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 ) n