Responsible to respond to inbound inquiries from providers and members on Eligibility and Benefits (medical and behavioral health), Claims Inquiry , Provider Inquiry pre-authorization
Answer calls coming from potential and enrolled members of a US healthcare insurance company. These calls are mainly on customer service – providing formation, requesting for help, following up on a previous concern, exploring new plans, cancelling existing plans, filing for appeals and/or grievances.
Must be willing to work within US Office Hours (EST to PST) – in shifting schedules
Must be willing to work onsite (Gagfa Building, Cebu City)
Must be willing to work on select weekends / client holidays as may be required by the business
Computer literate (MS Programs mainly)
Trainable / has experience in customer service
Good communication skills
Mathematical ability
Good analytical skills
Typing speed of min 30 wpm with 90% accuracy