Claims Admin officer
Allianz worldwide care
Total years of experience :12 years, 2 Months
Register incoming claims received by post, email and fax to ensure that daily
clear to zero targets are achieved.
Data enter incoming claims to optimize claims adjudication and ensuring
departmental SLA’s are achieved.
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Collate and post claims letter in order to provide clients with notification of
their claims.
Maintain accurate filing records in a manner that allows files to be located
quickly thereby ensuring that customer queries can be dealt with efficiently.
Resend unsuccessful emails ensuring Customers are notified of the status of
their claims.
Run daily report on duplicate payment to ensure company objectives on cost containment are achieved.
Provide ad hoc support to the Claims Department to ensure clear to zero targets are achieved.
Manage Cheques issuance.
E-Claims - ensures to download all the XML files uploaded by the provider’s from DHPO at the same day for processing.
Remittance Advise - ensures to upload XML files to the DHPO once done for processing.
Processor - One liner (speed processing).
Follow up a process of invoice both Internals and external
Archiving of Invoice data according to its categories.
Able to work with different environments handling multiple clients and contacts for each invoice.
Able to find and spot the invoices which don’t have PO or the documents which doesn’t contain PO.
Approval / Research and Rectify errors on Charge Code and other type GL Code errors.
Installing and configuring computer systems
Diagnosing and solving hardware/software faults
Troubleshooting system and network problems and diagnosing and solving hardware or software faults.
Coordinate with cross-functional teams to resolve complex problems/issues.
Provide technical support to ensure that hardware and software systems are fully functional.
Manage security administration activities for systems.
Create and generate reports in timely and accurate manner.
Defending and Quality Controls and Encoding the Product.
College Certificate: Information Technology Ama Computer Learning Center 4th Flr. RLK Bldg. Corner B. Mendoza and Tiomico Sts. City of San Fernando, Pampanga ( Year Graduated 2008-2010)
Secondary: St. Mary's Academy San Roque, Guagua Pampanga (Year Graduated 2004-2008)
Primary: St. Mary's Academy San Roque, Guagua Pampanga (Year Graduated 1997-2004)