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Maxicare Healthcare Corporation

Account Services Supervisor

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Description

<ul><li>Issues Letter of Authority after assessment of coverage, professionally explains non-coverage rationale to members </li><li>Screens, assess and processes availment cases based on procedures and benefit applications guidelines. </li><li>Ensures all transactions in the system are documented and filed accordingly </li><li>Responds inquiries and complaints at first hand resolution (if possible) on customers’ feedback and issues raised </li><li>Escalates complex availment cases based on set escalation procedures. </li><li> Collaborates with team members to achieve the agreed Key Results Areas</li><li>Complies to pre-advised shift schedule and ensures to support Operations 24/7. </li><li>Secures overriding approval from the Customer Care Supervisor for LOAs beyond the Specialists’ authority limits include tagging of special approval</li><li>Ensures operating costs reduction by property implementing use of office supplies/facilities including power, internet and phones </li><li>Complies in delivering excellent customer service by providing resolution to their queries and issues. </li><li>Can attend to all types of Inquiries and request of the client </li><li>Can assign to different roles and task such as voice and non-voice</li></ul>
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