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CSR |Back Office {Claims} –20K All in Pay| Day Shift |Weekends Off|Ortigas

Keywords / Skills : Claims, Claims Processing, Health Claims, Healthcare, customer service representative, Customer Service Executive, Customer Service Associate, CSR, Inbound And Outbound, Customer Care Executive, Customer Support Executive, Customer Care Executive

0 - 5 years
Posted: 2019-01-30

Nationality
Philippines
Industry
Customer Service
ITES/BPO
Function
Customer Service/ Call Centre/ BPO
Role
Customer Service Executive
Posted On
30th Jan 2019
Job Description
We’re an award-winning global outsourcer providing contact center and back office services on behalf of our global clients. As a Claims Ancillary Officer, your role is vital in keeping our customers happy and contributing to our organization’s growth and success.

As an Acquire BPO employee, you are responsible for complying and enforcing policies and procedure designed to achieve information security. You are also responsible for protecting credit card, personal and/or sensitive personal information that you may handle or process during your employment in Acquire BPO.

A SNAPSHOT OF YOUR ROLE

You’re the genie that fulfils our customer’s needs. As a Claims Ancillary Officer, you’ll be responsible for processing customer ancillary claims and other ancillary functions, in a manner that is effective, efficient and focused on outstanding customer service.

Your day could see you:

• Claim Tasks

o Accurately and efficiently action customer ancillary claim exceptions via HealthStream (Band 1 – 3)

o Accurately and efficiently process manual customer ancillary claims (Band 1 – 3)

o Accurately and efficiently action other claims related functions:

Claims adjustments/reversals (Band 2 & 3)

Complex Orthodonture Quotes (Band 2 & 3)

Claims Reports (Band 2 & 3)

Customer Service Teams Referred Claims & Ex-Gratia claims (Band 2 & 3)

• Customer Service & Communication

o Accurate communication (written) with customers and providers (Band 1-3)

o Provide a support function for external customers and internal departments by:

• Answering Internal Claims enquiries - all channels (Band 2 & 3)

• Answering Public Folder enquiries – complex claims problems (Band 3)

• Answering claims processing queries (Band 3)

• Efficiently handle phone enquiries relating to benefits, policies and compensation (Band 3)

• Make outbound calls to customers and providers regarding claiming information (Band 3)

• Act as the first point of resolution for customer complaints and disputes. Escalate complaints in line with the campaign’s complaints handling process (Band 3)

• Maintain current knowledge of products and services (Band 1-3)

• Business Awareness

o Make recommendations to continuously improve the daily operations within the ancillary claims functions, with an emphasis on customer service (TLC) and areas of claims leakage (Band 1-3)

o Participate in claims review activities (Band 1-3)

o Refer inappropriate claims activities to the Claims Analysis (Band 1-3)

o Providing subject matter expertise to projects relating to ancillary claims (Band 3)

o Perform other duties as required by the Team Leader in line with skills and knowledge possessed (Band 1-4)

• WHS Responsibility

o Implement and comply with the campaign's WHS Management System.

o Take reasonable care for own health and safety as well as the safety of others at the place of work.

• Compliance

o Meet obligations required for the compliance category of this position.

A BIT ABOUT YOU

• Ability to learn all claims processing procedures

• Ability to learn all services covered under the campaign's products

• Ability to achieve results in a high pressure environment

• Flexible and positive attitude

• Ability to knowledge share

• Proven capability in setting and achieving goals

• Good verbal and interpersonal skills

• Computer Literacy (including MS Outlook, Word, Excel, Internet).

• Knowledge of Private Health Insurance

• Ability to multi task

• Well developed listening and communication skills.

• Ability to adapt to change in a busy environment

Apply at our Ortigas, Eastwood, Shaw, and BGC recruitment centers:
  • Mezzanine floor, Robinsons Cyberscape Beta, Topaz and Ruby Roads, Ortigas Center Pasig City 
  • Upper Ground Floor Worldwide Corporate Center (WCC), Shaw Blvd., Mandaluyong City 
  • Ground Floor Bonifacio Technology Center, 31st Street corner 2nd Avenue, Bonifacio Global City, Taguig City 
  • 6th Floor, 1800 Building, Eastwood Drive, Libis, Quezon City 
We are open from Monday to Friday, 8am-4pm.

For faster processing, text: NCLAIMS (space) FULL NAME (space) YES or NO (for BPO experience) send to 09358928625



Acquire BPO is a business outsourcer with a vision to connect organizations to skilled people globally. Our mission is to be the partner of choice for corporate growth, by enabling businesses to leverage the best global resources at the right price.

About Company

Acquire BPO is an award-winning global outsourcer with over 7,000 employees operating out of 12 state-of-the-art facilities in the Philippines, the Dominican Republic, Australia and the United States. We are one of the fastest-growing BPO companies and Australia’s largest outsourcer to the Philippines.

We provide contact center, BPO, marketing and animation solutions to private and publicly listed clients from around the world across a wide range of industries including telecommunications, banking and financial services, insurance, media, education and retail.

Acquire is dynamic organization with possibilities to take your career to the next level. We are looking for strong candidates with BPO experience to join our growing team. We value our employees highly and, as such, offer excellent career development programs and competitive compensation and benefits packages.

Apply with us today and #AcquireHappiness.
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