Contact Center Specialist
Maxicare Healthcare Corporation
Date: 1 day ago
City: Makati City
Contract type: Full time
Job Title: Customer Care Specialist SME
Division: Operations
Department: Operations Fulfillment - Account Services
Reports to (Position of Immediate Superior): Manager/Assistant Manager/Supervisor, Account Services-Concierge
Primary Job Responsibility
Responsible for the planning, organizing and control of the overall operations of the Contact Centers
I. Job Description
✓ Communicates, engages, directs and supports people to contribute to the QMS effectiveness;
✓ Demonstrates commitment to customers by ensuring applicable statutory and regulatory requirements are determined, understood and consistently met;
✓ Abides by the QMS policies and procedures for the effective management and control of its processes; and
✓ Promotes and utilizes the Process Approach and Risk-based Thinking at work.
✓ Performs other RELATED functions that may be assigned BY THE IMMEDIATE SUPERIOR
II. JOB SPECIFICATIONS
Medical Allied Courses
SPECIFY ASSETS, CASH AND EQUIPMENT DIRECTLY ACCOUNTED FOR: Head Set
RECORDS AND DOCUMENTS DIRECTLY ACCOUNTED FOR: Shared Documents
quantify range of activities, VARIETY of tasks to be carried out, and the DIVERSITY of the problem to be solved
Follows established procedures generally; refer only unusual cases to superior
Division: Operations
Department: Operations Fulfillment - Account Services
Reports to (Position of Immediate Superior): Manager/Assistant Manager/Supervisor, Account Services-Concierge
Primary Job Responsibility
Responsible for the planning, organizing and control of the overall operations of the Contact Centers
I. Job Description
- Duties and Responsibilities done at PERIODIC or REGULAR Intervals
- Issues Letter of Authority after assessment of coverage, professionally explains non-coverage rationale to members
- Screens, assess and processes availment cases based on procedures and benefit applications guidelines.
- Ensures all transactions in the system are documented and filed accordingly
- Responds inquiries and complaints at first hand resolution (if possible) on customers’ feedback and issues raised
- Escalates complex availment cases based on set escalation procedures.
- Collaborates with team members to achieve the agreed Key Results Areas
- Complies to pre-advised shift schedule and ensures to support Operations 24/7.
- Secures overriding approval from the Customer Care Supervisor for LOAs beyond the Specialists’ authority limits include tagging of special approval
- Ensures operating costs reduction by property implementing use of office supplies/facilities including power, internet and phones
- Complies in delivering excellent customer service by providing resolution to their queries and issues.
- Can attend to all types of Inquiries and request of the client
- Can assign to different roles and task
- Duties and Responsibilities done at IRREGULAR or INTERMITTENT Intervals
- Reports any systems-related issues and Team concerns to expedite processing
- STANDARD RESPONSIBILITIES
✓ Communicates, engages, directs and supports people to contribute to the QMS effectiveness;
✓ Demonstrates commitment to customers by ensuring applicable statutory and regulatory requirements are determined, understood and consistently met;
✓ Abides by the QMS policies and procedures for the effective management and control of its processes; and
✓ Promotes and utilizes the Process Approach and Risk-based Thinking at work.
✓ Performs other RELATED functions that may be assigned BY THE IMMEDIATE SUPERIOR
II. JOB SPECIFICATIONS
- SKILLS
- EDUCATIONAL REQUIREMENT
Medical Allied Courses
- EXPERIENCE AND TRAINING
- SKILLS REQUIREMENT – TECHNICAL (For Tech and Business Support, Supervisory and Professional)
- RESPONSIBILITY
- ACCOUNTABILITY – ASSETS, CASH, EQUIPMENT
SPECIFY ASSETS, CASH AND EQUIPMENT DIRECTLY ACCOUNTED FOR: Head Set
- ACCOUNTABILITY – RECORDS AND DOCUMENTS
RECORDS AND DOCUMENTS DIRECTLY ACCOUNTED FOR: Shared Documents
- NEED FOR SUPERVISION
quantify range of activities, VARIETY of tasks to be carried out, and the DIVERSITY of the problem to be solved
Follows established procedures generally; refer only unusual cases to superior
- PEOPLE MANAGEMENT
- CONTACTS – INTERNAL AND EXTERNAL
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