HR Associate providing operational support for HR functions like onboarding and performance management at Guardian. Ensuring high - quality employee support and process execution.
About the role
- HMO Benefits Specialist coordinating between members, healthcare providers, and HMO teams. Responsible for processing availments, LOAs, and call handling for high-quality service delivery.
Responsibilities
- The HMO Benefits Specialist serves as the key interface between members, healthcare providers, and the HMO teams.
- The role is responsible for accurate processing of member availments, issuance of Letters of Authorization (LOAs), timely call handling, and efficient coordination of inquiries and cases to ensure high-quality service delivery.
Requirements
- Must be willing to work hybrid in Ortigas
- Must be willing to do occasional night shifts
- Familiarity with medical indications for adjudication
- Prior experience in roles such as medical liaison, provider relations, hospital HMO section staff, company nurse, teleconsult nurse, etc., is advantageous
- Willingness to conduct hospital visits
- Proficient problem-solving abilities
- Curious, results-driven, ownership mentality with growth mindset
- Excellent verbal and written communications
- Collaborative team player with the ability to adapt quickly in a fast-paced environment
- Passion for innovation in healthcare
Benefits
- comprehensive healthcare coverage for you and your dependent
- paid time off from the start
- mentorship, career development, and learning opportunities
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
No Education Requirement
Location requirements
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