Member Relations Representative (Project-based)

Industry Category	Services	Position	Customer Service
Recruitment Department		Number Of Recruits	several
Work Location	Metro Manila (NCR) Makati	Nature Of Work	Full Time
Gender Requirements	Male	Marriage Requirement	No marital status restrictions
Education Level	College Diploma	Work Experience	No work experience restrictions
Age Requirement	Above 18 years old	Salary Package	Negotiable
Updated Date	2022-09-25	Valid Until	Valid for a long time

Candidate must be a college graduateFresh Graduates are welcome to applyThis is a Project-based employment. Duration is dependent on the Account he/she is assigned to.The work will be onsite. Location is dependent on the Account he/she is assigned to.1 available position available (Makati)

 The Member Relations Representative (MRR) is responsible for providing effective and efficient administrative support to the Hospital Liaison Officers Department together with the rest of the departments of the Medical Services Division and the Sales and Marketing Division to insured members. They assist IHC members during their availments mainly and ensures the proper implementation of the “Magandang Araw” Customer Service Experience and ensuring the proper and appropriate implementation of plan policies resulting to utilization management. 

DUTIES AND RESPONSIBILITIES: 

This role will ensure that IHC members are assisted during their availment to contribute to employee engagement, and retention in proportion but not limited to the medical needs of the company and covered companies and individuals.

1. Customer Service

1.1. Ensure that IHC members availing of medical services in accredited medical facilities are assisted accordingly.1.2. Ensure that members’ queries, concerns and/or complaints are attended to in a timely and appropriate manner prior to elevating this to the Medical Director.1.3. Keep abreast with current regulations and policies affecting medical services and implementation and provide proper guidance to all concerned.1.4. Be up to date on medical updates, utilization management, newly onboarded and renewed account benefits.1.5. Maintain company spiels and lines that will entice members to call them regarding their benefit including medical network inquiries, concerns and LOA issuances.1.6. Ensure that the member’s coverage and benefits is discussed appropriately and issue the letter of authorization (LOA).1.7. Assist the member during their availment by checking medical facility charges and professional fee to maximize member’s benefits and to prevent incurrence of excess charges beyond the benefit coverage and advises member on non-covered charges.1.8. Issue LOAs and assist members for MD scheduling of appointments and other services.

A Subsidiary of The Insular Life Assurance Company, Ltd.We are a "service oriented" company backed by a Financial giant with 100 years record of stability in the Philippines. If you are aggressive, dynamic, proactive. ethical, resilient and professional with a positive attitude, then YOU are invited to JOIN US in our thrust of advocating the health and well being of Filipinos.