Customer Service Advocate | Provider Services - Remote (PH)

Title: Healthcare Customer Service Advocate | Provider Service Work Set-up: Remote Location: Insular Life, Makati City Schedule: Graveyard | Shifting Hours Job Summary This role is responsible for providing exceptional support to healthcare providers by handling emails, faxes, and web inquiries related to healthcare claims, appeals, and payment concerns. This role serves as the primary point of contact for providers, ensuring timely resolution of inquiries while delivering a high level of customer service and maintaining compliance with company policies and service standards. This is an Urgent Hiring! Key Responsibilities Serve as the primary point of contact for healthcare providers and billing agencies regarding claims-related inquiries. Respond to inquiries about claim status, payments, appeals, and Explanation of Benefits (EOBs) via phone, E-Mail, Fax, and web requests. Research and provide accurate information on claims, claim outcomes, and payment status. Investigate and resolve provider inquiries by coordinating with internal teams as needed. Provide updates on provider appeals and request additional documentation when required. Assist with payment-related requests, including stop payments, check reissuance, payment tracers, and copies of cashed checks. Process requests for upheld and late submission letters in accordance with company guidelines. Escalate complex or unresolved issues through the appropriate channels. Accurately document all customer interactions and ma