Job Title: Customer Care Specialist SME
Division: Operations
Department: Operations Fulfillment - Account Services
Reports to (Position of Immediate Superior): Manager/Assistant Manager/Supervisor, Account Services-Concierge
Primary Job Responsibility
Responsible for the planning, organizing and control of the overall operations of the Contact Centers
I. Job Description
- Duties and Responsibilities done at PERIODIC or REGULAR Intervals
- Issues Letter of Authority after assessment of coverage, professionally explains non-coverage rationale to members
- Screens, assess and processes availment cases based on procedures and benefit applications guidelines.
- Ensures all transactions in the system are documented and filed accordingly
- Responds inquiries and complaints at first hand resolution (if possible) on customers’ feedback and issues raised
- Escalates complex availment cases based on set escalation procedures.
- Collaborates with team members to achieve the agreed Key Results Areas
- Complies to pre-advised shift schedule and ensures to support Operations 24/7.
- Secures overriding approval from the Customer Care Supervisor for LOAs beyond the Specialists’ authority limits include tagging of special approval
- Ensures operating costs reduction by property implementing use of office supplies/facilities including power, internet and phones
- Complies in delivering excellent customer service by providing resolution to their queries and issues.
- Can attend to all types of Inquiries and request of the client
- Can assign to different roles and task
- Duties and Responsibilities done at IRREGULAR or INTERMITTENT Intervals
- Reports any systems-related issues and Team concerns to expedite processing
- STANDARD RESPONSIBILITIES
✓ Strives to embody, commits to support and deliver the quality policy, objectives and initiatives of the organization;
✓ Communicates, engages, directs and supports people to contribute to the QMS effectiveness;
✓ Demonstrates commitment to customers by ensuring applicable statutory and regulatory requirements are determined, understood and consistently met;
✓ Abides by the QMS policies and procedures for the effective management and control of its processes; and
✓ Promotes and utilizes the Process Approach and Risk-based Thinking at work.
✓ Performs other RELATED functions that may be assigned BY THE IMMEDIATE SUPERIOR
II. JOB SPECIFICATIONS
- SKILLS
- EDUCATIONAL REQUIREMENT
MINIMUM educational level and background required by this POSITION: College Graduate of 4, 5 year-course, preferably:
Medical Allied Courses
PERIOD OF TIME OR LENGTH of related experience the CANDIDATE must acquire before being assigned to and perform the functions of this job, SATISFACTORILY under NORMAL supervision: at least 6 months hospital experience is an advantage but may not be required
- SKILLS REQUIREMENT – TECHNICAL (For Tech and Business Support, Supervisory and Professional)
Skilled or specialized: proficiency is gained thru wide experience in a SPECIALIZED or TECHNICAL area
- RESPONSIBILITY
- ACCOUNTABILITY – ASSETS, CASH, EQUIPMENT
Value or worth of company assets (cash, checks, financial instruments, investments, tools, materials, machinery, equipment, and supplies) this POSITION is accountable for:
Small below P500, 000
SPECIFY ASSETS, CASH AND EQUIPMENT DIRECTLY ACCOUNTED FOR: Head Set
- ACCOUNTABILITY – RECORDS AND DOCUMENTS
Level of CONFIDENTIALITY AND IMPORTANCE of the information, records, reports, and documents prepared, maintained, has access to, and handled by this POSITION Routinely, Low - Contents are of general nature; knowledge by others is NOT INIMICAL; disclosure may not have apparent effect on the company
RECORDS AND DOCUMENTS DIRECTLY ACCOUNTED FOR: Shared Documents
EXTENT of work supervised or managed by the Immediate Superior, whether the job is limited or diversified;
quantify range of activities, VARIETY of tasks to be carried out, and the DIVERSITY of the problem to be solved
Follows established procedures generally; refer only unusual cases to superior
Number of subordinates this POSITION DIRECTLY supervise: None
- CONTACTS – INTERNAL AND EXTERNAL
EXTENT the work requires in making personal contacts inside and outside of the organization, level of importance of contacts; FREQUENCY they are made; LEVEL OR DEGREE they involve exchanging information, dealing with people, exerting influence, persuading them to take action, etc. Broad, Significant