Junior Representative – Medical Department
Arabia Insurance Company
Total years of experience :17 years, 10 Months
• Feeds information into the Oracle system, issues, wraps, delivers and dispatches policies to clients as per technical manuals and directives • Maintains established departmental policies, procedures and objectives • Assists in reports preparation • Responsible for Card printing for Addition, Card replacement and Card correction • Performs all clerical work necessary for the issuance of the new and existing medical insurance policies and endorsements • Opens a file and keeps chronological track on the policy • Keeps a register of all incoming and outgoing correspondence of the Medical Department • Collect the original claim documents and ensure dispatch of the same. • Handles all the filing related job • Enhances professional growth and development through participation in educational programs and training sessions • Assists in the orientation and on-the-job training of new employees and trainees • Performs other related duties as assigned or requested by direct supervisor•Prepare medical quotations•Medical policy issuance
• Accurate input of claims data into claims payment system.
• Application of contract provisions and administrative practices to determine eligibility of claims submitted.
• Accurately analyze and adjudicate claims through research and investigation of all health and dental documentation submitted.
• Ensure efficient and accurate decisions are made while meeting the service, quality and quantity standards set by management.
• Assigned as a Contact Lead for Savannah Location, AP - Building Products, Georgia Pacific Account.
• Assigned in Updating, Reporting and Distribution of Customer Service Tickets.
• Validate, input, verify and post Invoice data.
• Monitor exception invoice resolution
• Disburse checks for posted invoices
• Execute special check runs
• Re mediate returned checks
• Validate disbursements processed by Bank
• Process wire and tax transfers as required
• Meet or exceed Operational throughput/quality
• Perform ad hoc reporting and special projects
• Client-based affiliate assigned to Procter & Gamble Philippines
• Handle invoice postings Accounts Payable via SAP (System Application Product) for Singapore market: • Conduct mapping of Purchase Order number for the invoices subject for posting
• Provide solutions to the queries and escalations from Philippines and Singapore Process Owners
• Data/Document transaction processor for accounts payable
• Submit Asia Exports account Accounts Payable Recon and A/P GIT to Process Owners
• Responsible for tracking of invoices being sent to scanner
Data Validation
(July 2006 - Feb 2007)
• Checks data accuracy submitted by the data entry operator
• Submits checked data to verification team
• Raised insufficiencies, queries to the Client Managers based in Australia, China, Hong Kong, Singapore, India and the Philippines
• Tasked to do the first data validation for Australian RefSure Background Check
• Raised insufficiencies, queries of a particular search to the Quality Consultant of Australian RefSure Background Check
• Submits draft Australian RefSure MIS (Management Information System) to Senior Associate
Data Entry Operator
(May 2006 - July 2006)
• Encodes data of candidates for employment background check before submitting to data validation team
• Seconded to data validation work
Bachelor of Arts in Political Science
Department of Science and Technology - Special Science Oriented Class
Primary 1991-1997 Polangui South Central Elementary School Polangui, Albay, Philippines Graduated with Honors
