Duties and 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 member needs and achieve desired outcomes.
• Performs other ad hoc tasks assigned by superiors as needed.

Requirements:

• Must possess at least a Diploma, Advanced/Higher/Graduate Diploma, Bachelor's Degree, or Professional Certificate in Insurance or a related field.
• Relevant work experience in the HMO, Third-Party Administration (TPA), call center, or hospitality industry is a major advantage.
• Excellent verbal and written communication skills in both English and Tagalog.
• Ability to work independently in a fast-paced environment with a customer-focused, proactive attitude and a strong sense of responsibility.
• Proficient in computer applications, specifically Microsoft Office (Word, Excel, etc.).
• Flexible and willing to work shifting schedules.