Summary
Work History
Education
Skills
Timeline
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Camille Parido

Senior Fraud And Claims Operations Representative
Taguig City

Summary

Dynamic professional with extensive experience at Wells Fargo, excelling in problem-solving and communication. Proven track record in enhancing operational efficiency and achieving high customer satisfaction. Adept at collaborating in teams and managing time effectively, I leverage analytical skills to drive process improvements and deliver exceptional results in fast-paced environments.

Work History

Claims Assurance Quality Control

Wells Fargo
  • Self-motivated, with a strong sense of personal responsibility.
  • Excellent communication skills, both verbal and written.
  • Proven ability to learn quickly and adapt to new situations.
  • Skilled at working independently and collaboratively in a team environment.
  • Worked well in a team setting, providing support and guidance.
  • Passionate about learning and committed to continual improvement.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Assisted with day-to-day operations, working efficiently and productively with all team members.
  • Worked effectively in fast-paced environments.
  • Worked flexible hours across night, weekend, and holiday shifts.
  • Strengthened communication skills through regular interactions with others.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Paid attention to detail while completing assignments.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Organized and detail-oriented with a strong work ethic.
  • Learned and adapted quickly to new technology and software applications.
  • Resolved problems, improved operations and provided exceptional service.
  • Proved successful working within tight deadlines and a fast-paced environment.
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
  • Participated in team projects, demonstrating an ability to work collaboratively and effectively.

Senior Process Executive

Cognizant Technology Solutions
  • Maintained a positive work environment by fostering open communication, providing constructive feedback, and recognizing team achievements.
  • Supervised meetings to maintain interdisciplinary communication of process weaknesses and performance.
  • Collaborated with peers to measure ongoing process performance, enacting changes based on historical data.
  • Generated monthly metric reports, interpreted results and developed processes and solutions.
  • Implemented robust quality control measures to minimize errors, reduce rework, and maintain customer satisfaction levels.
  • Managed high-performing teams to deliver projects on time, within budget, and exceeding expectations.
  • Coordinated multi-team process initialization, reducing associated redundancies and dependencies.
  • Conducted detailed data analyses for informed decision-making and proactive problemsolving.
  • Standardized processes for increased consistency, reliability, and ease of replication across departments.
  • Provided strategic and operational recommendations for improvement across departments.
  • Developed comprehensive reports to track progress, identify trends, and provide actionable insights for senior management.
  • Optimized production quality by identifying bottlenecks and developing targeted solutions.
  • Enhanced process efficiency by streamlining workflows and implementing automation strategies.
  • Collaborated closely with research and development teams to bring innovative ideas from conceptualization through implementation stages.
  • Developed systematic methodology for communicating results to team and facilitating feedback and response.
  • Developed remediation plans for team to provide compliance attestation and reported common control procedures and effectiveness.
  • Spearheaded cross-functional collaboration for improved communication and seamless project execution.
  • Facilitated change management initiatives to drive business transformation efforts successfully throughout the organization.
  • Determined change management needs and defined behaviors for effective program management.

Insurance Verification Specialist

Arriva Medical
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
  • Updated patient records with accurate, current insurance policy information.
  • Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Posted payments to accounts and maintained records.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Trained new staff on current, correct insurance verification procedures.
  • Generated reports to track insurance verifications and claim progress.
  • Achieved insurance pre-authorizations to enable timely patient procedures.
  • Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
  • Assisted patients with understanding personalized insurance coverage and benefits.
  • Minimized delays in treatment scheduling by promptly identifying potential coverage issues and working proactively towards their resolution.
  • Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
  • Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
  • Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
  • Facilitated successful introduction of new electronic verification system, improving data accuracy.
  • Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
  • Collaborated with healthcare providers to ensure that insurance coverage met needs of patient treatments.
  • Implemented improvements to existing verification processes, increasing accuracy rates while reducing time spent on manual tasks.
  • Ensured accuracy in patient insurance information by meticulously verifying details, leading to reduction in claim denials.
  • Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
  • Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
  • Improved claim submission times by streamlining verification and authorization process.
  • Assisted in negotiating with insurance companies to secure better coverage options for patients.
  • Streamlined insurance verification process, reducing wait times for patients and medical staff.
  • Supported patient access to care by efficiently resolving insurance-related issues and inquiries.
  • Maintained up-to-date knowledge of insurance policies and changes, aiding in accurate verification.
  • Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
  • Enhanced patient satisfaction by providing clear explanations of insurance benefits and coverage.
  • Expedited patient registration process by efficiently validating eligibility for various insurance plans.
  • Reduced errors in insurance claims by conducting thorough audits and implementing corrective measures.
  • Optimized use of insurance verification software, leading to faster processing times.
  • Increased accuracy of insurance verification, ensuring compliance with both provider and insurer requirements.

Education

Bachelor Of Science In Computer Science - Computer Science

Taguig City University
Taguig City
05.2014

Skills

Problem-Solving

Timeline

Claims Assurance Quality Control

Wells Fargo

Senior Process Executive

Cognizant Technology Solutions

Insurance Verification Specialist

Arriva Medical

Bachelor Of Science In Computer Science - Computer Science

Taguig City University
Camille ParidoSenior Fraud And Claims Operations Representative