RONA MAE ASPAN
CalambaCity
Summary
Experienced with evaluating claims for accuracy and compliance. Utilizes strong organizational skills and attention to detail to process claims efficiently. Track record of effectively communicating with clients and stakeholders to resolve claims disputes.
Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.
Overview
15
15
years of professional experience
Work History
Claims Representative
OPTUM GLOBAL SOLUTIONS INC. PHILIPPINES
08.2022 - Current
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Developed strong relationships with clients, facilitating trust and open communication during the claims process.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
- Collaborated with internal departments and external vendors to resolve claims.
- Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
- Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
Customer Service Representative
OPTUM GLOBAL SOLUTIONS INC. PHILIPPINES
11.2020 - 07.2022
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
TECHNICAL SUPPORT ENGINEER
KRUGER M & E INDUSTRIES CORP.
09.2016 - 01.2020
- Evaluates site technical problems and provide suitable product, solutions and after sales services.
- Provides technical assistance on customers.
- Prepares service cost proposal for out of warranty units.
- Coordination with service engineer for smooth implementation of projects.
- To provide inside support to Sales Representatives by preparing quotations, entering/ creating quotations and orders, sending estimate/quotation to the customer
- Review and ensures that customers technical specifications are meet.
- Coordinates with supplier, production, materials/ other teams to ensure target lead time with customer is meet.
- Negotiate with customers with price discounts
- Ensures to close deals with clients.
- Monitor and analyze order/ backlog reports and recommend ways to reduce backlog.
COLLECTIONS REPRESENTATIVE
RHM TELESERVICES ASIA-PACIFIC, INC.
09.2013 - 04.2016
- To know and adhere to work standards set by the Client and the Company in managing delinquent accounts such as routing accounts to the appropriate queues, following the payment follow-up guidelines and the likes
- Negotiate with debtors/ right party contacts or any person(s)
- Able to multitask and deal with pressure in the conduct of duties
PRODUCTION TEST EQUIPMENT MAINTENANCE (Technician III)
ALLEGRO MICROSYSTEM PHILIPPINES, INC.
06.2010 - 07.2013
- Responsible for all aspects of production process, including equipment set-up and maintenance, production/fabrication, test, production training, and machine/tool making
- Responsible for maintenance, repairs and troubleshoots equipment in a manner that meets company standards and ensures minimum equipment downtime
- Establishes and maintains preventive maintenance programs and procedures
- Administers training programs to ensure - proper equipment operation, preventive maintenance, repair programs and procedures.
- Responsible in performing the required daily setups and checking to anticipate potential problems in the duration of testing.
- Organized and update all documents in accordance to 5S and ISO standard.
- Attended informal machines’ in-house trainings to enhance skills towards assigned tasks.
- Focused and determined on continuous improvement by providing suggestions, design modification
Education
Bachelor of Science - Mechanical Engineering
Technological University of the Philippines-Taguig Campus
Taguig City07.2016
Mechanical Engineering Technology
Technological University of the Philippines-Visayas
Talisay City, Negros Occidental08.2010
High School - undefined
Sum-ag National High School
Bacolod, Negros Occidental03.2007
Elementary School - undefined
Sum-ag Elementary School
Bacolod, Negros Occidental03.2003
Skills
- Good in spoken and written English
- Computer Literate MS OFFICE (MS Word, Excel, Power point, Outlook)
- Basic knowledge in AutoCAD ,CADCAM
- Ability to used and calibrate different kind of measuring instrument
- Ability in Machine trouble shooting
- Can use different hand tools
- Knows how to drive
- Excellent GPS and navigation skills
- Insurance claims review
- Microsoft office
- Claims investigation
- Time management
- Team collaboration
- Data analysis
- Decision-making
Training
- Technician Enhancement Course
- Fire Safety Seminar with Fire Extinguisher Operation Training
- Rasco Advance Training
- Allegro Microsystems Philippines Inc. (On the Job Training)
Disclaimer
I hereby certify that all the information written above is true and correct. Applicant Signature
PERSONAL DATA
- Birth Date : October 30,1990
- Gender : Female
- Status : Single
- Citizenship : Filipino
- Height : 154cm
- Weight : 120lbs.
- Religion : Roman Catholic
- (Reference persons to be furnished upon request)
Timeline
Claims Representative
OPTUM GLOBAL SOLUTIONS INC. PHILIPPINES
08.2022 - Current
Customer Service Representative
OPTUM GLOBAL SOLUTIONS INC. PHILIPPINES
11.2020 - 07.2022
TECHNICAL SUPPORT ENGINEER
KRUGER M & E INDUSTRIES CORP.
09.2016 - 01.2020
COLLECTIONS REPRESENTATIVE
RHM TELESERVICES ASIA-PACIFIC, INC.
09.2013 - 04.2016
PRODUCTION TEST EQUIPMENT MAINTENANCE (Technician III)
ALLEGRO MICROSYSTEM PHILIPPINES, INC.
06.2010 - 07.2013
Bachelor of Science - Mechanical Engineering
Technological University of the Philippines-Taguig Campus
Mechanical Engineering Technology
Technological University of the Philippines-Visayas
High School - undefined
Sum-ag National High School
Elementary School - undefined
Sum-ag Elementary School
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