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Jerome Solis, Claims Processing Manager

Jerome Solis

Claims Processing Manager·Nextcare Claims Management

United Arab Emirates

Bachelor's degree, Physical Therapy

Work experience

Total years of experience: 27 years, 11 months

Claims Processing Manager

November 2013 - August 2025

Nextcare Claims Management

Dubai, United Arab Emirates

November 2013 - August 2025

Lead and Manage Claims Management Department comprising of both direct and matrix management within the organization’s operations unit. Development and execution of strategy to ensure growth and strong market position. Develop and manage KPIs and design claims controls and risk management framework including user roles segregation and healthcare provider controls and payment order releasing management. Provide adequate and timely management reporting to ensure claims management scorecard is visible and department performance is within the operating plan.

Company industry:
Insurance & TPA

Manager - Claims Management

November 2013 - January 2025

Department/Nextcare Claims Management LLC,

Dubai, United Arab Emirates

November 2013 - January 2025

Lead and Manage Claims Management Department comprising of both direct and matrix management
within the organizations operations unit. Development and execution of strategy to ensure growth and
strong market position. Develop and manage KPIs and design claims controls and risk management
framework including user roles segregation and healthcare provider controls and payment order
releasing management. Provide adequate and timely management reporting to ensure claims
management scorecard is visible and department performance is within the operating plan.

Company industry:
Insurance & TPA

Supervisor

January 2002 - November 2013

Department/Nextcare Claims Management LLC,

Dubai, United Arab Emirates

January 2002 - November 2013

Monitors the teams KPIs and productivity. Influence, lead and motivate a purpose driven team to
enhance quality and productive output by implementing the benchmark process standards and strategic
objectives. Administer and process medical claims from different healthcare providers for various
insurance companies in the region from claim information data entry, filing and making payment orders
for the processed claims.

Company industry:
Insurance & TPA

Physiotherapist (Weekend Volunteer)/Pasay

March 2001 - April 2002

City General Hospital,

Pasay, Philippines

March 2001 - April 2002

Treat patients with various types of medical conditions/diseases at the hospital including documenting
the patients physical therapy condition.

Company industry:
Other Healthcare Services

Physiotherapist/Physical Therapy Staff/San

January 2001 - January 2002

Isidro Physical and Occupational Therapy Clinic Co.

Manila, Philippines

January 2001 - January 2002

Evaluate and treat patients with various types of medical conditions/diseases at the clinic including
documenting the patients physical therapy condition. Also is tasked for the education and supervision
of the Physical Therapy interns at the clinic.

Company industry:
Other Healthcare Services

Physiotherapist/Clinical Supervisor/Philippine

October 1997 - January 2001

Physical Therapy and Care Giver (PTAC) Foundation Inc.

Quezon City, Philippines

October 1997 - January 2001

Evaluate and treat patients with various types of disease conditions at the
clinic and on numerous medical missions, document patients physical therapy conditions. Responsible
for the education and supervision of the physical therapy interns training at the foundation.

Company industry:
Other Healthcare Services

Education

Emilio Aguinaldo College

April 1996

April 1996

Bachelor's degree, Physical Therapy

Philippines

Aguinaldo College

January 1996

January 1996

Bachelor's degree, Physical Therapy/Emilio

Philippines

Skills

CLAIMS AND LITIGATION MANAGEMENT
Intermediate
CLAIMS AND LITIGATION MANAGEMENT
Intermediate
CLAIMS PROCESSING
Intermediate
CLAIMS PROCESSING
Intermediate
CROSS FUNCTIONAL COLLABORATION
Intermediate
CROSS FUNCTIONAL COLLABORATION
Intermediate
CUSTOMER SERVICE
Intermediate
CUSTOMER SERVICE
Intermediate
DIGITAL TRANSFORMATION
Intermediate
DIGITAL TRANSFORMATION
Intermediate
KEY PERFORMANCE INDICATORS KPIS
Intermediate
KEY PERFORMANCE INDICATORS KPIS
Intermediate
MARKET POSITIONING
Intermediate
MARKET POSITIONING
Intermediate
OPERATIONS
Intermediate
OPERATIONS
Intermediate
PROCESS MANAGEMENT
Intermediate
PROCESS MANAGEMENT
Intermediate
PROJECT RISK MANAGEMENT
Intermediate
PROJECT RISK MANAGEMENT
Intermediate

Training and Certifications

Certifications
Philippine Physical Therapy Professional License No./0004662