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Location: Petron Megaplaza, Buendia, Makati City; MSY Tower, Cebu Business Park, Cebu City

Work set-up: Hybrid (3x onsite, 2x Work from Home/Anywhere every week)

Department: Operations – Claims

Benefits:

• 13th month’s pay
• 14th month’s pay
• Health Insurance (In-Patient and Out-patient) on Day 01; while Dependents is upon regularization
• Group Life Insurance effective 1st day of your employment
• Group Accident Insurance effective 1st day of your employment
• Retirement Benefits (vesting starts once reached 5 years in service)
• Annual Medical Allowance
• 15 days’ Vacation Leave
• 15 days’ Sick Leave
• 3 days’ Emergency Leave

Duties and Responsibilities:

1. Claims Processing
   1. Checks availability and accuracy of claims details in MAS
   2. Makes necessary corrections of claims details
   3. Verifies unlisted claims in MAS with biller and Call Center
   4. Processes and analyze claims using the prescribed process and based on existing policy contract and guidelines
   5. Prepares transmittal of claims for payment
   6. Approves payment for claims within the authority limit
   7. Recommends approval of claims payment beyond authority limit
   8. Reconcile claims with providers/accounts
2. User Analysis and Testing (UAT)
   1. Conduct UAT of system enhancements
   2. Provide analysis and findings on the UAT done
   3. Coordinate with ITG on the findings
3. Customer Service
   1. Answer inquiries via email or phone regarding status of claims or overdue payments within set turn-around time
   2. Documentation of medical claims disputes or complaints
   3. Resolution or escalation of claims disputes or complaints within the TAT
   4. Coordination with sales and other work units on claims or non-claims related customer concerns received via email or phone
4. Account Reconciliation
   1. Reconciles statement of account (SOA) sent by providers
   2. Coordinate with concerned departments on the items subject of reconciliation
   3. Coordinate with the provider contact person to discuss issues or requests
   4. Release of reconciled account within SLA

Qualifications

Education:

• College graduates with a degree in any medical or business-related discipline

Experience:

• At least two (2) years’ experience in medical or life claims processing

License/Certification:

• Preferably passed Life Office Management Association (LOMA) courses

All interested applicants may send your CV to wddelosangeles@generali.com.ph and ebbaron@generali.com.ph

Location: Davao City

Work set-up: Hybrid (3x onsite, 2x Work from Home/Anywhere every week)

Department: Operations – Providers Network

Benefits:

• 13th month’s pay
• 14th month’s pay
• Health Insurance (In-Patient and Out-patient) on Day 01; while Dependents is upon regularization
• Group Life Insurance effective 1st day of your employment
• Group Accident Insurance effective 1st day of your employment
• Retirement Benefits (vesting starts once reached 5 years in service)
• Annual Medical Allowance
• 15 days’ Vacation Leave
• 15 days’ Sick Leave
• 3 days’ Emergency Leave

Duties and Responsibilities:

1. Customer Support
   1. Visit/Accredit/Orient providers requested by accounts
   2. Visit and maintain good working relations with Heads of Billing Collections of accredited providers (hospitals, clinics)
   3. Assist the PNAD Manager in doing provider-relations visits to existing providers accredited by difficult doctors
   4. Assist the Provider Network Manager in the renewal of contracts of accredited providers (hospitals, clinics, doctors) as needed
   5. Promote and monitor use of GenNetwork to accredited hospitals
   6. Assist Provider Network Manager in visiting hospitals during times of suspension
   7. LOA issuance (direct or assistance).
   8. Help facilitate resolution of Provider related concerns/complaints
2. Undertakes all other tasks that may be assigned from time to time

Qualifications

Education:

• College Graduate with a degree B.S. Nursing or other Medical Related Courses/Allied medical courses

Experience:

• Preferably with at least 1 year working experience in Medical Insurance Business, HMO industry or Hospital Setting

License/Certification:

• None

All interested applicants may send your CV to wddelosangeles@generali.com.ph and ebbaron@generali.com.ph

Location: Petron Megaplaza, Buendia, Makati City

Work set-up: Hybrid (3x onsite, 2x Work from Home/Anywhere every week)

Department: Strategy and Transformation – Marketing

Benefits:

• 13th month’s pay
• 14th month’s pay
• Health Insurance (In-Patient and Out-patient) on Day 01; while Dependents is upon regularization
• Group Life Insurance effective 1st day of your employment
• Group Accident Insurance effective 1st day of your employment
• Retirement Benefits (vesting starts once reached 5 years in service)
• Annual Medical Allowance
• 15 days’ Vacation Leave
• 15 days’ Sick Leave
• 3 days’ Emergency Leave

Duties and Responsibilities:

1. Lead the conceptualization, development, and execution of creative materials across print, digital, and multimedia platforms, focusing on straightforward assets such as email layouts, social media posts, simple reels, light motion graphics, basic animated videos that do not require extensive production
2. Manage multiple design and production projects from briefing to delivery, ensuring timeliness, quality, and brand consistency
3. Collaborate closely with marketing, communications, and other departments to translate strategic objectives into creative outputs
4. Safeguard the organization’s visual identity by ensuring adherence to brand guidelines across all creative executions
5. Establish and maintain streamlined creative workflows, asset libraries, and brand templates for efficiency and consistency
6. Undertake other tasks that may be reasonably expected of the role and as maybe necessary to achieve the Company’s goals.

Qualifications

Education:

• University graduate with a degree preferably in advertising, multimedia arts or other related fields

Experience:

• At least five (5) years of creatives design (graphics design and video production)
• Experience in working for an insurance business is an advantageHands-on background in visual design, layout, or multimedia production Previous role supporting marketing, PR, and digital campaigns, translating strategies into creative materials for print, digital, and social channels Experience in developing content for B2B and B2C audiences Proven involvement in traditional and digital design and multimedia production Familiarity with UX/UI principles and digital brand experience design

License/Certification:

• None

All interested applicants may send your CV to wddelosangeles@generali.com.ph and ebbaron@generali.com.ph

Location: Petron Megaplaza, Buendia, Makati City

Work set-up: Hybrid (3x onsite, 2x Work from Home/Anywhere every week)

Department: Operations – Group Pricing

Benefits:

• 13th month’s pay
• 14th month’s pay
• Health Insurance (In-Patient and Out-patient) on Day 01; while Dependents is upon regularization
• Group Life Insurance effective 1st day of your employment
• Group Accident Insurance effective 1st day of your employment
• Retirement Benefits (vesting starts once reached 5 years in service)
• Annual Medical Allowance
• 15 days’ Vacation Leave
• 15 days’ Sick Leave
• 3 days’ Emergency Leave

Duties and Responsibilities:

1. Computation of new and renewal quotations
   1. Immediate feedback on completeness of information required for quotations
   2. Reviews the history of group accounts (new and existing/renewal businesses) for quotations
   3. Provides reasonable and accurate quotations
   4. Releases initial new business quotation to Group Sales within the following target Turn-around –time (TAT):
      1. Group Life – 2 days from submission of complete documents
      2. Group Hospitalization – 3 days from submission of complete documents
   5. Releases initial renewal business quotations to Group Sales at least 90 days from renewal of the account
   6. Releases revision of new business & renewal business quotations within the following Turn-around-time (TAT):
      1. Group Life – 1 day from submission of complete documents
      2. Group Hospitalization – 2 days from submission of complete documents
2. Analysis and review of utilization experience of Renewing group accounts for Renewal purposes and Experience Refund computation
   1. Provides feedback to concerned departments with regard to accuracy of utilization experience
   2. Prepares the Claims Analysis to be forwarded to Sales Department
   3. Recommends further analysis for accounts with high utilization experience
   4. Address queries and/or concerns of internal and/or external customers
3. Download billed premiums and Medical Claims of existing businesses from MAS, for purposes of quotations
   1. Sorts billed premiums per account per specific coverage period
   2. Compares consistency of billed premiums with estimated computed annual premiums
   3. Provides feedback to concerned departments with regard to accuracy and consistency of information downloaded
   4. Supports in addressing queries and/or concerns of internal and/or external customers
4. Other tasks/projects that may be assigned from time to time

Qualifications

Education:

• University graduate preferably with a degree in actuarial science, mathematics, statistics, or with other math-related courses.

Experience:

• Preferably with work experience in Group insurance pricing is an advantage
• Fresh graduates are also encouraged to apply

License/Certification:

• None

All interested applicants may send your CV to wddelosangeles@generali.com.ph and ebbaron@generali.com.ph

Location: Petron Megaplaza, Buendia, Makati City

Work set-up: Hybrid (3x onsite, 2x Work from Home/Anywhere every week)

Department: Sales Distribution

Benefits:

• 13th month’s pay
• 14th month’s pay
• Health Insurance (In-Patient and Out-patient) on Day 01; while Dependents is upon regularization
• Group Life Insurance effective 1st day of your employment
• Group Accident Insurance effective 1st day of your employment
• Retirement Benefits (vesting starts once reached 5 years in service)
• Annual Medical Allowance
• 15 days’ Vacation Leave
• 15 days’ Sick Leave
• 3 days’ Emergency Leave

Duties and Responsibilities:

• Sells Group Life Insurance through partner brokers
• Introduce Generali capabilities, existing and new products
• Converts leads to proposal.
• Monitors the performance of assigned account
• Builds and manages relationship with clients and partner brokers
• Builds productive business relationship with clients through delivery of quality service
• Responds to broker’s concerns and queries on time
• Provides efficient client services by working closely with Group Life Operations and other support units
• Undertakes other tasks that may be reasonably expected of the role and as may be necessary to achieve the Company’s goals

Qualifications

Education:

• University graduate with a degree preferably in any business- related course

Experience:

• At three (3) to five (5) years of sales work experience

All interested applicants may send your CV to wddelosangeles@generali.com.ph and ebbaron@generali.com.ph

Location: Petron Megaplaza, Buendia, Makati City

Work set-up: Hybrid (3x onsite, 2x Work from Home/Anywhere every week)

Department: Operations – Billing

Benefits:

• 13th month’s pay
• 14th month’s pay
• Health Insurance (In-Patient and Out-patient) on Day 01; while Dependents is upon regularization
• Group Life Insurance effective 1st day of your employment
• Group Accident Insurance effective 1st day of your employment
• Retirement Benefits (vesting starts once reached 5 years in service)
• Annual Medical Allowance
• 15 days’ Vacation Leave
• 15 days’ Sick Leave
• 3 days’ Emergency Leave

Duties and Responsibilities:

1. Policy Set-up
   1. Set up client details and benefit schedule in MAS for new and renewed accounts.
   2. Uploading of member records in Assistance System (MAS)
2. Billing for Premium & Non-premium Receivables
   1. Prepares initial/renewal premium billing in MAS
   2. Prepares supplemental premium billing in MAS
   3. Prepares billing for ASO/TPA
   4. Prepares billing for Non-Premiums (Retainers fee and Network fees, Dental fees, if necessary
3. Client service and reconciliation
4. Undertakes all other tasks/projects that may be assigned from time to time

Qualifications

Education:

• College graduate with a degree in any business-related course

Experience:

• At least one (1) year1 of relevant work experience
• Billing and/or Collection related work experience

License/Certification:

• None

All interested applicants may send your CV to wddelosangeles@generali.com.ph and ebbaron@generali.com.ph

Location: Petron Megaplaza, Buendia, Makati City

Work set-up: Hybrid (3x onsite, 2x Work from Home/Anywhere every week)

Department: Operations – Customer Care

Benefits:

• 13th month’s pay
• 14th month’s pay
• Health Insurance (In-Patient and Out-patient) on Day 01; while Dependents is upon regularization
• Group Life Insurance effective 1st day of your employment
• Group Accident Insurance effective 1st day of your employment
• Retirement Benefits (vesting starts once reached 5 years in service)
• Annual Medical Allowance
• 15 days’ Vacation Leave
• 15 days’ Sick Leave
• 3 days’ Emergency Leave

Duties and Responsibilities:

1. Customer Service
   1. Handle, manage and respond to customer inquiries or requests or concerns in a timely and emphatic manner
   2. Provide accurate, valid and complete information by using the right methods/tools
   3. Troubleshoot problems and resolve technical or policy issues
2. Data Management
   1. Record customer interactions, transactions, complaints et al.
   2. Process forms and requests
3. Clooping
   1. Close the loop for NPS detractors within 48 hours from case receipt
   2. Create reports and monitor the status of the detractors
   3. Submit reports to Core NPS Team on a regular basis
4. Other jobs/tasks that may be assigned as required by the department

Qualifications

Education:

• Graduate of a bachelor’s degree

Experience:

• At least a year of experience in customer service / BPO industry, preferably handled insurance or medical transactions

License/Certification:

• None

All interested applicants may send your CV to wddelosangeles@generali.com.ph and ebbaron@generali.com.ph