Customer service assistant

Job Description

Posted on 28 April 2026

• Review and process Letters of Authorization (LOA) in accordance with established procedures, ensuring accuracy, completeness, and compliance with internal policies.
• Clearly explain coverage and non-coverage details to members, ensuring proper understanding of benefits.
• Verify transaction details and ensure all data entries comply with company standards and guidelines.
• Promptly address inquiries from members and partner providers, delivering accurate and timely information.
• Handle escalations and concerns related to outpatient and inpatient services, coordinating with internal teams as needed to resolve issues and maintain high customer satisfaction.
• Actively offer and guide members to Maxicare Primary Care Networks (PCN) and other Maxicare services.
• Recommend suitable packages and promote Maxicare’s exclusive benefits, helping members maximize their healthcare coverage.
• Participate in Business Continuity Planning (BCP) activities and support various campaigns or operational tasks during manpower shortages or low service levels, ensuring continuity of service and operational efficiency.

• At least 1 year of experience in healthcare operations, helpdesk, customer service, or HMO/insurance processing
• Knowledge of LOA processing, healthcare benefits, and coverage verification is an advantage
• Strong customer service and communication skills, with the ability to clearly explain coverage and non-coverage details
• Experience handling member inquiries, provider coordination, and service escalations
• Detail-oriented with the ability to verify transaction data and ensure compliance with internal policies
• Comfortable working in a fast-paced, queue-based environment and handling multiple tasks simultaneously
• Proficient in MS Office and basic systems navigation; experience with healthcare systems is a plus
• Willing to support Business Continuity Planning (BCP) activities and take on additional tasks during manpower shortages
• Amenable to shift work and onsite reporting in Davao, as required

Work location

DAVAO CITY, DAVAO DEL SUR

Remarks

No additional remarks

Apply now