Erica Mae Afan
Pampanga
Summary
- Detail-oriented Claims Specialist and Virtual Assistant with expertise in claims processing, data accuracy, and day-to-day administrative tasks. Dependable, efficient, and adaptable.
Overview
7
7
years of professional experience
Work History
Medical Claims Specialist
409 Central Hub Ph
2024.11 - Current
- Processed medical claims with high accuracy, ensuring compliance with industry regulations.
- Reviewed and resolved discrepancies in claims submissions, enhancing payment turnaround times.
- Collaborated with healthcare providers to obtain necessary documentation for claim approvals.
- Analyzed trends in claims denials, identifying areas for process improvement and training needs.
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
Virtual Assistant
RCFH
2024.07 - 2024.11
- Managed scheduling and calendar coordination for executives to optimize time management.
- Streamlined communication between departments, enhancing collaboration and information flow.
- Organized virtual meetings, ensuring all necessary materials were prepared in advance.
- Developed and maintained filing systems for documents, improving retrieval efficiency.
- Created detailed reports summarizing project statuses and key performance indicators for stakeholders.
- Monitored emails, organized inbox, and prioritized messages for supervisor.
Customer Service Representative
Ttec
2023.07 - 2024.07
- Trained new staff on customer service protocols and company policies, promoting consistency in service delivery.
- Conducted follow-up calls to ensure resolution of issues and gather feedback for service improvement.
- Analyzed customer feedback trends to identify areas for operational enhancements and training needs.
- Implemented best practices for handling escalated calls, reducing resolution time significantly.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Customer Service Representative
Sitel Group
2022.07 - 2023.02
- Resolved customer inquiries via phone and chat, ensuring timely and accurate responses.
- Assisted customers with product selection and account management, enhancing overall satisfaction.
- Documented customer interactions in CRM system, maintaining detailed records for future reference.
- Collaborated with team members to improve service processes and streamline workflows.
Junior High School Teacher
Holy Spirit Academy of Malolos
2019.06 - 2022.06
- Developed engaging lesson plans to enhance student understanding and retention of core subjects.
- Implemented classroom management strategies to foster a positive learning environment.
- Collaborated with colleagues to design interdisciplinary projects that promote critical thinking skills.
- Assisted in assessing student progress through regular evaluations and feedback sessions.
- Utilized educational technology tools to facilitate interactive and effective learning experiences.
Education
Bachelor of Secondary Education - Education
Bulacan State University
Malolos, Bulacan2019-06
Skills
- Claims processing
- HIPAA
- Claim denials management
- Calendar management
- Social media updating
- Meeting scheduling
- Active listening
- Critical thinking
- Data entry
- Call center experience
- Classroom management
- Lesson planning
Timeline
Medical Claims Specialist
409 Central Hub Ph
2024.11 - Current
Virtual Assistant
RCFH
2024.07 - 2024.11
Customer Service Representative
Ttec
2023.07 - 2024.07
Customer Service Representative
Sitel Group
2022.07 - 2023.02
Junior High School Teacher
Holy Spirit Academy of Malolos
2019.06 - 2022.06
Bachelor of Secondary Education - Education
Bulacan State University