shifting schedules are required.

The role involves handling inquiries, processing LOAs, addressing member concerns, and coordinating with insurers and service providers to maintain high service levels.