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Healthcare Claims Representative
2 to 4 Years
With Business Certificates
Established in 2011
Fort Bonifacio, Taguig, Metro Manila
Total vacancies for this job title: Over 10
Posted On: December 7, 2021
Job ID: 393315
JOB TITLE: MEDICAL CLAIMS REPRESENTATIVES
WHO WE ARE:
Optum is a part of the UnitedHealth Group, a Fortune 5 company, serving 125 million individual consumers.
We are a diverse company with over 189,000 employees worldwide and over 14,000 employees in the Philippines
We are a leader in nearly every aspect of today’s health care landscape
We leverage on having the largest single proprietary network of physicians, hospitals, health facilities, and caregivers in the United States. At Optum, we believe that what makes you special can inspire your life’s best work.
Welcome to one of the toughest and most fulfilling ways to help people, including you. We offer the latest tools, the most intensive training program in the industry, and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.
Join us today and unlock a world of rewards and benefits for performance, career growth, work-life balance, and the opportunity to pursue your passion.
A graduate of any 4-year course or has completed 2 years in college
With at least 1-year experience in Medical Claims or Healthcare Insurance Background
Minimum 6 months BPO (voice) experience
Ability to multi-task
Must be willing to work in (location)
Must be willing to work on shifting schedules
WHAT WE OFFER:
Market Competitive Pay Levels
Medical Plan (HMO) from Day 1 of employment
Dental, Medical, and Optical Reimbursements
Life and Disability Insurance
Paid Time-Off Benefits
Sick Leave Conversion
Tuition Fee Reimbursement
Employee Assistance Program (EAP)
Annual Performance-Based Merit Increases
Training and Staff Development
Employee Referral Program
Employee Volunteerism Opportunity
All Mandatory Statutory Benefits
ROLE AND RESPONSIBILITIES
You will respond to customer service inquiries and issues by identifying the topic and type of assistance the customer needs. This may include, among others, inquiries or concerns on their benefits, eligibility, and claims.
You will guide and educate the customer about the fundamentals and benefits of consumer-driven health care topics to help manage their health and well-being. To do this, you will provide guidance in selecting the best benefit plan options and choosing a quality care provider.
You will intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed.
You will provide our customer real-time resolutions or through comprehensive and timely follow-up with the member
Your role is critical in allowing our members, families, facilities, and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life’s best work.