Claims and Benefits Representative
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Salary:
$35,000 pesos per month We’re seeking a detail-oriented, customer-focused Claims & Benefits Representative to help members understand their benefits and navigate claims questions. You’ll provide clear information, maintain accurate records, and coordinate follow-up with the appropriate teams. ##
Key Responsibilities
- Respond to questions about benefits, coverage, eligibility, and claim status.
- Explain claim decisions and next steps using approved information and procedures.
- Review claims inquiries, identify missing information, and route issues for resolution.
- Assist with required documentation and explain submission requirements.
- Document interactions and follow-up actions accurately.
- Escalate complex inquiries, discrepancies, and complaints.
- Protect confidential information and follow applicable privacy requirements.
- Meet established service, quality, and productivity expectations. ## Qualifications
- Previous experience in customer service, claims support, benefits administration, or a related field.
- Strong communication, listening, and problem-solving skills.
- Ability to explain detailed information clearly and patiently.
- Excellent organization and attention to detail.
- Comfortable navigating multiple systems while assisting customers.
- Ability to manage a busy workload and follow established procedures.
- Experience in insurance or healthcare customer support is a plus. ##
How to Apply
Submit your résumé highlighting your customer service experience and any background in claims, insurance, or benefits support.
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