Korean bilingual agentRSD Human Resource Management Consultancy

JOB DUTIES AND RESPONSIBILITIES
Educates members, family, providers and caregivers regarding benefits and plan options.
Accurately explains benefits and plan options in person, via email, fax, or telephonically.
Provides follow-up with members by clarifying the customers issue, determining the cause, and identifying and explaining the solution. Escalates appropriate member issues to management or other departments as required.
Provides follow-up with members by clarifying the customers issue, determining the cause, and identifying and explaining the solution. Escalates appropriate member issues to management or other departments as required.
Participates in member calling projects as assigned by management to support the overall Clever Care goal of membership retention.
Follows policies and procedures and job aids in order to maintain efficient and complaint operations; communicates suggestions for improvement and efficiencies to management; identifies and reports problems with workflows following proper departmental procedures; actively participates in departmental staff meetings and training sessions.
Follows all appropriate Federal and State regulatory requirements and guidelines applicable to Clever Care Health Plan operations, as documented I company policies and procedures. Follows all HIPAA requirements.
Documents transactions by completing applicable member forms and summarizing actions taken in appropriate computer system and following standards set by the department or by other authorized individuals.
Ability to work in an environment where continuous coaching and feedback is the standard practice
Bossjob

Pasig City, Metro Manila
Permanent
Full-time