DUTIES AND RESPONSIBILITIES:

- Responds to various member queries captured from the digital and social media platforms of Philcare (Member Gateway, Facebook, Twitter, Email, Livechat, and Heyphil)

- Handles Outpatient Approvals to support the spill over of calls from the call centers.

- Issues Letter of Authorization (LOA) based on the authorized limits, guidelines, and protocols of Philcare from the captured requests of members and affiliated providers on the various digital channels

- Provides resolution on members' concerns or encountered issues that may result in a complaint.

- Occasional call-outs to the Philcare-affiliated Providers requesting a callback for LOA issuance and availment-related concerns

- Other tasks that may be assigned by the Department and Division Head

QUALIFICATIONS:

- Graduate of any course (a graduate of the Medical Allied course is an advantage)

- Fresh graduates are welcome to apply (graduates of 2025-2026)

- Call center or HMO experience is an advantage

- Amenable to work in Ayala, Makati

COMPETENCIES:

- Core: Client Orientation, Communication, and Customer Service

- Technical: Comprehensive knowledge of medical terminologies, medical conditions, and procedures

- Universal: Oral and Written Communication, Skill Ready on MS Office Applications

- Critical Traits: Attention to detail, Patience, Good communication, and Analytical Skills