Summary
Overview
Work History
Education
Skills
Timeline
Generic
Raymund Noble

Raymund Noble

Caloocan City, Metro Manila

Summary

Experienced Provider Service Agent with a proven track record in managing provider relationships and resolving complex inquiries at Concentrix. Demonstrates expertise in benefit verification, claim status analysis, and conflict resolution, fostering trust and exceptional service delivery. Previously excelled as a Customer Service Representative at Teleperformance Phils., enhancing customer satisfaction through effective communication and sales strategies. Adept at navigating technical challenges and providing comprehensive support to maximise customer engagement. Career goal: to leverage skills in account management and customer relations to drive organisational success.

Overview

6
6
years of professional experience

Work History

Provider Service Agent

Concentrix
08.2021 - 05.2025
  • Answering phone calls from the healthcare provider/facility to provide information and resolution for the inquiries below.

1. Members' eligibility and benefits; its insurance coverage.

2. Claim status, claim appeal status, and denial reason with the explanation.

3. Prior authorisation, referral, and inpatient notification status.

4. Provider portal or web issue assistance, such as navigating the portal or web.

5. Make an outbound calls to provider an update on important matters.

6. Ensure to develop a strong relationship with the provider to create trust by providing exceptional service. be trusted with all the records and account.

Customer Service Representative

Teleperformance /Telco Account
10.2019 - 06.2021
  • Recieving calls and addressed customer service enquires quickly and accurately. Payment, technical, and sales services.
  • Make an assessment about the customer account to maximise and enjoy the service to the fullest.
  • Creating sales is significant, but make sure that it meets customer needs.
  • Suggesting information about other products and services. Updating them for new products and services.
  • Providing basic troubleshooting for technical services.

Education

Associate of Science - Computer Science

SYSTEMS PLUS COMPUTER COLLEGE
Quezon City
06-2000

Skills

  • Provider relationship management/ Account specialist
  • Conflict resolution/with the empathy and customer trust
  • Claim Status/ denial reason
  • Benefit verification
  • Sales specialist

Timeline

Provider Service Agent

Concentrix
08.2021 - 05.2025

Customer Service Representative

Teleperformance /Telco Account
10.2019 - 06.2021

Associate of Science - Computer Science

SYSTEMS PLUS COMPUTER COLLEGE
Raymund Noble