One OPS Roster

Tuesday, June 20, 2023

8:36 AM
 
***Maturan -- Doctor's fit to work (internal doctor)
TABLADA, Roan Joy -- WFH (current, 1 month)
 
CARULLO, Beatriz Marie -- WFH
 
 
 
 
Aiza --- done
Jomar ---
 
 
 
 
Department Vacancies
Claims 2
Underwriting Life and Health 1
Service Delivery Excellence 2
Policy Management 1
OPS GI Claims 2
Payments and Collections Services 1
Customer Experience 2
 
 
 Reimbursement Specialist (3 FTEs) – JG 9
 Inpatient  Liaison Officer (1 FTE) – JG 9
 Outpatient Claims Officer (1 FTE)– JG 9
 Teleclaims Officer (5 FTEs) – 3, JG 8 and 3 2 JG 9
Provider Approval (2 FTEs) – JG 9
 
 
Timeline: May – June (URGENT)  
Reimbursement Specialist JG9 – 3 FTEs
Tier 1  Teleclaims Officer JG 8 – 3 FTEs
Tier 2 - Teleclaims Officer JG 9  - 2 FTEs
OP Claims Officer JG 9 – 1 FTE
 
 
Timeline: Q4
Provider Approval JG 9 – 2 FTEs
Reimbursement Specialist JG9 (SOA validation) – 1 FTEs
 
 
 
Process Automation Manager - LM - Jeremy Castro
 
 
 
 
Hello Jan, emailed the SLTs for confirmation. 
 
Division Vacancies (As Q3-Q4 2023 Total Comments
of Jul 6) Remaining Vacancies
Claims 2 4 6 COE Head (JG 13) - 1 FTE 
Life Claims Senior Officer- 1
FTE 
 
May-June:
OP Claims Officer JG 9- 1 FTE  -
No Taleo
Q4 2023:  
* Provider Approval JG 9 – 2
FTEs
* Reimbursement Specialist
JG9 (SOA validation) – 1 FTE
Underwriting Life 1   1 Senior UW Manager (JG 12) =
and Health 1 FTE
Service Delivery 2   2 Process Engineer (JG 11)  - 1
Excellence FTE 
Process Automation Manager
- 1 FTE
Policy Management 1   1 Senior Policy Benefits
Specialist (JG8) - 1 FTE
OPS GI Claims 2   2 Sr. Claims Handler (Davao) - 1
FTE 
Claims Admin Associate - 1
FTE
Payments and 1   1 Collections Specialist (JG 7) - 1
Collections Services FTE
Customer Experience 2   2 Sr. Customer Care Executive
(JG 8) - 1 FTE 
 Branch Services Specialist
(Makati Service Center) - 1 FTE
Total 11   15