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Claims Officer

Location:
Clearwater, FL
Posted:
March 25, 2018

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Resume:

Kristine M. Sun

**** ******** **., **********, ** 33763

727-***-****

ac4xfj@r.postjobfree.com

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



Contact this candidate