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lapu-lapu city, philippines
It's currently 2:34 PM here
Joined October 18, 2023
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Maolyn D.
@iammaowiee
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lapu-lapu city, philippines
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Administrative Virtual Assistant | SMM
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Experience
Claims Support Specialist
Jan 2023 - Mar 2024 (1 year, 2 months)
- Provide support to the team in processing claims based on the published adjudication guidelines.
- Answer questions sent to the question support queue.
- Review errors incurred by the team and evaluate appeals received before sending them to the claims adjustment team.
- Timely review of the claims adjudication manual to make sure any updates will be properly communicated to the team.
- Prepares daily reports and production updates for the team.
- Facilitates Training and process updates.
Junior Claims Adjudicator
Jun 2015 - Dec 2022 (7 years, 6 months)
- Input, analyze, and assess claim submissions
- Evaluate and process claims in accordance with each policy’s contractual limitations and standard operating procedures.
- Consistently meet or exceed accuracy and productivity standards
- Refer to a claim for an inquiry and clarification when necessary.
- Maintain awareness, guidance, and up-to-date product knowledge and skills.
- Ensure customer satisfaction by rendering deliberate and accurate customer service.
Product Development Merchandiser
Mar 2013 - Jun 2015 (2 years, 3 months)
- Responsible for the entire product development process until production is done.
- Initiate work from making sketches, pattern making, doing lab dips, and monitor sampling stages.
- Placing orders of all the materials needed for production and following up on timely deliveries.
- Advising, assisting, and monitoring the whole production process.
- Monitoring the quality control department and making sure that products are in best quality.
- Provide shipping instructions and follow-up shipment.
Education
Bachelor of Science in Computer Science
(4 years)
Qualifications
Civil Service Commission - Philippines
Civil Service Commission
2016
The Civil Service Commission Eligibility Exam is a standardized assessment designed to evaluate candidates' knowledge, skills, and abilities for entry-level positions in the government sector. Covering various subjects such as English, Mathematics, and General Information, this exam aims to identify individuals with the qualifications necessary to serve effectively in civil service roles.
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