Dedicated and results-driven professional with 6 years of experience in the BPO industry, specializing in customer service, healthcare claims, appointment scheduling, travel support, and subrogation investigation. Skilled in handling complex cases, conducting detailed research, resolving customer concerns, and maintaining accuracy in fast-paced environments. Known for strong communication skills, attention to detail, problem-solving abilities, and a commitment to delivering exceptional customer experiences. I thrive in both independent and team-oriented settings and am always eager to learn new skills and contribute to organizational success. Currently seeking opportunities where I can leverage my experience, professionalism, and passion for helping people while continuing to grow in my career.
7
Skills
$6
Per Hour
—
Experience
1mo
On Platform
Dedicated and results-driven professional with 6 years of experience in the BPO industry, specializing in customer service, healthcare claims, appointment scheduling, travel support, and subrogation investigation. Skilled in handling complex cases, conducting detailed research, resolving customer concerns, and maintaining accuracy in fast-paced environments. Known for strong communication skills, attention to detail, problem-solving abilities, and a commitment to delivering exceptional customer experiences. I thrive in both independent and team-oriented settings and am always eager to learn new skills and contribute to organizational success. Currently seeking opportunities where I can leverage my experience, professionalism, and passion for helping people while continuing to grow in my career.
Location
Muntinlupa city, Philippines
Rate
$6/hr
Status
Available for Work
Member since
Jun 1, 2026
Subrogation Investigator
OPTUM GLOBAL SOLUTIONS
January 2024 – Present
• Conduct detailed investigations of accident-related claims to determine subrogation opportunities and recovery potential. • Analyze claim files, police reports, medical records, insurance documentation, court documents, and supporting evidence. • Verify and validate accident information to assess liability and identify responsible parties. • Determine whether claims are legally and financially pursuable based on available evidence and policy guidelines. • Perform data analysis and quality checks to ensure accuracy, completeness, and compliance with company standards. • Research insurance coverage, third-party liability, and recovery opportunities. • Document findings, recommendations, and investigative results in internal systems. • Collaborate with internal teams and external stakeholders to obtain additional information and resolve discrepancies. • Maintain productivity and quality metrics while managing multiple cases and deadlines.
Support Ambassador
TDCX PHILIPPINES
March 2023 – December 2023
• Assisted guests and hosts with reservation inquiries, booking modifications, cancellations, and account-related concerns. • Provided exceptional customer support through phone, chat, and email while maintaining high customer satisfaction ratings. • Resolved complex reservation issues by investigating account details, policies, and transaction records. • Mediated disputes between guests and hosts to achieve fair and policy-compliant resolutions. • Assisted guests in securing alternative accommodation during last-minute cancellations and travel disruptions. • Provided technical support for account access, verification, and platform navigation issues. • Educated users on Airbnb policies, procedures, and best practices to enhance their overall experience. • Documented customer interactions accurately and maintained detailed case records within internal systems. • Collaborated with cross-functional teams to resolve escalated cases and service-related concerns. • Consistently met quality, productivity, and customer experience performance metrics.
Customer Service Advocate
EXL SERVICE PHILIPPINES
November 2021 – March 2023
• Provided accurate and timely information regarding member eligibility, benefits, claims, and coverage inquiries. • Resolved complex customer concerns while ensuring compliance with company policies and healthcare guidelines. • Handled escalated calls and served as a point of contact for challenging member issues, delivering effective resolutions. • Supported new and tenured agents by providing guidance on call handling, claim inquiries, and issue resolution. • Managed mentor line calls, assisting agents with real-time problem-solving and ensuring quality customer service. • Demonstrated strong analytical and critical-thinking skills when reviewing member accounts and claim-related concerns. • Maintained high standards of customer satisfaction, professionalism, and accuracy in a fast-paced environment. • Collaborated with team members and leadership to improve service quality and operational efficiency.
Case Manager Representative
ISTA PERSONNEL SOLUTIONS, INC.
April 2021 – October 2021
• Processed and managed continued stay authorization requests for skilled nursing services across Commercial, Medicare, and Medicaid plans. • Coordinated with insurance providers, healthcare facilities, and clinical teams to obtain required documentation and support timely authorization decisions. • Conducted follow-ups on pending requests and gathered additional clinical information to facilitate case reviews. • Managed facility communications and responded to inquiries through email and other communication channels. • Performed verbal reviews and pre-authorization processes for skilled nursing care in accordance with payer guidelines. • Maintained and organized census reports for seven skilled nursing facilities, ensuring accurate patient tracking and case management. • Ensured compliance with healthcare regulations, insurance requirements, and internal quality standards. • Demonstrated strong attention to detail while managing multiple cases and meeting established turnaround times.
Electronics Engineering
Malayan Colleges Laguna
2012
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