ANIDEL HICETA
Registered Nurse
Manila, Metro Manila,00
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
13
13
years of professional experience
Work History
Claims Supervisor
Caritas Heath Shield Inc.
06.2018 - 11.2023
- Monitored team performance, enforcing compliance with corporate claims processes and procedures.
- Processing all types of medical claims, from dental, outpatient and inpatient claims.
- Increased accuracy in claim evaluations through comprehensive documentation and attention to detail.
- Fostered a positive work environment that promoted collaboration, teamwork, and open communication among staff members.
Outpatient Claims Team Leader
Medilink Network Inc.
04.2015 - 03.2018
- Submitted timely and accurate assessments of team performance to leadership with identification of areas of opportunity and outlined steps required to improve outcomes.
- Communicated with staff, leaders and peers to coordinate successful collaboration with other departments.
- Conducted file reviews, field re-inspections and staff ride alongs to assess staff accuracy and compliance.
Business Process Associate
Integra Business Processing Solutions
03.2011 - 01.2012
- Reduced turnaround times for critical business processes by streamlining workflows and eliminating redundancies where possible.
- Maintained thorough documentation of all business processes, enabling accurate tracking of progress against established targets or benchmarks over time.
- Initiated timely response to emails, voicemails, and written correspondence.
Education
Bachelor of Science - Nursing
Delos Santos - STI College of Health Professions
E. Rodriguez Sr. Ave, Q.C11-2007
Bachelor of Science - Chemistry
Adamson University
900 San Marcelino Ermita Manila06-2002
Skills
Claims management expertise
Insurance policy sales
Policy interpretation
Claims analysis
Planning and organization
Claims processing
MS office suite
Quality assurance
Claims investigation and research
Willing to learn
Multitasking
Excellent communication
Timeline
Claims Supervisor
Caritas Heath Shield Inc.
06.2018 - 11.2023
Outpatient Claims Team Leader
Medilink Network Inc.
04.2015 - 03.2018
Business Process Associate
Integra Business Processing Solutions
03.2011 - 01.2012
Bachelor of Science - Nursing
Delos Santos - STI College of Health Professions
Bachelor of Science - Chemistry
Adamson University