Motivated Legal Virtual Assistant experienced in managing personal, property, and casualty claims. Possesses strong organizational skills and excels at multitasking with high accuracy.
Overview
7
7
years of professional experience
Work History
Claims Analyst
QBE GSSC
06.2016 - 11.2022
Manage emails and phone inquiries efficiently.
Create detailed documentation for claims and cases that require approval from senior management.
Analyze legal and non-legal documents.
Conduct thorough investigations to verify incidents and determine claimant status.
Scrutinize supporting documents and perform calculations.
Work closely with brokers to address missing documents, outstanding claim refunds, receivables, and inactive cases.
Attend bi-weekly meetings to discuss high-value claims and cases.
Gather relevant data and documentation to support decision-making processes.
Health Insurance Subject Matter Expert
Optum Global Solution (Formerly UnitedHealth Care)
10.2015 - 06.2016
Supervise the training of a small team of new employees
Offer on-site support to team members to ensure understanding and accuracy of the business process
Document training progress in the performance tracking system to monitor the development of each trainee
Conduct refresher training sessions as necessary.
Manage patient claims and policy coverage queries.
Work with providers to obtain prior authorizations, verify validity of claims, and confirm medical procedures.
Update and maintain patient records, process claims, and provide coverage verifications.
Education
J.D. - Law Enforcement, Philippines
St. Dominic Savio College - School of Law
Caloocan City, Metro Manila, Philippines
04.2001 -
MBA - Business Administration And Management
City of Malabon University
Malabon, Metro Manila, Philippines
04.2001 -
Bachelor of Science - Business Administration
Navotas Polytechnic College
Navotas, Philippines
04.2001 -
Skills
Case Digest
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Software
Powerbi
Microsoft Office Suite
Google Scholar
Google Office Suite
Canva
Timeline
Claims Analyst
QBE GSSC
06.2016 - 11.2022
Health Insurance Subject Matter Expert
Optum Global Solution (Formerly UnitedHealth Care)
10.2015 - 06.2016
J.D. - Law Enforcement, Philippines
St. Dominic Savio College - School of Law
04.2001 -
MBA - Business Administration And Management
City of Malabon University
04.2001 -
Bachelor of Science - Business Administration
Navotas Polytechnic College
04.2001 -
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