BPO Customer Care Associate - Healthcare Account

Req ID: 359900

NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a BPO Customer Care Associate - Healthcare Account to join our team in Quezon, Quezon (PH-QUE), Philippines (PH).

In this role, you will be responsible for:

• Performing timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies.
• Identifying opportunities and reports on inaccuracies that may be present in reviewed documents
• Learning CRM system and is able to access different internal online resources to obtain required information in a timely manner.
• Performing inbound and outbound calls to insurance companies, medical facilities and customers in the US.
• Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met
• Analyzing medical insurance claims for quality assurance
• Resolving moderately routine questions following pre-established guidelines
• Performing routine research on customer inquiries.
• Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team

Requirements for this role

• Proficiency in Microsoft office programs and general computer operations
• Ability to learn and follow basic direction on process
• Must have mastery of the English language, both oral and written
• Must be detail-oriented and organized to maintain accurate records
• Must have the ability to focus and work quickly
• Able to work independently
• Sense of urgency in reporting any concerns to immediate supervisor
• High School diploma or equivalent required
• 1+ year(s) of experience in a service-oriented role where you had to correspond in writing or over the phone with customers who spoke English.
• 1+ year(s) of experience in a service-oriented role where you had to apply business rules to varying fact situations and make appropriate decisions.
• 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
• 1 + year(s) of healthcare or sales in call center experience working in a health care delivery setting preferred.
• Amenable to work onsite (Eastwood, Quezon City)

About NTT DATA

NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.

Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form,

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