Dannie Elustricimo Bonayog
Carmona
Summary
Customer Care Representative – Healthcare Insurance resolves member, broker, and administrator inquiries across claims, authorizations, and eligibility. Explains coverage details such as copayments, coinsurance, deductibles, and PCP updates while processing ID cards, plan materials, billing concerns, and account changes with accuracy. Strengthens service continuity through clear CRM documentation, policy compliance, and consistent first-call resolution.
Overview
5
5
years of professional experience
Work History
Customer Care Representative – Healthcare Insurance
Carelon Global Solutions
09.2024 - Current
- Respond to member, broker, and administrator inquiries regarding healthcare insurance plans, ensuring accurate and timely resolution
- Provide detailed information on claims and authorization status, improving transparency and customer understanding
- Explain benefits coverage, including copayments, coinsurance, deductibles, and eligibility requirements
- Process requests for ID cards, plan materials, and account updates with a high degree of accuracy
- Assist members in updating Primary Care Physicians (PCP) and navigating plan guidelines
- Support customers in locating in-network providers and facilities, enhancing access to care
- Handle premium payments and billing concerns, ensuring secure and error-free transactions
- Collaborate with brokers and plan administrators to resolve complex eligibility, coverage, and policy issues
- Maintain strong performance in customer satisfaction, quality assurance, and first call resolution metrics
- Accurately document all interactions in CRM systems to ensure compliance and service continuity
Customer Service Representative Financial Account
Coforge BPS
05.2023 - 02.2024
- Managed customer inquiries related to Demand Deposit Accounts (DDA), checking, and savings accounts, ensuring accurate resolution of financial concerns
- Provided support for balance inquiries, account transactions, and account maintenance, ensuring data accuracy and customer account integrity
- Facilitated and verified fund transfers, ensuring compliance with banking regulations and security protocols
- Assisted clients with online banking services, including account access, digital transactions, and troubleshooting
- Handled debit card services such as activation, blocking/unblocking, dispute resolution, and fraud-related concerns
- Processed account updates and maintenance requests, ensuring proper documentation and regulatory compliance
- Identified and escalated potential fraud or suspicious activities, supporting risk mitigation and financial security
- Delivered high-quality service while adhering to banking policies, compliance standards, and confidentiality requirements
- Maintained accurate records of customer interactions and transactions in internal systems for audit and tracking purposes
Service Crew / Customer Service Associate
McDonald's
10.2021 - 05.2023
- Provided frontline service across front counter, drive-thru, and delivery (McDelivery) operations, ensuring efficient and accurate order handling
- Took and processed customer orders while maintaining speed, accuracy, and attention to detail
- Assembled orders according to company standards, ensuring quality and completeness before release
- Delivered excellent customer service by addressing inquiries, resolving concerns, and ensuring a positive customer experience
- Handled cash transactions and POS systems, ensuring accurate billing and payment processing
- Coordinated with team members to maintain smooth operations during peak hours
- Maintained cleanliness and organization of workstations in compliance with health and safety standards
Administrative Assistant / Office Support (OJT)
Mekanismo Inc.
11.2022 - 04.2023
- Supported daily administrative operations, including payroll assistance, billing, and financial documentation
- Processed and tracked Purchase Orders (POs), ensuring accuracy, proper approvals, and timely submission
- Assisted in billing and invoicing activities, ensuring timely and accurate processing of transactions
- Prepared and maintained check vouchers and payment documents, ensuring completeness and compliance with company policies
- Organized and maintained financial and administrative records, improving accessibility and audit readiness
- Coordinated with internal departments to resolve documentation discrepancies and payment-related concerns
- Monitored and followed up on pending requests, payments, and approvals to ensure smooth workflow
- Maintained confidentiality of sensitive financial and employee information
- Provided general administrative support such as data entry, report preparation, and document management
Purchaser
Reliance Producer Cooperative - Carmona
03.2024 - 06.2024
Education
Bachelor of Engineering Technology - Electrical Technology
Technological University of the Philippines
Taguig, Metro Manila01-2023
Senior High School - undefined
Angelo L. Loyola Senior High School
Brgy. Lantic, Carmona, Cavite01-2019
Junior High School - undefined
Carmona National High School
Carmona, Cavite01-2017
Skills
Member inquiry resolution
Benefits explanation
Claims status support
Billing issue resolution
CRM documentation
Account maintenance
Payment processing
Document management
Workflow coordination
In-network provider support
Service level agreements
Complaint handling procedures
KPI tracking
Process improvement
HIPAA certification
Banking regulations
Timeline
Customer Care Representative – Healthcare Insurance
Carelon Global Solutions
09.2024 - Current
Purchaser
Reliance Producer Cooperative - Carmona
03.2024 - 06.2024
Customer Service Representative Financial Account
Coforge BPS
05.2023 - 02.2024
Administrative Assistant / Office Support (OJT)
Mekanismo Inc.
11.2022 - 04.2023
Service Crew / Customer Service Associate
McDonald's
10.2021 - 05.2023
Junior High School - undefined
Carmona National High School
Senior High School - undefined
Angelo L. Loyola Senior High School
Bachelor of Engineering Technology - Electrical Technology
Technological University of the Philippines