CHRISTINE C. TOCMO

Contact No.: +974-********

Email Address: adh93c@r.postjobfree.com

MEDICAL CLAIMS OFFICER & POLICY MANAGEMENT– 4 years experience CUSTOMER SERVICE REPRESENTATIVE - 2 years experience SECRETARY cum RECEPTIONIST / ADMIN – 1 Year experience RESPIRATORY CARE ASSISTANT - 4 years experience

Registered Nurse

With Transferrable visa and can work immediately Objective: To develop new skills, gain experience & be part of a dynamic & prestigious institution that offers financial stability and career growth to its people. EMPLOYMENT EXPERIENCE

Company Name : Allianz Worldwide Care

Address : Office 604C Jaidah Square Building 63 Airport Road, Doha – Qatar Position : Medical Claims Officer / Policy Management Date Joined : March 2016 – May 2020

MEDICAL CLAIMS OFFICER

Adjudicate and process claims within the agreed company SLA, clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target.

Processing Hospital claims in Qatar - Al Ahli, Al Ehmadi, Doha Clinic Hospital and other Dental and Medical Clinics.

Covering claims all around the world (China, Thailand, United States, Africa, Middle East, etc.)

Responsible for accurate and timely review of claims utilizing Citizen System.

Knowledge of Citrix software.

Serves medical insurance customers by determining insurance coverage, examining and resolving medical claims, documenting actions, maintaining quality customer services and ensuring legal compliance.

Ensures that targets are met for department Turnaround time, Quality and Productivity.

Handled with an average of 200 invoices processed per day.

Identify and report back any type of claims observation or issues that may affect the process.

Collect and analyze claims data to identify and resolve errors, delayed claims, and processing issues.

Providing recommendations to take steps to improve the claims processing quality standards and productivity.

Support the Team leader / Manager in implementation of quality assurance programs in order to maintain standards of quality and minimize fraudulent cases.

Handling medical related call queries.

Maintain confidentiality with regard to the information being processed, stored or accessed. POLICY MANAGEMENT

Look after the policy management of large corporate client from the enrolment to their renewal.

Respond to client and broker queries and requests through email and phone within our 24 hour service level agreements (SLA)

Manage the implementation of new business.

Manage the renewal process of clients once confirmed.

Manage short-term business contracts where applicable.

Act as the main point of contact for assigned group schemes, Sales managers & brokers.

Prioritize workload in line with team targets.

Ensure accuracy in all written correspondence to clients and brokers.

Provide excellent customer service to our clients and brokers, solving problems promptly and in a professional manner, preventing unnecessary delays.

Follow department and company procedures in relation to anti-corruption and fraud, complaints handling and data protection.

Build positive and professional working relationships with internal clients, e.g. Credit Control, Helpline, Renewals Team, Sales Team, Client Relations.

Attend meetings where appropriate and provide minutes and updates to all stakeholders. Company Name : Regus Business Centre

Address : Al Fardan Office Tower, 8th 9th & 14th floor, Westbay Doha – Qatar Position : Customer Service Representative

Date Joined : March 2014 – February 2016

Acts as the first point of contact for all clients and visitors on a daily basis, providing a professional and friendly front of house service and delivering an exceptional first impression.

Preparing and booking meeting room for clients and other administration/secretarial duties.

Providing administration support including delivering mail, organizing courier services, ordering office supplies.

Taking pride in the appearance of the business Centre by adhering to the Regus dress code and ensuring all areas of a Regus Centre including; kitchens, meeting rooms, conference rooms and reception areas are presented within company standards and representative of a 5-star business.

Supervise client’s account balances and support customer billing and SOA inquiries.

Coordination with accounting team for finalizing client billed services.

Provide a resource for clients seeking information, assistance or recommendations thorough understanding of all key services, products and amenities are critical in the ability to deliver service in an exceptional and timely manner.

Demonstrate a true passion for customer service by proactively seeking ways to exceed client’s expectations, always going above and beyond.

Highly visible and ready to assist clients as and when needs arise with a flexible and helpful approach.

Commit to solving any client/visitor issues and following through to resolution.

Support clients’ needs by preparing meeting rooms or offices before client use, troubleshooting basic IT and telecom technical issues, moving furniture and providing beverages.

Supports Centre Manager by delegating daily CSR duties, ensuring the team meets deadlines and customer needs.

Acts as a champion within Centre sets an example of high performance, providing motivation and coaching to CSR team.

Sets priorities, schedules activities effectively and demonstrates the ability to multitask. Company Name : Creative Arts Dental Laboratory

Address : Grosvenor House, Sheikh Zayed Rd. Dubai - UAE Position : Secretary cum Receptionist / Admin

Date Joined : April 2013 – March 2014

Handling telephone calls and clients inquiries.

Responsible for daily, weekly, and monthly sales reports.

Calculating and collecting payments.

Issue invoices and bills and sent them to customers through various channels (emails, mail or deliver hardcopy).

Responsible for delivery and pick up for all orders from the dental clinics and hospital.

Answer questions and handle complaints from customers regarding bills. Update accounting records with new payments, balances, customer information etc.

Telephone etiquette according to standard salutation.

Keeping all branch confidential documents and some related issues.

Does filing, typing, faxing and keep trace file for follow-up.

Handling incoming and outgoing mails.

Monitoring and maintaining office supplies.

Interact with clients take, type and distribute minutes of meetings.

Maintain schedules and arranges appointments of patients.

Communicate verbally and in writing to answer inquiries and provide information.

Coordinate the flow of information both internally and externally.

Responsible for the payroll of all employees.

Company Name : Davao Doctors Hospital

Address : Quirino Avenue, Davao City

Position : Respiratory Therapist Assistant

Date Joined : June 9, 2009 – March 2013

Gives aerosol therapy and other treatment to in and out patients.

Transport patient with mechanical ventilator to and from the hospitals.

Performs IN-LINE Procedure.

Hooks patient to mechanical ventilator and performs calibration as stated in the equipment manual.

Transport patient with mechanical ventilator from ICU/CCU/NICU/PICU/ other room accommodation to other hospital facilities such as X-RAY, CT scan, and MRI.

Hooks patient to mechanical ventilator with accurate settings as ordered by the doctor.

Monitoring patient in ICU, CCU, PICU, NICU and any other patients with ventilator

Trained in ambulance during transporting patient to other hospital.

Improvised gadgets and equipment in hospital and ambulance when needed.

Performs Arterial Blood Extraction and operates ABL800/I- Stat ABG Machine for blood Gas Analysis and give accurate results and processes of interpretation (including- recording, filling, and releasing results.)

Performs CPT (Chest Percussion Therapy), weaning procedure, PFT (Pulmonary Function Test) and PEFR (Peak Expiratory Flow Rate) as order by the Physician in accordance with established SOP’s.

Perform Weaning Procedure accurately as ordered by the doctor.

Discusses patient treatments, procedures and charges with Unit Manager for proper patient management.

Records and report to the Unit Manager for non- functioning equipment and gadgets.

Maintains quality pulmonary records and files.

Company Name : Microdata Systems and Management. Inc. Address : Quirino Avenue, Davao City

Position : Sales Representative

Date Joined : August 2008 – April 2009

Responsible for the sales and marketing industry.

Demonstrates technical selling skills and product knowledge in all areas that allows Sales Associate to give effective presentation of the product.

Develops business plan in conjunction with Sales Manager which details activities to follow during the fiscal year, which will focus the Sales Associate on meeting or exceeding sales quota.

Complete understanding of pricing and proposal models.

Demonstrates the ability to carry on a business conversation with business owners and decision makers.

Maximizes all opportunities in the process of closing a sale resulting in the taking of market share from larger competitors.

Sells consultatively and makes recommendations to prospects and clients of the various solutions the company offers to their business issues.

Develops a database of qualified leads through referrals, telephone canvassing, face to face cold calling on business owners, direct mail, email, and networking.

Assists in the implementation of company marketing plans as needed.

Responsible for sourcing and developing client relationships and referrals.

Maintains accurate records of all sales and prospecting activities including sales calls, presentations, closed sales, and follow-up activities. Company Name : Health-Tech Medical Inc.

Address : Door 88, Plaza De Luisa, 140 Ramon Magsaysay Avenue, Davao City Position : Secretary

Date Joined : March 2006 – October 2006

Handling telephone calls and clients inquiries in a professional & courteous manner.

Supports sales team in preparation of documents, reports and administrative tasks.

Assisting walk-in clients and provide them with information base on the desired products.

Handling outgoing and incoming mails/couriers and distribute accordingly.

Assisting Accounts Department in monitoring daily attendance of the branch for monthly payroll.

Keeping all branch confidential documents and some related issues.

Does filing, typing, faxing and keep trace file for follow-up.

Monitoring and maintaining office supplies

Maintain schedules and calendars

Arrange conference room reservations and confirm appointments

Communicate verbally and in writing to answer inquiries and provide information

Coordinate the flow of information both internally and externally.

Makes airline booking for owner/managers visiting the branch TRAININGS / SEMINARS

TRAININGS / SEMINARS (Respiratory Technician)

i-STAT Competency Training– Davao Doctors Hospital – February 22, 2010

Actual Hands-on Training Course for NPB 840 Ventilators – Saviour MeDevices, DDH, Davao City

– May 28, 2009

Actual Hands-on Training Course for ABL 800 – MICROLAB, DDH. Davao City – May 17, 2009

Actual Hands-on Training Course for AVEA VENTILATORS And Vela Mechanical Ventilator – RG MEDITRON. DDH. Davao City – May 15, 2009

Basic Respiratory Therapy Training Course – Pulmonary Department, Davao Doctors Hospital – April 20 – May 15, 2009

TRAININGS / SEMINARS (Nurse)

Nursing Attendant Training Program – Davao Regional Hospital – January 21 to April 9, 2008

Standard First Aid Training - Philippines National Red Cross – July 18-22, 2008

Basic Life Support (Community for Lay Rescuers) – Philippine National Red Cross- July 16-17, 2008

Seminar on Updates in CPR –Davao Medical Center – April 5, 2008

Seminar on Triaging during Emergencies – Davao Medical Center - May 13, 2008 Short Term Course

100 Hours Call Center Finishing Course – Joji Ilagan Career Centre Foundation, Inc. – October 10, 2007

Basic Norweigian Language Tutorial Course- A1 and A2 – September 25, EDUCATION

School : Davao Doctors College School : San Pedro College Course: Bachelor of Science in Nursing Course : Major in Respiratory Therapist Grad. Date : March 2005 Year: 2012 – First Semester PERSONAL DATA

Age : 36 y.o Date of Birth : July 12, 1984

Nationality : Filipino Place of Birth : Davao City, Philippines Marital Status : Married Gender : Female

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