JEROME GOMORA
Cebu City,Cebu
Summary
With keen eye for detail and strong sense of responsibility, I excel in ensuring content adheres to guidelines and maintains quality standards. Effective communication and problem-solving skills enable me to handle challenging situations with professionalism and tact. Adaptable and quick to learn, I am committed to contributing to safe and positive online environment.
Overview
15
15
years of professional experience
Work History
Content Moderator
Accenture Inc.
Cebu City
04.2021 - 07.2026
- Responsible for reviewing, monitoring, and evaluating user-generated content to ensure compliance with platform policies, community guidelines, and legal requirements.
Health Insurance Claims Adjuster/Onshore POC
Accenture Inc.
Cebu City
01.2016 - 03.2021
- Reviews and adjusts health insurance claims, ensuring accurate benefit determination and claim resolution, while serving as the primary contact point between onshore clients, healthcare providers, and internal claims processing teams.
Health Insurance Claims Adjudicator
Accenture Inc.
Cebu City
08.2013 - 12.2015
- Reviews, evaluates, and processes healthcare insurance claims to determine coverage, eligibility, and payment in accordance with insurance policies, regulatory requirements, and company guidelines.
Machine Operator/Technician
Alto Copying Services
Cebu City
06.2011 - 07.2013
- Performs routine inspections, troubleshooting, preventive maintenance, and assists users with machine operation, monitors supply levels, and ensures equipment complies with operational standards and safety procedures.
Education
BS - Commerce, Management Accounting
University of Cebu
Cebu City04-2011
Skills
- Microsoft Applications (Word, Excel, etc)
- Health Benefits
- Payer Claims Payment Integrity
- Claims Administration
- Claims Modeling
- Customer Interaction Management
- Health Insurance Portability & Accountability Act
- Data Transaction Management Patterns & Techniques
- Insurance claims
- Medical Coding
- Payer Claims Processing
- Operations Management
- Research Analysis and Interpretation
- Content Assessment
- Content Guidelines
- Content Planning Production and Control
- Enterprise Content Management (ECM)
- AI Agents
- AI Agents & Workflow Integration
- Artificial Intelligence (AI)
- Software Platforms
- Content moderation
- Claims processing
- Quality assurance
- Adaptive problem solving
- Team collaboration
- Decisive thinking
- Data analytics
- Social media monitoring
- Content classification
- Content curation
References
- Carla Mae L. Leyson, +63 9062263028, carla.mae.l.leyson@accenture.com, Accenture Inc.
- Alpafhe E. Jotojot, +63 9179416147, alpafhe.e.jotojot@accenture.com, Accenture Inc.
Hobbies and Interests
- Biking
- Camping
- Community Service
- Fishing
- Hiking
- Online games
- Trail running
Timeline
Content Moderator
Accenture Inc.
04.2021 - 07.2026
Health Insurance Claims Adjuster/Onshore POC
Accenture Inc.
01.2016 - 03.2021
Health Insurance Claims Adjudicator
Accenture Inc.
08.2013 - 12.2015
Machine Operator/Technician
Alto Copying Services
06.2011 - 07.2013
BS - Commerce, Management Accounting
University of Cebu