MOHAMMAD TANWEER MUNIB
Cebu City
Overview
9
9
years of post-secondary education
2
2
years of professional experience
Work History
Coordinator
Wipro
Cebu
09.2025 - Current
- Reviewed incoming Wipro cases for accuracy and proper routing.
- Processed Wipro production requests using standard workflow systems.
- Updated Wipro records with clear notes and task status.
Production Agent
Wipro
Cebu City
05.2025 - 07.2025
- Processed and adjudicated medical, dental, and pharmacy claims in accordance with Mountain Health CO-OP policies, provider agreements, and regulatory guidelines.
- Ensured accuracy and compliance with HIPAA standards and internal privacy protocols when handling all member data and claim details.
- Collaborated with providers, members, and internal departments to verify information, resolve discrepancies, and expedite claims processing.
- Updated members on status of submitted claims, benefit coverage, and out-of-pocket responsibilities, enhancing transparency and trust.
- Documented, researched, and processed claims using claims management systems, ensuring adherence to turnaround time and quality standards for optimal claim resolution.
- Analyzed claim issues to identify trends, escalate concerns when necessary, and support continuous improvement efforts.
- Utilized and navigated multiple healthcare platforms and tools, including Spyglass, OpsPortal, GetNext, Rightfax, Finesse, Verint, RealRX and Aetna systems, to manage member accounts efficiently and securely.
- Handled sensitive and complex inquiries related to claims processing, delivering high-quality customer service and support.
- Mountain Health CO-OP
Customer Sales Representative
Concentrix
Cebu City
06.2024 - 12.2024
- Updated customer records to ensure accurate account information. Resolves product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment.
- Handled inbound customer calls for Concentrix sales and support queues.
- Explained product features, pricing, and service options to customers.
- Processed orders and updated customer accounts in CRM systems.
Education
Bachelor of Science - Civil Engineering
Cebu Institute of Technology University
Cebu City 06.2016 - 05.2025
Highschool -
Cebu Institute of Technology University
Cebu CityElementary -
Pilar College
Zamboanga CitySkills
- Claims processing
- Workflow Management
- Records management
- Data entry
- Troubleshooting
- Communication
Timeline
Coordinator
Wipro
09.2025 - Current
Production Agent
Wipro
05.2025 - 07.2025
Customer Sales Representative
Concentrix
06.2024 - 12.2024
Bachelor of Science - Civil Engineering
Cebu Institute of Technology University
06.2016 - 05.2025
Highschool -
Cebu Institute of Technology University
Elementary -
Pilar College