Customer Service Representative Premium Healthcare Account

Job Summary

We are looking for a customer-focused Customer Service Representative to support members of a premium U.S. healthcare account. In this role, you will assist health plan members with inquiries related to benefits, claims, coverage, and healthcare services while delivering exceptional customer experiences.

Key Responsibilities

• Respond to inbound customer inquiries regarding health plan benefits, eligibility, claims, billing, and coverage.
• Investigate and resolve complex healthcare-related concerns while ensuring timely and accurate resolutions.
• Educate members on available healthcare benefits, services, and plan options.
• Utilize multiple systems and resources to research and provide accurate information.
• Demonstrate empathy, active listening, and professionalism in every customer interaction.
• Build rapport with members while maintaining high customer satisfaction and service quality.
• Meet productivity, quality, and compliance standards in a fast-paced contact center environment.
• Document customer interactions accurately and follow established processes and procedures.
  
  

• Completed at least 2 years in college (undergraduate or graduate).
• Senior High School graduates are welcome to apply with at least 2 years of BPO/contact center experience.
• Minimum of 1 year of contact center/customer service experience.
• Healthcare customer service experience is highly preferred.
• Excellent English communication skills, both verbal and written.
• Strong analytical, critical thinking, and problem-solving skills.
• Willing to work on-site on a flexible shifting schedule, including nights, weekends, and holidays when required.
  
  

• 39,700 monthly package (Base Salary + Allowances)
• 15% Night Differential
• 13th Month Pay
• 30 Days Wellness Leave
• Government-Mandated Benefits
• HMO Coverage Upon Hire
• HMO Coverage for up to 3 Qualified Dependents
• Medicine Benefit
• Optical Benefit
• Dental Benefit
• Maternity Assistance
• Life Insurance
• Accident Insurance
  
  

• Work Setup: On-site
• Schedule: Flexible shifting schedule