CROZET JOY B. ARELLANO
Puerto Princesa City,Palawaj
Summary
Experienced Medical Doctor specialising in utilisation review, medical record analysis, and insurance case evaluation. Expertise encompasses emergency medicine, inpatient care, and medico-legal case management. Proficient in assessing medical necessity and reviewing clinical documentation to support claims decisions.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Legal Assistant / Pre-Litigation Case Manager
Farahi Law Firm
01.2025 - Current
- Collaborate with attorneys by translating complex medical data into clear, actionable insights
- Assisted in evaluating medical necessity and causation of injuries in personal injury cases to strengthen case arguments
- Analysed medical documentation to substantiate insurance claims and facilitate settlement decisions
- Conducted detailed medical record reviews to determine injury severity, treatment appropriateness, and overall case value
- U.S.-based
Artificial Intelligence Trainer – Medical
Outlier AI
02.2024 - 02.2025
- Reviewed and validated clinical content, ensuring accuracy, consistency, and adherence to evidence-based standards
- Applied critical appraisal skills to align medical information with accepted guidelines, enhancing reliability
- Identified issues, analysed information, and provided effective solutions to improve outcomes.
Animal Bite Treatment Center Physician
Southern Palawan Provincial Hospital
11.2021 - 12.2024
- Assessed and managed cases according to treatment protocols and risk stratification to optimise patient outcomes
- Ensured compliance with national clinical guidelines and maintained accurate documentation to support quality patient care
- Participated in multidisciplinary team meetings, contributing to patient care planning and problem-solving.
- Provided urgent care for acute illnesses and injuries, stabilising patients and arranging further treatment when necessary.
- Collaborated with specialists and other healthcare professionals to provide comprehensive patient care.
Medical Officer III / Outpatient Department Section Head
Southern Palawan Provincial Hospital
11.2021 - 12.2024
- Supervise outpatient services, maintaining efficiency and quality of care delivery
- Evaluate and manage patient cases with a focus on appropriate diagnostics and treatment planning
- Collaborated with specialists and healthcare professionals to deliver comprehensive patient care
- Communicated clearly and compassionately to provide outstanding patient care and ongoing condition management.
- Ensured clinical documentation supported continuity of care and met compliance standards
- Responded to emergency calls, delivering timely assistance and support to individuals in distress
Hospitalist
ACE Medical Center Palawan
03.2022 - 03.2024
- Coordinated diagnostic testing and interventions based on clinical indications to optimise patient outcomes
- Documented patient progress and clinical decision-making to validate care decisions and support treatment plans
- Managed inpatient admissions, ensuring appropriate care level and effective treatment planning
Hospitalist
Adventist Hospital Palawan
05.2018 - 03.2024
- Managed inpatient admissions, ensuring appropriate level of care and effective treatment planning
- Coordinated diagnostic testing and interventions based on clinical indications, enhancing patient outcomes
- Documented patient progress and clinical decision-making, reinforcing care justification and continuity of treatment
Medical Officer III (Obstetrics & Gynecology)
Philippine General Hospital
01.2017 - 12.2017
- Assisted in clinical decision-making for high-risk obstetric cases, facilitating timely interventions and optimising patient outcomes
- Managed labour and delivery processes, utilising both medical and interpersonal skills to support patients.
- Delivered patient care in tertiary setting, ensuring accurate and complete documentation to support continuity of care
- Promoted preventive health measures, including HPV vaccinations and cervical screening programmes, contributing to reduced disease prevalence in the community.
Education
Medical Internship - Medicine
Chinese General Hospital and Medical Center
12-2016
Doctor of Medicine - Medicine
Pamantasan ng Lungsod ng Maynila
12-2015
Bachelor of Science - Biology
University of the Philippines Diliman
12-2010
Skills
- Litigation Support
- Legal case analysis
- Medical Record Review
- Documentation analysis
- Insurance Claims Review
- Utilization Review
- Coverage Evaluation
- Necessity assessment
- Case Management
- Milliman Criteria
- Document Preparation
- Negotiation
- Client communication
- Medical record review
Certification
- Licensed Physician – Philippines
- Advanced Cardiovascular Life Support (ACLS)
- Basic Life Support (BLS)
Custom Section
- TB Clinical & Programmatic Decision Making – UP Manila
- Emergency Medicine & Public Health – PCEM
- Animal Bite Management – DOH Philippines
- Point-of-Care Ultrasonography
- Basic Psychosocial Support Training
Awards
- Most Outstanding Intern in Surgery – Chinese General Hospital (2016)
- OVP Bayanihan E-Konsulta Volunteer Awardee
- UP Diliman College Scholar
References
Available upon request
Languages
English
Advanced
C1
Interests
- SCUBA diving
- Freediving
- Hiking
Timeline
Legal Assistant / Pre-Litigation Case Manager
Farahi Law Firm
01.2025 - Current
Artificial Intelligence Trainer – Medical
Outlier AI
02.2024 - 02.2025
Hospitalist
ACE Medical Center Palawan
03.2022 - 03.2024
Animal Bite Treatment Center Physician
Southern Palawan Provincial Hospital
11.2021 - 12.2024
Medical Officer III / Outpatient Department Section Head
Southern Palawan Provincial Hospital
11.2021 - 12.2024
Hospitalist
Adventist Hospital Palawan
05.2018 - 03.2024
Medical Officer III (Obstetrics & Gynecology)
Philippine General Hospital
01.2017 - 12.2017
Medical Internship - Medicine
Chinese General Hospital and Medical Center
Doctor of Medicine - Medicine
Pamantasan ng Lungsod ng Maynila
Bachelor of Science - Biology
University of the Philippines Diliman