Functional Responsibilities:
Review and audit insurance accounts for compliance and adherence to guidelines.
Monitor and evaluate customer interactions (phone calls, emails, and chat) to ensure compliance with service standards and guidelines.
Monitor service quality and compliance with healthcare (PHI and HIPAA) regulations and standards.
Track team attendance, punctuality, and overall adherence to schedules. Ensure that any issues related to attendance are promptly addressed and resolved.
Prepare detailed audit reports highlighting key findings, discrepancies, and areas for improvement.
Review and analyze reports and data to identify trends, gaps, or issues affecting the quality of service or compliance.
Develop and document standardized procedures and quality benchmarks to ensure consistent service delivery.
Assist in the development of training materials and participate in training programs aimed at improving quality assurance processes.
Regularly review and update quality standards and practices to reflect standard operating changes and industry best practices.
Observe and assess employee behavior in the workplace, ensuring professional conduct at all times.
Work closely with management to provide feedback and recommendations for process improvements, enforce company policies related to attendance and overall team behavior.
We reserve the right to amend, revise, or supplement the Job Description as we may deem fit, proper, and necessary in the circumstances
How to Apply
Location:
7F MDCT Building, Leyte Loop, Cebu Business Park, Mabolo Cebu City
For those interested, respond to this post with your updated resumes and contact details for a possible preliminary screening and interview scheduling.
Walk-In Applicants are welcome to drop by our office from 10:00 AM until 7:00 PM, Monday to Friday only. Bring a copy of your updated resume, valid ID, and vaccination card.
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