Intermediary Partners Assistant

Maxicare Health Care
Posted 1d ago

Reports to (Position of Immediate Superior): Intermediary Partners Operations Manager

PRIMARY JOB RESPONSIBILITY

● Assists in the overall management of intermediary partners after accreditation up to 

disaccreditation

● Helps in the fulfillment of defined activities and initiatives for agent validation and retention

I. JOB DESCRIPTION

A. Duties and Responsibilities done at PERIODIC or REGULAR Intervals

  • Responds to intermediary partners’ emails, calls, or texts (general inquiries and requests)
  • Updates basic information of intermediary partners (email address, bank details, etc.)
  • Updates databases, shared files, and monitoring log sheets
  • Requests updating of website for the list of legitimate agents
  • Assists in the facilitation of HMO renewal and enrollment for qualified agents
  • Monitors HMO payment of enrolled agents
  • Assists in the facilitation of agency production and plantilla review, and agency clean-up
  • Sends reminders on agency production performance
  • Helps in the facilitation of awarding of agency incentives

B. Duties and Responsibilities done at IRREGULAR or INTERMITTENT Intervals

  • Approves social media sites of agents used for Maxicare business
  • Facilitates data changes and responds to intermediary partner-related concerns
  • Facilitates agency movement requests (transfers, promotions, resignations, and downgrades)
  • Cascades advisories to intermediary partners
  • Helps in the facilitation and implementation of agency initiatives and events

C. STANDARD RESPONSIBILITY STATEMENTS

✓ Strives to embody, commits to support and deliver the quality policy, objectives and initiatives of the organization;

✓ Communicates, engages, directs and supports people to contribute to the QMS effectiveness;

✓ Demonstrates commitment to customers by ensuring applicable statutory and regulatory requirements are determined, understood and consistently met;

✓ Abides by the QMS policies and procedures for the effective management and control of its processes; and

✓ Promotes and utilizes the Process Approach and Risk-based Thinking at work.

✓ Performs other RELATED functions that may be assigned BY THE IMMEDIATE SUPERIOR

II. JOB SPECIFICATIONS

A. SKILLS

1. EDUCATIONAL REQUIREMENT

MINIMUM educational level and background required by this POSITION: College graduate of 4, 5 year-course.

2. EXPERIENCE AND TRAINING

PERIOD OF TIME OR LENGTH of related experience the CANDIDATE must acquire before being

assigned to and perform the functions of this job, SATISFACTORILY under NORMAL supervision: One year - Less than 3 years

3. SKILLS REQUIREMENT

  • Has good command of the English language
  • Proficient in Microsoft Office and Google Applications
  • Has good interpersonal skills
  • Keen to details
  • Team player

B. RESPONSIBILITY

1. ACCOUNTABILITY – ASSETS, CASH, EQUIPMENT

Value or worth of company assets (cash, checks, financial instruments, investments, tools,

materials, machinery, equipment, and supplies) this POSITION is accountable for:

SPECIFY ASSETS, CASH AND EQUIPMENT DIRECTLY ACCOUNTED FOR:

Laptop, Mobile Phone

2. ACCOUNTABILITY – RECORDS AND DOCUMENTS

Level of CONFIDENTIALITY AND IMPORTANCE of the information, records, reports, and

documents prepared, maintained, has access to, and handled by this POSITION

Critical, Operational - Only identified and selected individuals are given the privilege of

knowing the contents of any documents; disclosure may have an APPRECIABLE EFFECT on

the company.

3. NEED FOR SUPERVISION

EXTENT of work supervised or managed by the Immediate Superior, whether the job is limited

or diversified; quantify range of activities, VARIETY of tasks to be carried out, and the DIVERSITY

of the problem to be solved

● Follows establishment procedures generally; refer only unusual cases to superior.

4. CONTACTS – INTERNAL AND EXTERNAL

EXTENT the work required in making personal contacts inside and outside of the organization,

level of importance of contacts; FREQUENCY they are made; LEVEL OR DEGREE they involve

exchanging information, dealing with people, exerting influence, persuading them to take

action, etc. Broad, Significant

C. EFFORT

1. PHYSICAL EFFORT

USUAL POSITION at work of this JOB considering energy needed and exerted to satisfactorily

perform the job 

Sitting, speaking and/or traveling are done in intervals, in combination or alternately.

2. MENTAL EFFORT

AMOUNT OF THINKING to analyze problems; develop and evaluate solutions to given problems

Standardized – Job encompasses SEVERAL areas; solution to the problem is READILY APPARENT

in differing situations requiring such for solutions within the area of learned things.

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Company profile

Maxicare

Information & Communication Technology101-1,000 employees

Maxicare Healthcare Corporation is the no.1 health maintenance organization (HMO) in the country. It was established in 1987 by an esteemed group of doctors with a vision to provide a better healthcare delivery system. For 25 years, Maxicare has been providing peace of mind through quality healthcare programs and unsurpassed levels of service to top corporations, industry leaders, small and medium enterprises, individuals and families across the country.

Maxicare is a member of the Equicom Group, a diversified conglomerate engaged in the areas of information technology, computer services, banking, financial and leasing services, and healthcare. The proven leadership and solid reputation in the business of the moving force behind the Equicom Group have equipped Maxicare to continuously deliver the best healthcare service possible boosting its position as the leading HMO in the country.

History

Milestones:

1987- Group of Doctors from Makati Medical center and a few Businessmen established Maxicare with a vision for a better

healthcare for the company

1997- PCIB CIGNA entered into a joint venture with Maxicare to expand operations in the Philippines therefore changing the

company name to maxicare PCIB CIGNA Healthcare Corporation

2002- A merger with Equitable bank changed the company name to Maxicare EPCIB Healthcare

Maxicare also launched the flexiclaims system

2003- Name was change tio Maxicare Healthcare Corporation

2004- Maxicare reached its 1 Billion sales

Maxicare opened its Primary Care Center in the Medical City

2005- Maxicare launched its intelligent cards

Maxicare partnered with Medilink Inc to use POS terminals in hospitals and clinics for quick validation of membeship

status.

Maxicare opened its Cebu Sales office

Maxicare opened Primary Care Centers in St Lukes Medical Center and Cebu Dictor's Inc

2006- Equitable PCIB merge with BDO

Maxicare opened Delos Santos Medical Center PrimaryCare Center

2007- Maxicare launched its premium and platinum cards

Maxicare was acquired by Pin-An Holdings of the Antonio Go Group of Companies.

2008- Maxicare opened its Filomena Primary Care Center located in AMkati City

2009- Maxicare opened its 8th Primary Care Center in My Health Clinic, Festival Super Mall, Alabang, Muntinlupa City

2010- Maxicare opened Primary Care Centers at St Luke's Medical Center - Global City and Quezon City, My Health Clinic- Robinson's Cybergate (Cebu)

Product & Services

Full HMO Comprehensive Health Program

Premium based program which includes In-Patient Care, Out-Patient Care, Annual Check-Up, Emergency Care and Preventive Care (Wellness Campaigns, Immunization Programs, Health Counseling and Family Planning Counseling)

Administrative Service (ASO) Program

Founded type of healthcare program applicable for companies with over 300 employees whrein only actual usage of healthcare is paid for, without sacrificing the advantages of a regular healthcare program.

Unbundled In-Patient Program

Consists of standard In-Patient benefits only

Unbundled Out-Patient Program

Consists of standard Out-Patient program

Individual and Family Plans

Small Group Plans

International Emergency Assistance

Perks and benefits
Medical
Loans
Dental

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