Summary
Overview
Work History
Education
Skills
Timeline
Generic
Vincent Fernandez

Vincent Fernandez

Medical Claims Adjuster
Marikina City

Summary

Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims. Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through Number years of experience interviewing specialists, witnesses and claimants to compile information.

Overview

6
6
years of professional experience

Work History

Medical Claims Adjuster

Accenture
Mandaluyong City
11.2021 - Current
  • Streamlined communication channels between departments, expediting information flow and improving overall productivity.
  • Enhanced team efficiency by training junior adjusters in industry best practices.
  • Managed high volume caseloads, prioritizing urgent and sensitive cases for immediate attention.
  • Maintained strict compliance with HIPAA regulations, safeguarding patient privacy throughout the claim evaluation process.

Customer Service Representative

Alorica
Quezon City
10.2020 - 05.2021
  • Handled customer inquiries and suggestions courteously and professionally.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.

Customer Service Representative (Financial)

Telus Philippines
Quezon City
12.2018 - 01.2020
  • Prepare and submit accurate and timely invoices to clients
  • Review and reconcile billing discrepancies
  • Maintain billing records and documents in an organized manner
  • Monitor outstanding accounts and follow up with clients to ensure timely payments
  • Handle billing inquiries and provide excellent customer service to clients
  • Collaborate with the finance team to resolve any billing issues
  • Assist with month-end and year-end closing activities

Education

Hotel And Restaurant Services -

Metro Manila College
Novaliches, Quezon City
05.2016

Skills

    SAP

    MS Office

    Medical Terms and Procedure Knowledge

    Thorough Claims Reviews

    Client Call

    Insurance Claims Processing

    Flexibility and Adaptability

    Benefits Review

Timeline

Medical Claims Adjuster

Accenture
11.2021 - Current

Customer Service Representative

Alorica
10.2020 - 05.2021

Customer Service Representative (Financial)

Telus Philippines
12.2018 - 01.2020

Hotel And Restaurant Services -

Metro Manila College
Vincent FernandezMedical Claims Adjuster