QUALIFICATIONS
Candidates holding a Tourist Visa
Can speak English and Vietnamese Fluently
Preferably with BPO or Call Center experience in a Healthcare Line of Business
Amenable to work onsite in BGC Taguig
Amenable to work in a Nightshift/Graveyard schedule
Can start on ASAP
Essential Duties and Responsibilities
Essential duties and responsibilities include, but are not limited to:
1. Explain the plan’s procedures, protocols, benefits, services, and any other necessary information to the members who telephone or visit the Member Services Department.
2. Facilitate member requests for changes with network provider changes, transportation requests, or any other member request for assistance as appropriate.
3. Answer all incoming member phone calls within the department’s goal timeframe.
4. Document every incoming call during the course of the call with pertinent details (i.e., caller name, contact info, reason for call, action taken, resolution, etc.,)
5. Respond to complaints against the health plan and its contracted facilities by utilizing the departments Complaint/Grievance Policy and Procedure.
6. Make all attempts to resolve all member disenrollment/cancellation requests, complaint/grievances, and assist the member with their questions or concerns and following up as appropriate.
7. Assist with Member Outreach programs and implementations as needed.
8. Foster good corporate relations by practicing good customer service principles (i.e., positive attitude, helpful, etc.).
9. Perform other duties as assigned by Department Management.