Krismadel B. Dela Fuente

Mobile: 055-*******

Email: adg967@r.postjobfree.com

Present Address:

Al Rigga Dubai, UAE

Career Objective

To secure a position in a dynamic and forward-looking organization that provides training and enhancements of skills and abilities towards professional and personal growth.

Summary of Qualifications

Excellent communication skills, able to coordinate confidently with senior management.

Able to work on own creativity and to tight deadlines.

Learning agility, quick learner attention

Performed related duties as required

Able to work under pressure

With strong sense of responsibility and great ability to effectively deal with people from different nationalities.

Career History

Dar Al Takaful PJSC Insurance

March, 2018 to PRESENT

Maxcare Insurance NETWORK- TPA Dubai

AXA Insurance, OMAN Insurance, National Life Insurance, & Abu Dhabi National Insurance Company, And TAKAFUL Emarat.

Under QBG Employment Services

February 20, 2017 – February 2018

TELETECH INCORPORATED Worked for Six (6) Years( Sprint/ T-Mobile/ AT&T)

TELEPERFORMANCE (BLUE SHIELD (ACCOUNT) Worked for Four (4) Years

Telstra Pty Ltd. (PEOPLE TELECOM AUSTRALIAN TELCO) Worked for Five (5) Years

Skills

Customer Service Executive / Telesales ( General / Non- Motor)

Customer Service Executive – Health Insurance/ Motor Claims

Senior Inbound Sales

Outbound and Incoming Call Sales Rep with transfer calling Report

Tech Support / Level 2 escalations complaint

Administrative Assistant

Data Encoder/ Reconciliation

Credit and Collections accounting dept.

Medical Claims Processor

Receptionist`

Duties Responsibilities

Maintain records of contact, accounts and orders and Target new customers or achieve upsells to existing customers

Receive inbound calls including transferred sales leads and calls from current and potential customers.

Place outbound follow-up calls to sales leads and persuade potential customers to complete and submit an application.

Answer questions about the product details, the company, and issues with account for the customers.

Assist customers with any technical issues experienced with website and escalate any issues to management appropriately.

Process claims for insurance companies

Explain products and services to new and existing customers and the potential value added.

Collect payments on past due bills. Create a list of people who have not made payments. Organize list according to severity of delinquency. Locate customers using credit bureau information, background checks, loan documents, and other paperwork or databases.

Verifying and explaining benefits, handling queries about approval follow ups and denials, policy coverage and policy exclusions.

Help a customer assess which providers are in network and covered.

Entry of claims and reimbursements to a system using ICD-10 codes, CPT, HCPCS, CDT, Dubai Service List Codes, and DDC Codes.

Coordinating with other departments to follow up with customer requests and to ensure timely response and to provide proper guidance on processes specifically for approvals, claims and reimbursements.

Initiate contact by phone with DME and pharmacy prospects and follow-up in a timely fashion

education And Computer Skills

EDUCATION:

BSA major in Custom Administration

PMI Colleges 1999 – 2003

Undergraduate

Personal Profile

Nationality: Filipino

Birthday: December 21, 1982

Civil Status: Single

Visa Status: Employment Visa

Language Known: English / Basic Arabic / Tagalog

SKILLS:

Proficient in MS Word, Excel, Power point.

Social Media Marketing.

Knowledge operating PC, Fax, Scanner, Printer, Credit Card Device.

Proficient with Microsoft and Windows

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