Customer Service Insurance
Resume:
Anselmo De Mesa Galdonez Jr
E-mail: ***************@*****.***
WORK EXPERIENCE:
January 2018
Company : Home Aesthetics
Scarborough Toronto, Canada
Position Held : Office and Warehouse Assistant (1 month contract) Duties & Responsibilities:
• Assist walk in customer to showroom and help out with possible new orders.
• Coordinate with warehouse staffs whenever new order of products need to pull out or for delivery.
• Record amount of materials or items received
• Sort materials according to size, type, style, or product code for easy reference.
• Move materials off racks and package for shipment
• Coordinate office activities and operation to secure efficiency and compliance to company procedure
• Prepared documents needed such as packing list, invoices and Bill of Lading for shipment of products locally and outside Ontario.
• Assist warehouse staffs when shipment of products arrived internationally to unload, record and organized in warehouse.
From August 9, 2015 - July 30,2017
Company : Cleveland Clinic Abu Dhabi
Abu Dhabi, UAE
Position Held : Patient Access Representative - Insurance Administration Duties & Responsibilities:
• Performed insurance verification, determines eligibility of services, and informs patients of the financial responsibility for services
• Ensured that all necessary insurance eligibility and authorization is complete prior to appointment and admission.
• Handled inquiries of patients from GCC (Gulf Cooperation Council) with regards to insurance procedures and coverage
• Assisted in the preparation of weekly scheduled reports
• Developed and maintain filing system
• Updated and maintained office supplies
• Prepared and submitted departmental report on weekly basis
• Liaised with Senior Financial Councillor and Medical Department to handle requests and queries from the patient.
From October 2006 – July 2015
Company : Oman Insurance Co. PCS.
Abu Dhabi, UAE
Position Held : Senior Officer - Operation Department Duties & Responsibilities:
• Oversaw and designated responsibilities to the staffs to ensure that turnaround times and customers’ expectations are met.
• Evaluated new and renewal applications to determine insurance risks, insurance premiums, extent of insurance coverage and other conditions of the insurance contract using loss ratio, rate tables and other documents to make acceptance of new and renewal applications possible for the client.
• Provided recommendations on individual or group insurance plan designs
• Provided underwriting advice and answer inquiries from clients and from insurance agents, consultants and other company personnel
• Maintained records of insurance claims and coordinated with medical claims department regarding medical reimbursement status
• Assisted the staffs in resolving issues and concerns raised by the customers prior to escalation to higher management.
• Coordinated with purchasing department regarding office supplies, spare parts and consumables for processing insurance cards.
• Handled and processed payments regarding insurance penalties incurred due to non-compliance with the regulations of Health Authority Government. From 15 March 2005 – 30 September 2006
Company : ARAB GULF HEALTH SERVICES
Dubai, UAE
Position Held : Medical Secretary / Coordinator
Duties & Responsibilities:
• Assisted group of doctors in Medical Department
• Entered medical details of the patient in company data system
• Completed insurance and other claim forms needed by the patient.
• Scheduled all corporate/departmental meetings and take, transcribe and distribute minutes
• Handled all incoming calls pertaining to the follow up approvals
• Sent out medical approval to hospitals and clinics as per request
• Established and maintained various internal office administrative support procedures such as document tracking and filing and monthly reportingKeep tracking system for future reference of documents
• Determined and established office procedures and routines EDUCATIONAL ATTAINMENT:
Bachelor of Science in Medical Technology from Martinez Memorial College. Manila, Philippines, year 1996
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