Philip Elizalde

Career Overview

Worked at Anthem Inc. for 17 years.

Gained invaluable experience as a Claims Examiner in which I learned Data Entry, Claims Examining, Claims Adjusting professional, outpatient an inpatient HMO, POS, PPO, FFS, and Medicare claims on the WGS Mainframe System. Handle incoming calls with enthusiasm and care as a Customer Service Representative in the Large Group Employer Department and learned all programs and web based programs associated with that position. Core Strengths

People Person

Warm and courteous demeanor

Active Listening Skills

Great personality and sense of humor

Seasoned in conflict resolution

Customer focused

Sharp problem solver

Energetic work attitude

Accomplishments

Became Lead Claims Examiner.

Received compliment calls and emails on a regular basis from members. My call stats and metrics always met quota and on time. Work Experience

Customer Service, Claims Examiner

Anthem Inc. - Covina, Ca.

Processed, adjusted health Claims, took incoming and made outgoing calls. Guaranteed positive customer experiences and resolved all customer complaints. Developed great relationships with members.

Worked as a team member in 7 different units with Anthem Inc. and maintained great relationships with my coworkers. Managed quality communication, customer support and product representation for each client. Involved in meetings with my Director and influenced my counterparts with positive customer service. Educational Background

Certificate of Completion : Medical Health Claims Examining, 1998 Ameritech College - North Hollywood, CA, USA

Medical Terminology, calculating health claims on paper, learned PPO, HMO, POS and FFS plans. CPT and HCPC codes and Diagnostic Codes. Completing HICFA 1500 and UB92 claim forms.

!00 % on all exams.

16831 E. Tudor Street, Covina CA 91722

Home: 626-***-**** - Cell: 626-***-**** - ad3qir@r.postjobfree.com