Summary
Overview
Work History
Education
Skills
Timeline
Generic
Rezie Joy Ovalles

Rezie Joy Ovalles

Menorca
Montalban Rizal

Summary

Knowledgeable and dedicated customer service professional with extensive experience in BPO industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

Overview

12
12
years of professional experience
4
4
years of post-secondary education

Work History

Customer Service Representative

Concentrix
Quezon City
08.2021 - Current
  • Offered advice and assistance to Delivery Persons, paying attention to special needs or wants.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Provided primary customer support to internal and external customers.

Customer Claims Specialist

Hinduja Global Solutions
Quezon City
05.2014 - 08.2021


  • Conducted full benefits and claim investigations and reported updates.
  • Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
  • Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
  • Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
  • Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
  • Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
  • Provided advice to customers regarding claims, rights and insurance processes to prevent disputes.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Communicated verification and authorization status update to facilitate decision-making for patient admissions and insurance coverage.
  • Verified client information by analyzing existing insurance benefits.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Maintained confidentiality of patient records, and health statuses.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Checked documentation for accuracy and validity on updated systems.
  • Made contact with other insurance carriers to discuss policies and individual patient benefits.

Lottery Attendant

AMDA Enterprises
Montalban Rizal
02.2012 - 03.2014
  • Monitored customers and searched for violations of gaming regulations and casino/lottery policies.
  • Cleared and cleaned tables, bars and machines.
  • Cashed out jackpots
  • Interacted with casino customers by answering questions, addressing concerns and handling escalations.

Education

Bachelor Of Arts Major In Christian Education - Education

Harris Memorial College
Taytay Rizal
05.2001 - 12.2004

No Degree - Medical

TESDA Caregiving NC II
Taytay Rizal
07.2022 - 11.2022

Skills

Report preparation

undefined

Timeline

No Degree - Medical

TESDA Caregiving NC II
07.2022 - 11.2022

Customer Service Representative

Concentrix
08.2021 - Current

Customer Claims Specialist

Hinduja Global Solutions
05.2014 - 08.2021

Lottery Attendant

AMDA Enterprises
02.2012 - 03.2014

Bachelor Of Arts Major In Christian Education - Education

Harris Memorial College
05.2001 - 12.2004

Similar Profiles

CREATE PROFILE
Rezie Joy Ovalles Menorca