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
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
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