Mexicare, a top healthcare management organization, is hiring a Customer Relations Assistant (Non-Voice) to join our dedicated team. Provide outstanding support by professionally resolving member inquiries and ensuring smooth claims processing.

Responsibilities

• Assess coverage and issue Letters of Authority, explaining non-coverage rationale
• Screen, evaluate, and process claims following benefits guidelines
• Document all system transactions and file records accordingly
• Respond to customer inquiries/complaints with first-call resolution
• Escalate complex claims per procedures and collaborate with team
• Adhere to shift schedules for 24/7 operations coverage
• Secure approvals from supervisors as required
• Optimize operational costs through proper use of supplies/facilities
• Deliver excellent customer service through professional query resolution

Requirements

• College degree in Business Management, Medical/Allied course preferred
• 2+ years in customer service role, HMO/insurance industry a plus
• Exceptional written/verbal English and Filipino communication abilities
• Willingness to work shifting schedules

Bring your customer service talents to Mexicare’s member-focused team. Apply now for this vital Customer Relations Assistant role!

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