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maxicare healthcare corporation

Client Services Specialist

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  • Posted 14 hours ago
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Job Description

Jo b Description

l Screens and assesses coverage or non-coverage availments for quick response or tion of cases

l Documents all captured transactions in the call management suite

l Collaborates with Team members to achieve the Key Result Areas set by Management

l Creation of timely and accurate LOA based on members requirements

l Responds to availment queries and complaints or escalates them to the departments or units in charge

l Ensures accurate preparation and timely submission of reports required by Team Leader

STANDARD RESPONSIBILITY STATEMENTS

l Strives to embody, commits to support, and deliver the quality policy, objectives and initiatives of the organization;

l Communicates, engages, directs, and supports people to contribute to the Governance and Resilience effectiveness;

l Demonstrates commitment to customers by ensuring applicable statutory and regulatory requirements are determined, understood and consistently met;

l Abides by the Governance and Resilience policies and procedures for the effective management and control of its processes; and

l Promotes and utilizes the Process Approach and Risk-based Thinking at work.

l Performs other RELATED functions that may be assigned BY THE IMMEDIATE SUPERIOR

EDUCATIONAL REQUIREMENT

MINIMUM Educational Level And Background Required By This POSITION

College Graduate of 4, 5 year-course, preferably: Communications or any medical allied course

Experience And Training

PERIOD OF TIME OR LENGTH of related experience the CANDIDATE must acquire before being assigned to and perform the functions of this job, SATISFACTORILY under NORMAL supervision: Six (6) months - One (1) year work experience.

Skills Requirement

Basic Technical or Semi-Skilled: task undertakes SIMPLE practical procedures

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Job ID: 149402871