Summary
Work History
Education
Skills
Timeline
Generic

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

Excellent Communication

Decision-Making

Teamwork and Collaboration

Flexible and Adaptable

Organization and Time Management

Planning and Coordination

Self-Motivated

Active Listening

Good Telephone Etiquette

Written Communication

Multitasking Abilities

Interpersonal Communication

Dependable and Responsible

Analytical and Critical Thinking

Attention to Detail

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

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Camille ParidoSenior Fraud And Claims Operations Representative