Summary
Overview
Work History
Education
Skills
Additional Information
Certification
Timeline
BusinessDevelopmentManager
JEZEL VELEZ

JEZEL VELEZ

Account Executive
Muntinlupa

Summary

A highly skilled, talented and professional Account Executive in medical insurance with diverse experience is looking for a challenging position in an environment that will enhance skills and proficiency in the mentioned field.

Overview

2
2
years of professional experience
4
4
years of post-secondary education
4
4
Certifications

Work History

Account Executive

Pacific Cross Insurance Inc.
Makati
10.2022 - Current
  • Scheduling meetings with potential and interested client, which includes healthcare professionals.
  • Presenting company products and persuading them with comprehensive medical insurance.
  • Identifying customers' needs and recommending company products that best fulfill those needs.
  • Maintaining solid working relationships with new and existing customers by providing excellent after-sales service.
  • Arranging conferences and group events for corporate partnership.
  • Regularly attending industry events, training, company meetings, briefings, and educational workshops.
  • Researching competitors’ products, pricing, and market success.
  • Promptly submitting purchase orders to relevant department.
  • Making cold calls or door-to-door sales.
  • Maintaining meticulous records of all contacts
  • Analyzing sales data to optimize performance and ensure that resources are utilized properly.

Client Servicing Officer

Pacific Cross Insurance Inc.
Makati
04.2022 - 08.2022
  • Processing new insurance applications and maintaining insurance records including billing and claims processing.
  • Processing payments of claims for medical services or travel insurance, ensuring that payments are correctly calculated based on terms of insurance contract.
  • Providing information to customers about various insurance plans and products, including explaining coverage details and identifying available discounts or other incentives.
  • Reviewing and updating customer information, including contact information, birth dates, and Social Security numbers.
  • Processing changes in coverage, premiums, or policy termination requests.
  • Processing claims for medical services or goods, such as filing forms with health insurance companies when patients receive medical treatment from doctors or hospitals.
  • Processing new member applications and renewals, including collecting personal information about applicants and processing payments from members.
  • Answering questions about insurance coverage and filing claims for customers who have questions about their policies.
  • Communicating with other departments within insurance company to resolve customer complaints or discrepancies in billing.
  • Processing formal advice letter for lacking documents of filed claims.
  • Sending breakdown of charges for approved amount of filed claims.

Logistics Claims Custodian

aCommerce Inc.
Rizal
06.2021 - 12.2021
  • Conduct claims evaluations and work to ensure claims are valid and claimable.
  • Work with Marketplace and 3PL’s to diagnose product-related operational challenges and develop improvement plans.
  • Serve as link between Commercial and Operations teams to raise claims and order status concerns as well as potential solutions to address systemic issues.
  • Identify drivers of product return issues across different 3PL’s.
  • Drive resolution of claims issues raised across both Operations and Commercial teams.
  • Ensure that all order status is updated on timely manner.

Education

Associate of Science - Aviation Electronics & Technology

Philippines State College of Aeronautics
Pasay City, Philippines
04.2019 - 04.2021

High School Diploma -

Muntinlupa National High School
Muntinlupa City, Philippines
04.2016 - 04.2018

Skills

Experience in warehouse and Supply Chain Operations

Knowledge of standard management methods, policies and logistic readiness

Knowledgeable on basic operating systems like Microsoft Word, Excel and Power Point

Possess good monitoring skills

Goal oriented and ability to handle multiple tasks and under pressure

Flexible, open to ideas and willing to learn

Communication, coordination and analysis skills

Proficient in handling medical and travel insurance policies

Experience in claims process analysis

Make sales calls and presentations outside of office as often as necessary

Maintain solid customer relationship and as required to increase sales/penetration

Additional Information

  • Serve as escalation point of contact for Marketplace and to collaborate with other business units to troubleshoot operational issues and mitigate risks & bottlenecks related to on-time order delivery.
  • Communicate local policies through strategies that drive improved team performance.
  • Design education strategies to drive claims process.
  • Served as point person for VIP client/members for complex and general inquiry related to claims.
  • Conduct pre-evaluation of submitted filed claims and provide resolutions.
  • Giving presentations, answering detailed questions, and highlighting the positive aspects of products, while addressing client concerns.
  • Providing clients with information about available insurance options and coverage requirements.
  • Give clear answers to clients on any coverage or billing questions including information on rate fluctuations or policy changes to ensure full understanding.

Certification

President of Interest Club/Organizations (YMCA)

Timeline

Account Executive

Pacific Cross Insurance Inc.
10.2022 - Current

Client Servicing Officer

Pacific Cross Insurance Inc.
04.2022 - 08.2022

Logistics Claims Custodian

aCommerce Inc.
06.2021 - 12.2021

Virtual College Y Club Management Training Leadership and Public Speaking

02-2021

44Th YMCA National Congress (YMCA)

11-2019

College Y Club Management Training Change Agent: Intensifying Youth Resiliency

09-2019

President of Interest Club/Organizations (YMCA)

08-2019

Associate of Science - Aviation Electronics & Technology

Philippines State College of Aeronautics
04.2019 - 04.2021

High School Diploma -

Muntinlupa National High School
04.2016 - 04.2018
JEZEL VELEZAccount Executive