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InLife Benefits PH
Call Center SpecialistInLife Benefits PH • Makati, National Capital Region, Philippines
Call Center Specialist

Call Center Specialist

InLife Benefits PH • Makati, National Capital Region, Philippines
8 days ago
Job description

DUTIES AND RESPONSIBILITIES:


  • Review and evaluate request of Health Insurance Letters of Approval (LOA) submitted by hospitals, clinics, and policyholders.
  • Approve or disapprove LOA requests based on policy coverage, eligibility, and company guidelines.
  • Communicate decisions clearly and professionally to healthcare providers and policy holders.
  • Handle inbound and outbound calls related to LOA requests, and policy inquiries.
  • Provide guidance to policyholders on coverage, and required documentation.
  • Maintain accurate records of LOA approvals/denials in the system for compliance and audit purposes.
  • Ensure adherence to regulatory standards and company policies in all decisions.


REQUIREMENTS:


  • Graduate of any Bachelor's degree in Health Sciences (e.g., Nursing, Medical Technology, Public Health, or related field).
  • Strong understanding of medical terminology and healthcare processes.
  • Minimum 1-2 years of experience in customer service, insurance, or healthcare administration is required.
  • Prior health insurance or LOA processing experience is required.
  • Excellent communication and decision-making skills.
  • Ability to work under pressure and manage sensitive health-related information with confidentiality.
  • Proficiency in MS Office and CRM systems.
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Call Center Specialist • Makati, National Capital Region, Philippines

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