Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
13
13
years of professional experience
Work History
Insurance Clerk-Medical Underwriting Department
Al Dhafra Insurance Company
05.2016 - Current
Checked documentation for accuracy and validity on updated systems.
Processed and recorded new policies and claims.
Reviewed and verified addresses, phone numbers, names, ages and values.
Modified, updated and processed existing policies.
Generated, posted and attached information to claim files.
Analyze and collect information in insurance applications.
Examining insurance proposals and writing quotes.
Determine appropriate premiums and amount of coverage.
Preparing and processing the insurance policy and documents.
Screen applications (additions, deletions, modifications) of insurance based on set criteria and required documents.
Evaluate and process insurance applications on the system (enrollment, cancellation, etc.)
Coordinating and communicating with the client, broker, or third party regarding insurance requests.
Reporting to the supervisor and manager for any issues and decisions that need their approval.
SME Business Process/Transaction Processing Associate
Accenture Philippines
02.2011 - 02.2016
Supported teams in the continuous delivery of quality products and services, enhancing usage and introducing new features.
Improved user productivity and efficiency through system training and support.
Built, edited, and tested customized computer system programs.
Collected, arranged, and inputted information into a database system.
Gathered, organized, and input information into a digital database.
Perform data entry and research in various systems and tracking tools.
Apply knowledge of processes and related systems to assist in identifying, assessing, and resolving issues/problems
Assess and resolve non-standard and standard issues or problems.
Seek advice and escalate issues when faced with tasks/problems outside the scope of the work.
Facilitate training for the team’s new hires and monitor and analyze their performance from classroom training and service rehearsal until they’ll be able to perform and join the team for live and real time process.
To provide support to the team in terms of their processing issues and questions and gap identification process.
Provide coaching for any process errors and help create smart action plans to mitigate future discrepancies in the process.
Attend weekly calls with the onshore clients to discuss the team’s overall performance in terms of inventory and quality.
Discuss with them any risks and issues or current breaches and escalations and provide them with smart action plans.
Education
Bachelor of Science - Business Administration Major in Marketing
Polytechnic University of The Philippines
Sta. Mesa, Manila, Philippines
05.2006
High School Diploma -
High School Greenville College
Pasig City, Philippines
05.2002
Skills
Excellent Administrative Abilities
Data Coding
Records Management
Underwriting Support
Office Administration
Insurance Knowledge
Computer Proficiency
Customer Service
Fraud Detection
Insurance Verification
Policy Issuance
Product Knowledge
Accomplishments
Most Valuable Processor as one of the top performers of my team.
Certified Trainer for Wellpoint in July 2014.
Promoted as Subject Matter Expert in 2015
Timeline
Insurance Clerk-Medical Underwriting Department
Al Dhafra Insurance Company
05.2016 - Current
SME Business Process/Transaction Processing Associate
Accenture Philippines
02.2011 - 02.2016
Bachelor of Science - Business Administration Major in Marketing
Polytechnic University of The Philippines
High School Diploma -
High School Greenville College
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