MARIA CARMELITA SANTOS
SHIFT MANAGER
Marikina,00
Summary
Dedicated and experienced healthcare professional with over 17 years of comprehensive experience in managing inquiries, benefits, claims, and eligibility, coupled with exceptional customer service skills. Proven track record as a Healthcare Account Team Leader for 14 years and as a Shift Manager for 3 years, overseeing major healthcare accounts in the United States. Seeking a challenging position to leverage my expertise in healthcare account management, leadership, and client relations to enhance operational efficiency and deliver outstanding service within a dynamic organization.
Overview
36
36
years of professional experience
Work History
Shift Manager for a Healthcare Account
Sagility
03.2022 - 12.2025
- Shift Manager overseeing six teams in healthcare insurance involves the following responsibilities: Leadership and Oversight; Team Coordination; Performance Management; Resource Allocation; Training and Development; Process Improvement; Compliance Oversight; Strategic Planning; Client Relationship Management; Data Analysis and Reporting; Conflict Resolution and Change Management.
Team Leader for a Healthcare Account
Hinduja Global Solutions
01.2009 - 02.2022
- Responsible on the following: Team Management; Training and Development; Claims Oversight; Policy Review and Implementation and Client Relations.
Healthcare Associate
Hinduja Global Solutions
03.2008 - 12.2008
- Handling benefits, claims, and eligibility typically has several key responsibilities: Claims Management; Eligibility Verification; Patient Support; Data Entry and Maintenance; Communication with Insurance Companies and Regulatory Compliance.
Jr. Supervisor
SMART Communications, Inc
01.1999 - 01.2001
- Overseeing 8 teams and responsible for supporting operations, ensuring service quality, and coordinating team performance under the guidance of senior management.
Lead Customer Service Representative
SMART Communication, Inc
01.1998 - 01.1999
- Customer-facing and supervisory role, ensuring high service quality while guiding the customer care team.
Restaurant Manager
Pilo’s Garden Restaurant
01.1990 - 01.1998
- Responsible for overseeing daily operations and ensuring the restaurant runs smoothly, profitably, and in line with quality and service standards.
Education
Bachelor of Science - Nursing
AMA School of Nursing
Cainta Rizal Branch01.2007
Skills
Microsoft Office
Communication
Leadership
Adaptability
Time Management
Problem-solving
Staff development
Team development
Handling customer complaints
Customer service focus
Operations management
Documentation and reporting
Hiring and recruiting
Timeline
Shift Manager for a Healthcare Account
Sagility
03.2022 - 12.2025
Team Leader for a Healthcare Account
Hinduja Global Solutions
01.2009 - 02.2022
Healthcare Associate
Hinduja Global Solutions
03.2008 - 12.2008
Jr. Supervisor
SMART Communications, Inc
01.1999 - 01.2001
Lead Customer Service Representative
SMART Communication, Inc
01.1998 - 01.1999
Restaurant Manager
Pilo’s Garden Restaurant
01.1990 - 01.1998
Bachelor of Science - Nursing
AMA School of Nursing