Customer Care Specialist

Responsibilities

• Issues Letter of Authority after assessment of coverage, professionally explains non-coverage rationale to members
• Screens assess and process availment cases based on procedures and benefit applications guidelines
• Responds to inquiries and complaints at first-hand resolution (if possible) on customers’ feedback and issues raised
• Escalates complex availment cases based on set escalation procedures.
• Complies to a pre-advised shift schedule and ensures to support Operations 24/7.
• Ensures operating costs reduction by property implementing the use of office supplies/facilities including power, internet, and phones

Experience And Training

• BPO or HMO experience is an advantage
• 1 year BPO experience (Technical Support in Telco Account, CSR in Financial Account, or Healthcare Account )

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