225 Health Insurance jobs in the Philippines

Account Executive for Group Health Insurance

Job Role:

• Manages portfolio of health insurance corporate accounts.
• Answer queries and provide assistance in respect of coverage and procedure for availment of benefits, whether by LOA or by reimbursement
• Assist in client briefings and orientations regarding client benefits and availment procedures
• Generate required LOAs
• Assist in untangling any potential problems with accredited providers such as hospitals, doctors, clinics
• Assist in securing and follow up any required claim documents from clients such as medical certificates, official receipts, doctor's requests, SOAs, or the like, and ensure complete documentation.
• Assist in the endorsement (inclusion-deletion) process by monitoring and ensuring insureds are properly included and removed
• Assist in providing any necessary quotes for auxiliary benefits such as APEs, ECUs, Dental Plans, or the like.

Job Requirements:

• Work is hybrid and reports 3x a week in Makati. Schedule is Monday-Friday, 8 am to 5 pm.
• Graduate of any 4-year course.
• Excellent client servicing skills.
• Background or relative experience in health insurance is an advantage.

To know more about us, please visit our website

Position:   Actuarial Analyst for International Health Insurance Operations

Reports to:  Health Plan Administrator

The position has the following primary functions:

Responsible for product development, group and individual rating and pricing strategies, reserving, compilation of loss tringles, financial reporting, mathematics and actuarial science and other actuarial functions for the group health department.

Performs advanced to highly complex level of technical and analytical work in support of underwriting and actuarial analysis.

Provides expertise in actuarial and financial matters related to external and internal customers.

Qualifications:

1.    Masters Degree or BA/BS Degree in actuarial science, mathematics, statistics or related field.

2.    At least two (2) to three (3) years of progressive health actuarial experience or health/life insurance systems that is directly related to health and life insurance actuarial work.

3.    Solid oral and written communication skills required and ability to work cooperatively and effectively.

4.    Excellent problems solving skills, project management and analytical abilities with the ability to handle multiple priorities.

5.    Proficient use of spreadsheet and/or database software

6.    Ability to work independently and as a team member.

About the role

AUXILIA INC' is seeking a highly motivated and experienced Health Insurance Account to join our dynamic team. This full-time, virtual role offers a competitive salary and an attractive signing bonus of 20,000 pounds. Based in Guagua Pampanga, this position plays a crucial part in our customer service operations, serving clients in the Call Centre & Customer Service industry.

What you'll be doing

• Provide exceptional customer service to clients, addressing their inquiries and resolving issues promptly and efficiently
• Process claims, renewals, and other policy-related transactions accurately and in a timely manner
• Advocate for clients, ensuring they receive the coverage and benefits they are entitled to
• Identify and capitalise on opportunities to cross-sell and up-sell relevant insurance products
• Maintain detailed records and documentation of all client interactions
• Stay up-to-date with changes in the health insurance industry and company policies
• Collaborate with team members to share best practices and provide support as needed

What we're looking for

• Minimum 2 years of experience in a customer service or call centre role, preferably in the health insurance industry
• Strong communication and interpersonal skills, with the ability to provide empathetic and effective support to clients
• Excellent problem-solving and decision-making abilities, with a focus on finding creative solutions
• Proficient in the use of computer systems and software, including customer relationship management (CRM) tools
• Adaptable and able to work well in a fast-paced, virtual environment
• A genuine passion for providing top-notch customer service and making a positive impact on clients' lives

What we offer

At AUXILIA INC', we believe in creating a supportive and rewarding work environment for our employees. In addition to the competitive salary and signing bonus, we offer:

• Comprehensive health insurance and retirement benefits
• Opportunities for professional development and career advancement
• Flexible work arrangements, including the option to work remotely
• A collaborative and inclusive company culture that values teamwork and work-life balance
• Discounts on various products and services

About us

AUXILIA INC' is a leading provider of health insurance solutions, serving clients across the Philippines. Our mission is to empower individuals and families to achieve their best health and well-being. With a commitment to innovation, we continuously strive to deliver exceptional customer service and tailored insurance products that meet the evolving needs of our clients.

Apply now

• Registered Nurse
• Preferably with knowledge in medical terminology, Current Procedural Terminology (CPT) and   ICD -10 coding
• Experience in health insurance industry is an advantage.
• Strong communication skills with problem solving and analytical abilities
• Self-motivated, team member, focused and can work under pressure.
• Responsible, detail oriented and with computer experience
• Fresh graduates are welcome to apply.

Go further with Foundever

Are you ready to move your career forward? At Foundever, you will find our call center jobs surprising. We believe in memorable associate experiences. Here, you can improve your quality of life and grow your career.

We believe that small moments can have a big impact on our work experiences, customers, teams, and friends. By creating positive moments for each other, we make a difference and improve our associate experience.

What are we looking for?

• With 1yr BPO Experience
• Completed at least Senior High School or two (2) years of college education
• Basic computer navigation skills
• Good to Excellent Communication skills & Comprehension

What should you expect from us?

• Paid training from day one
• Tons of growth opportunities (93% of our non-agent positions are filled internally)
• A leadership team that hears your voice; we know that when we work together we can accomplish so much more
• Fun team environment where we work hard to build trust every single day
• HMO Benefits for you and your family
• Free Call Center Training
• Free Shuttle services in selected locations (Pick-up points)

Terms and conditions apply

About the role

Join AUXILIA INC' as a Health Insurance Account Representative and be part of a dynamic team that provides exceptional customer service to our clients. This full-time role is based in Santa Ana Pampanga and offers a hybrid work setup, with the opportunity to work both remotely and on-site. To help you get started, we're offering a sign-on bonus of 20,000

What you'll be doing

• Respond to inbound customer calls and emails, providing knowledgeable and courteous support on a range of health insurance-related inquiries
• Assist customers with policy information, coverage details, claims processing, and account management
• Identify customer needs and recommend appropriate products and services
• Maintain accurate records and documentation of all customer interactions
• Collaborate with colleagues to resolve complex issues and provide the best possible customer experience
• Continuously expand your knowledge of the health insurance industry and company policies and procedures

What we're looking for

• 1-2 years of experience in a customer service or call centre role, preferably in the insurance or healthcare industry
• Strong communication and interpersonal skills, with the ability to listen attentively and respond effectively
• Excellent problem-solving and analytical skills to identify and resolve customer issues
• Proficient in using computer systems and software, with the ability to quickly learn new systems
• Passion for providing exceptional customer service and a commitment to continuously improving the customer experience
• Flexibility to work in a hybrid environment, with the ability to work both remotely and on-site as required

What we offer

• Competitive salary and performance-based bonuses
• Comprehensive health and wellness benefits, including medical, dental, and vision coverage
• Generous paid time off and holiday leave
• Opportunities for career development and advancement
• A supportive and collaborative work environment that values teamwork and innovation

About us

AUXILIA INC' is a leading provider of health insurance solutions, dedicated to empowering our customers to live healthier, more fulfilling lives. With a reputation for excellence, we are committed to delivering innovative products and exceptional customer service. Join our team and be a part of our mission to transform the healthcare landscape.

Apply now and take the first step towards an exciting and rewarding career with AUXILIA INC'.

JOB SUMMARY

The Assistant Manager will support the VP & Head of Business Management, Travel Insurance (A&H) with focus on managing the PH Travel Insurance - Tier 2 accounts / programs, both existing accounts (i.e., VIA, CX, Agoda, Traveloka, Grab, NAC, CTI B2C) and new accounts to be launched (i.e., Grab, Fis, and other digital partners) to ensure optimized revenue and profit; and to achieve defined business objectives.

The Assistant Manager will likewise conduct regular analysis of the market and identify new business opportunities and partner prospects.

With this new resource, the VP & Head of Business Management, Travel Insurance (A&H) will have increased focus on the strategic initiatives and overall PH Travel Insurance portfolio / business line management; and prioritize the management of Tier 1 accounts / programs (i.e., Cebu Pacific and Philippine Airlines).

The Assistant Manager is also expected to shadow with the VP & Head of Business Management, Travel Insurance (A&H), particularly related to managing Tier 1 accounts / programs, as training to later take on additional strategic tasks.

MAJOR DUTIES AND RESPONSIBILITIES:1. Develop and implement strategies and initiatives as aligned with the defined financial objectives; and achieve profitable growth.

2. Strengthening and expanding relationships by providing support and value-added services that drive top line sales and ensure positive customer experience via pricing support, process improvements, technology solutions, event coordination, training, regular program / product performance reviews, visual messaging, ease of use, etc.

3. Work with the internal support teams (Underwriting, Operations, CBS Customer Service & Claims, Legal, Finance, and I.T.) for new product / program or channel implementations and on-going revenue maximization / optimization initiatives; and ensure efficiency in coordination and processes.

4. Closely monitor and regularly analyse the market; and identify / recommend new business opportunities, partner prospects, and strategies that may be considered for PH Travel Insurance.

QUALIFICATIONS:

• Bachelor's Degree, preferably Marketing or Business course
• At least 3 to 5 years work experience, preferably in the Airline / Travel / Hospitality Industry, with Sales / Marketing / Profit Center background. With Data Analytics / Financial Analysis / Digital Marketing skills and experience is preferred.
• Superior communications and interpersonal skills to be capable of dealing with producers, partners, customers, and all levels of the organisation.
• Ability to develop and grow relationships with external partners and intermediaries and identify new business opportunities.
• Organisational capabilities to work independently and utilise appropriate automated / technology driven tools with minimal administrative support.
• Comfortable and effective in verbal and written communications
• Strong Sales and Relationship / Account Management Skills are critical.
• Knowledge in Process Management, Project Management, and Marketing Approaches is an advantage.
• Experience working within a profit centre environment, with portfolio management accountability, with a mid-size to large company is preferred.