Claims Officer
Resume:
Kristine M. Sun
**** ******** **., **********, ** 33763
*******@*****.***
Objective: Seeking an administrative position where my skills and knowledge can be utilized in order to contribute to the society efficiently and productively by accomplishing tasks and duties. HIGHLIGHTS OF THE WORK EXPERIENCE:
Works with diligence and effort
Works efficiently even if under pressure
Very punctual
Well-developed interpersonal, communication and organizational; skills
Capable of prolonged physical efforts and efficiently interrelate with other colleagues
Able to follow instructions
Could easily adapt to various changes in the nature of work WORK EXPERIENCE:
QBE GSSC Philippines, Bonifacio Global City, Manila, Philippines (May 2013 – February 2018) Payments Officer/Claims Officer
Trade, Credit and Surety (Global Operations)
Review, Sort and Analyze all the documents received from Insured Businesses
Support Claims Assessors as required with regard to claim registration up to reconciliation of Business to Business transaction
Maintain all files, systems and databases to depict accurately the Claim Management process Worker’s Compensation (Australian Operations)
Set possible cost of claim and authorize payment within scope of authority
Settle and analyze claims in the most effective manner and ensure an accurate and timely issuance of disbursements
Identify suspicious or potentially fraudulent claims notifying case managers, and request all the necessary documents from the injured worker
Interpret basic policy coverage and determine if the policy covers the submitted claims
Escalate claim issues for proper endorsement as needed.
Process medical, travel and miscellaneous expenses as well as wage reimbursements of injured workers
Create Team Reports which include attendance, productivity, AHT, Quality, Challenges and SLA
Assist Quality Analyst in process improvement and decision-making Expert Global Solutions (NCO Group), Bonifacio Global City, Manila, Philippines (April 2012 – May 2013) Payment Processor (United States Accounts)
Run daily productivity reports
Handle daily and month-end reconciliation of payments
Process different kinds of payments such as personal checks or money orders
Using company’s database in updating debtor’s balances which include commission fees and attorney’s fees
Process requests such as posting, correcting and reapplying payments, updating the records of debtors accurately and give them feedback
EDUCATION:
Bachelor of Arts in Psychology, March 2010
Central Colleges of the Philippines, Manila, Philippines SKILLS:
MS Office
Strong administrative skill
Data Processing
Reconciliation
Creating Team Reports
Excellent typing speed
Fluent in Filipino/Tagalog and English
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