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Cloudstaff Philippines, Inc jobs

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Job Post Details

HMO Staff - Pampanga - job post

PhilCare Inc.
Clark Freeport Zone
PHP 18,000 - PHP 20,000 a month

Job details

Pay

  • PHP 18,000 - PHP 20,000 a month

Job type

  • Full-time

Location

Clark Freeport Zone

Full job description

Job Purpose

This job is responsible for the accurate implementation of Member's Healthcare benefit policy and focusing on utilization management and the delivery of superior customer service at all times

Duties and Responsibilities

1. Customer Experience

  • Handles queries/concerns received from walk-in members and through phone and documents accordingly thru designed tracker.
  • Issues printed/soft copy of Letter of Authority (LOA) for the corresponding types of availments ( consultation/procedures)
  • Facilitates addition/cancellation of membership as endorsed by HR
  • Facilitates release of ID cards to members
  • Assists members in filing claims for reimbursement
  • Encourages members feedback thru CSAT survey and resolve complaints/concerns otherwise escalate to superior for pressing issues
  • Provides VIP assistance if deemed necessary.

2. Utilization Management

  • Approves all availments up to P50,000
  • Strictly monitors all OP availments if within member’s benefit limit

3. Report Generation

  • EOD/WFH Summary
  • Complaints Tracker
  • Availment Concern Tracker

4. Others

  • On-time submission of Daily Time Record
  • Performs other tasks as may be assigned from time to time

Job Type: Full-time

Pay: Php18,000.00 - Php20,000.00 per month

Ability to commute/relocate:

  • Clark Freeport Zone, Pampanga: Reliably commute or planning to relocate before starting work (Preferred)

Application Question(s):

  • What is your expected salary?
  • When is your earliest start date?
  • Are you willing to be deployed at Clark Freeport Zone Pampanga?
  • Are you amenable with Monday-Friday (10:00pm-6:00am) schedule? (Yes/No)

Education:

  • Bachelor's (Preferred)

Work Location: In person

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