Healthcare Member Services Representative

Join our growing team as a Healthcare Member Services Representative and help deliver outstanding support to healthcare members. In this role, you'll assist customers with benefit inquiries, eligibility verification, claims status, provider information, and other healthcare-related concerns. If you're passionate about providing excellent customer service and enjoy helping people, we'd love to hear from you!

Key Responsibilities

• Respond to member inquiries via phone, email, or chat in a professional and courteous manner.
• Assist members with healthcare benefits, coverage, eligibility, claims, billing, and provider-related questions.
• Provide accurate information regarding healthcare plans, policies, and available services.
• Resolve member concerns efficiently while ensuring a positive customer experience.
• Document customer interactions accurately in the system.
• Coordinate with internal departments to ensure timely resolution of member concerns.
• Maintain compliance with company policies, healthcare regulations, and data privacy standards.
• Meet quality assurance, productivity, and customer satisfaction goals.
  
  

• College Graduate (with or without BPO/customer service experience) Fresh graduates are encouraged to apply.
• College Undergraduate (completed at least 2 years of college) with at least 6 months of BPO or related customer service experience.
• Excellent English communication skills, both verbal and written.
• Strong customer service, problem-solving, and interpersonal skills.
• Basic computer navigation and typing proficiency.
• Willing to work onsite and on a shifting schedule, including weekends and holidays if required.
• Healthcare or customer service experience is an advantage but not required for qualified applicants.
  
  

• Competitive salary and attractive performance incentives.
• HMO and comprehensive employee benefits.
• Paid training and continuous learning opportunities.
• Clear career growth and promotion pathways.
• Supportive, collaborative, and inclusive work environment.
• Opportunity to make a positive impact by helping members access the healthcare support they need.