Claims Specialist (Ask Bennie Advocate)

Job Description

Outsource Your Career Growth to New Heights!

We're seeking passionate individuals to join our client Claims Specialist (Ask Bennie Advocate) within the outsourcing industry. In this role, you will be responsible for resolving member inquiries regarding claims, coverage, plan details, eligibility, and authorizations, along with numerous additional insurance-related questions. The Advocate will be tasked with utilizing process flow documents, internal systems, and a ticketing system to address and solve member inquiries while proactively addressing additional potential service needs. Joining our client offers a unique blend of global impact and local roots. You'll have the opportunity to contribute on a global scale while maintaining connections to your local community. As a member of the Ask Bennie Advocate team, you'll play a pivotal role in shaping the future of insurance services, leaving a lasting legacy in the industry. We prioritize your career growth and development, providing access to continuous learning opportunities and unwavering support to help you thrive professionally.

Employment Type: Full-time

Shift: Night Shift, Mon - Fri 08:30 PM To 05:30 AM

Work Setup: Hybrid, Makati

Perks: Day 1 HMO, Above-market salary, Global exposure

Skills that Excel:

• Should have a high school diploma and 2 years of customer service experience.
  
• With outstanding verbal and written communication skill
  
• With healthcare experience and prefers taking calls.
  
• Highly organized, have excellent problem-solving skills, have a passion for serving others, and possess the ability to be empathetic while going above and beyond to ensure member satisfaction.
  
• The ability to adapt to change, be flexible, work within a team, and learn quickly are key to being successful in this role.
  
• Willing to work night shift and hybrid setup
  

Demonstrated customer service soft skills:

• The ability to understand and put yourself in the customer's shoes when handling customer concerns.
  
• Ability to work effectively as part of a Team.
  
• Self-motivated and ability to meet tight deadlines with a high degree of accuracy.
  
• Ability to multitask, prioritize, and manage time effectively.
  
• Willingness to learn and master the products and services of our clients to ensure that you can provide reliable, accurate, effective, and efficient service to our customers.
  
• Comfortable working with minimal supervision.
  
• Customer orientation and ability to adapt/respond to different types of characters.
  
• Strong problem-solving skills, and ability to closely follow detailed processes.
  
• College Degree Holder preferred or should have finished at least 2nd year college.
  
• Willing to work in Makati twice in a week
  

Technical Qualifications:

• Excellent written and verbal skills in English, including soft skills such as tone matching and empathy.
  
• Proven customer support experience, preferably 3+ years of experience working with customer support healthcare and claims.
  

Navigating Excellence, One Task at a Time!

• Resolve member claim, appeal, provider, benefit, cost, coordination of benefits, subrogation, and other inquiries via phone, service platform, and/or email
  
• Document resolution detail, member communications, and time to resolution via ticketing system and claim system
  
• Outreach to network partners and providers to obtain information and detail when needed
  
• Navigate internal systems to obtain member, plan, and group specifics
  

Reap the Rewards:

• Day 1 HMO coverage
  
• Hybrid work set-up
  
• Above-market salary package
  
• Standard government and Emapta benefits
  
• 20 days annual leave (5 convertible to cash)
  
• Upskilling through Emapta Academy
  
• Career growth opportunities
  
• Diverse and supportive work environment
  

Meet the Outsourcing Innovators: Shaping Tomorrow, Today!

Our client is a BPO company whose primary focus is helping some of the world's most innovative startups scale. With four offices across the globe, their mission is to help rapidly growing businesses by creating a new type of outsourcing firm. One that prides itself on partnerships instead of being a service provider. Not only do they spend dozens of extra hours curating the employees on their teams to ensure the best cultural fit, but they also invest time and resources in training across verticals to help spur new ideas and build innovative processes and technology to ensure the company is as efficient and creative as possible for their partners.

Who are we

Discover a world of possibilities at Emapta , where your career takes flight in stability and growth. Join a team that thrives on camaraderie, supporting each other to achieve excellence together. Experience the satisfaction of being recognized for your contributions with competitive compensation packages that reflect your skills and commitment. Immerse yourself in a positive work culture that encourages collaboration, innovation, and personal development. We provide you with the platform for your success, empowering you to reach new heights in a supportive and inclusive environment.

With a wide roster of international clients from various industries and a proven track record of success, Emapta offers a stable foundation for . Team up with like-minded professionals who are passionate about making a meaningful impact through premium global opportunities at your fingertips. Apply now and create a better future with us.

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