Simon Geth Obra - Castillo
Summary
Results-driven Professional Services Analyst with hands-on experience in ClaimsXten (CXT) and Select rule implementations, specializing in healthcare claims processing, payment integrity, and system integration. Proven ability to partner with clients to translate business requirements into effective rule logic and technical solutions. Strong background in data analysis, claims processing, and troubleshooting across implementation and production environments. Technically proficient in SAP inventory management control, Visual Basic, and MySQL, with a collaborative leadership style and excellent communication skills. Adaptable, detail-oriented, and able to perform effectively under pressure while consistently delivering high-quality, client-focused outcomes.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Payment Accuracy Advisor (PAA)
Lyric (Color philippines)
Taguig
09.2023 - Current
Professional Services Analyst – ClaimsXten & Select Rules Implementation
As part of the Services Delivery Team, implemented, maintained, and supported ClaimsXten (CXT) and Select rule logic solutions to ensure customers’ total payment accuracy. Served as a primary liaison between clients and technical teams, aligning business requirements with system capabilities to deliver high-quality claims processing solutions.
Key Responsibilities:
- Partnered with assigned customers to understand their claim systems, payment policies, and integration data elements for optimized CXT rule configuration and deployment.
- Consulted with stakeholders to gather, document, and validate business intent and technical requirements for rule-based and non-rule projects.
- Performed triage, troubleshooting, and root cause analysis on rule logic and system integration issues across implementation, upgrade, and production phases.
- Guided clients through the review and implementation of routine CXT content and rule updates, ensuring seamless transitions and minimal production impact.
- Estimated effort levels for new and existing rule work to support accurate forecasting, resource planning, and pricing initiatives.
- Validated project milestones and deliverables to facilitate accurate invoicing and project tracking.
- Collaborated with Senior Professional Services Analysts and Engagement Managers on project planning, risk management, and customer communication to ensure successful delivery.
- Consistently met or exceeded performance metrics, including utilization targets, time entry accuracy, and forecasting goals.
Key Skills:
ClaimsXten (CXT) Rule Logic | Client Consulting | Business Requirement Gathering | Data Analysis | System Integration | Troubleshooting | Project Management | Healthcare Claims Systems | Payment Integrity
Education
BSBA - Computer Applications
De Lasalle College of Saint Benilde
Senior High School - STEM (Science Technology Engineering Mathematics)
De Lasalle University
Junior High School -
Notre Dame of Greater Manila
Grade School -
St. John of Beverly
Skills
- Inventory management control using SAP
- Visual Basic
- MySQL
- Claims processing
- Client consulting
- Business requirement gathering
- System integration
- Data analysis
- Communication skills
- Leadership
- Team player
- Result-driven
- adaptability
- Works under pressure
Trainings And Seminars
- SAP Business One Training — January 2019
Completed formal training on SAP Business One, an integrated business management solution for small to medium-sized enterprises covering accounting, financial management, purchasing, inventory, sales, customer relationship management, and reporting analytics. Developed a strong foundation in evaluating and interpreting datasets, understanding end-to-end business processes, and applying data-driven insights to support smarter, more efficient decision-making.
Key Competencies And Skills
Knowledge in inventory management and control using SAP (System Analysis Program), Good Visual Basic skills, Knowledge in MySQL (Structured Query Language) database management system, Good communication skills written and spoken (English and Tagalog), Good follower and leader, Open minded and willing to learn new things to improve oneself, Team player, Result driven, Adapts to different environment and conditions, Works under pressure
Personal Summary - Profile
A graduate of De La Salle College of Saint Benilde, a highly motivated and observant individual who is willing and not afraid to take on challenges. Very much willing to be mentored to improve and learn new skills that is beneficial to personal growth. Possesses a determined mindset that pushes one’s skills to the limits and to be the best in his selected field. Abilities were put to the test during thesis deliberation, with all the arguments and interrogations raised by a panel of professional jurors, was able to spearhead and complete the thesis that led to its approval and could pave the way to improve a company's inventory system. Very proficient in the use of a computer system and have developed skills in Visual Basic, MySQL (Structured Query Language), and SAP (System Analysis Program).
Certification
SAP Business One training.
Timeline
Payment Accuracy Advisor (PAA)
Lyric (Color philippines)
09.2023 - Current
BSBA - Computer Applications
De Lasalle College of Saint Benilde
Senior High School - STEM (Science Technology Engineering Mathematics)
De Lasalle University
Junior High School -
Notre Dame of Greater Manila
Grade School -
St. John of Beverly