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Insurance Coordinator Control Officer

Location:
Ras al-Khaimah, United Arab Emirates
Posted:
October 02, 2021

Contact this candidate

Resume:

• Ma. Luisa Khristine M. Solano

• Address: Royal Breeze Al Hamra RAK,

United Arab Emirates

• Mobile no: +971*********

Work Achievements:

Received a plaque plus cash on my five years (5)

of tenure year of September 26, 2 000.

Received a plaque plus cash on my ten years

of tenure year of September 26, 2005

Received an award plus cash at Presidents

4th Quarter of 2008. Top 4 rank among thousands of employees chosen.

Received an award plus cash at Presidents Cup

Annual Award year of 2009.

Top 3 among thousands of employees chosen.

Received a plaque plus cash on my 15 years of

Service to the Bank year on September 2010.

16 years extensive Banking Experienced

I was among the 9 employees chosen nationwide which consists of 152 branches for “System Implementation Enhancement” on 2 years to come that was year 2008. Systems that we suggests was studied by the bank and was currently implemented.

Training: Branch Banking Operations, BSP and BIR Regulations pertaining to Banking Operations.

In Branch Selling, Loans and all Banking Products

Personal Background:

Marital Status : Married

Nationality : Filipino

Religion : Roman Catholic

Educational Background:

Primary level : Holy Trinity Academy, Manila 1983 to 1988

Secondary level : Holy Trinity Academy, Manila 1988 to 1991

College Level : Centro Escolar University, Manila from 1991 to 1995

( Bachelor of Science in Accountancy)

Member of: National Federation of Junior Philippine Institute of Accountants

Collegiate Level : became an Ambassadress of Goodwill

Computer know-how:

MS Office Applications (word, excel, power point)

E-mail Writing

Access

Quick books

Tally 9 ERP

CRM

Special Skills :

Multi-tasking

Fast learner

Team Player and results-oriented

Good oral and written communication skills

Keen to details

Work with “passion” and “in depth”

Administrative & Accounting Manager

March 14, 2021 - Present

Rasif Accountants ( Consultancy firm) Rakez Amenity Center

Ras Al Khaimah, United Arab Emirates

Managing and overseeing the daily operations of the Accounting department

Monitoring and analyzing Accounting data and produce financial reports

Establishing and enforcing proper accounting methods, policies and principles

Manage and handle the clients accounts.

Doing and Analyzing Bank Reconciliation, Financial Statements, Profit & loss

VAT Quarterly reporting

Marketing and Meeting Prospective and Valued Clients

Coordinates training programs for new staff and identifies training needs for current staff.

Responsible for hierarchy and scalability in chart of accounts and accuracy in the general ledger and financial statements and has ultimate authority over classification and booking of all transactions.

Accountant

Singarea Enterprise ( General Trading)

Ras Al Khaimah, United Arab Emirates

April 1, 2019 – May 15, 2020

Preparing and maintaining accounts receivable, payable and expenses.

Make a follow up for customers payment

Making journal entries

Balancing of Assets, Liabilities and Equity account books.

Preparing and monitoring Financial and Bank Report

Preparing Bank Reconciliation

Preparing and Balancing the daily remittances ( local and outside UAE)

Consolidating and checking the employees monthly payroll.

Preparing the financial analysis.

Preparing the quarterly VAT, and discuss it with the external tax accountant/agent.

Having a daily and weekly meeting with the CEO.

Financial & Tax Accountant

Smart Tax Services

Ras Al Khaimah, United Arab Emirates

Oct 15, 2018 – March 1, 2019

Job Description:

Audit and Checking the accuracy and completeness of tax computation of Accountant’s from various clients.

Oversee all accounts, ledgers and financial reporting system in accordance with appropriate generally accepted accounting standards and compliance with regulatory requirements and laws.

Monitor compliance with accounting policies and procedures.

Efficiently maintain and utilize accounting software and systems

Assist management with non-financial duties as needed.

Insurance Coordinator/Medical Coder

Al Oraibi Hospital

Ras Al Khaimah, United Arab Emirates

June 6, 2017 – September 26, 2018

Job Description:

Audits records to ensure proper submission of services prior to billing on pre-determined selected charges

Validating patients’ billing information, selecting and completing the insurance coverage information for the patient in their quest to access medical care.

Contact review organizations and insurance companies to ensure

prior approval requirements are met. Present necessary medical in- formation such as history, diagnosis and prognosis.

Assisting patients in obtaining and understanding medical benefits. Assist Processing the claims.

Doing resubmission report.

Handling both e-claims and paper claims.

o Supplies correct ICD-10-CM diagnosis and CPT codes on all diagnosis provided.

Perform coding work requiring independent judgment with speed and accuracy.

Sending insurance claims thru DHPO (e-claims)

including benefits, at a retail pharmacy store, hospital or clinic, doctor.

Validating patients’ billing information, selecting and completing the insurance coverage information for the patient in their quest to access medical care.

Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical in- formation such as history, diagnosis and prognosis

Assisting patients in obtaining and understanding medical benefits.

Processing the claims.

Doing resubmission report.

Handling both e-claims and paper claims.

Job Experienced Located at Jeddah K.S.A

International Extended Care Centre –(IEC) – Hospital

Joining Date: March 16, 2014 – March 16, 2016

Position : Nursing Administrative Assistant

Preparing the minutes of meeting

Attending the morning doctor’s and nurse managers/supervisors

meeting.

Accommodating 200 nurses, Nurse Supervisor, Nurse Managers and

Doctors

Consolidating the scheduled training courses of the nurses.

Updating the personal files, expiration of their contract, Saudi

Council.

Reimbursement of Medical Expenses, insurance upgrade, Medical equipment, non-medical purchase requisition, and evaluation of medical items, the leave form ( short and annual) absenteeism and return to work is submitted to me by the corresponding nurses and nurse managers subject for approval by the Nursing Director and Head Doctor.

Everyday checking of the flow of calendar meeting for meeting updates/agenda.

Consolidating and double checking the Timesheet of the nurses

uploaded by the system.( Information Technology)

Preparing the Leadership meeting conducted once a month

Claims and Risk Services Co. Ltd.

(from Sept 11,2012 to February 15, 2014)

: Supervisor

Balancing Claims and Provider Statement of all

Checking the Correct Balanced Summary Excel Sheet

Computing the deductible and patients share

Knowledgeable in medical terminologies and acronyms, medicines, procedure, and doctors’ prescription.

Knowledge in ICD coding

Approval of Medical Insurance

Monitoring the daily activities in the department

Philippine Savings Bank:

PRINCIPAL

RESPONSIBILITIES:

Customer Service Associate -Senior Staff (year 2006 to 2011)

:To ensure prompt and courteous servicing of client inquiries and transactions;

provide information on Bank products and services to clients.

: Process over-the-counter transactions- deposits, withdrawals, encashments, loan payments, miscellaneous transactions such as SSS and credit card payments.

:Validate cash and check deposits for any technical deficiencies before posting.

: Approve cash withdrawals or encashments within authority limit.

: Record late for clearing checks on the appropriate LFC register; ensure that late check are properly stamped as late deposits.

:Verify signatures on over the counter transactions and encashments/withdrawals

in accordance with approving

limit

: Perform outward clearing

functions.

:Sort, bundle, and transfer all excess cash to Branch Service And Control Officer at regular intervals during the day.

:Perform triangular balancing of transactions- ie; system record vs. source documents vs. cash/check items; ensure that all transactions and actual cash are balanced.

:Prepare transmittal slip of transactions, tape totals, microfilm all transaction

m

ed

ia.

Additional Functions: (At Branch Operations)

: As a senior Cash Assistant I assists the tellers and the new accounts for the daily transactions at the branch.

: In the absence of the Senior Officer I was assigned a task to assist the manpower

and handle the branch with proper

care.

: ATM cash loading and

balancing

: Soliciting clients with the Branch

Manager.

: Responsible for reporting any suspicious transactions in the branch or head office for immediate action.

: Perform other tasks that may be assigned to me from time to time

:To update the branch if there are any new policies and procedures implemented by the bank.

: Call clients for inquiries for issuing large amounts of check.

: To market clients by calling thru phone or if they visited to the branch, loans like housing, car loans and other new products to meet the budget given by the management.

: List and take actions if necessary to solve the matter.

: Remind the branch to call clients upon maturities on time deposit placements for some additional placements.

: Do some marketing strategies and how to fasten the transactions

: Do all the necessary monthly reports if

needed.

: Open to give bright ideas/opinions and any suggestions for the betterment of the branch.

: To take extra cautious on all the

transactions

:To attend training and seminars to increased knowledge know-how, introductory of new products and services rendered by the bank and if there were any policies and procedures implemented by the bank.

Loans Proccessor (year 2005 to

2006)

:Entertain client inquiries, provide information on Bank Products and services.

:Prepare loan

documents.

:Ensure completeness of loan

documentation:

Prepare offering slips and various reports( Such as Bank Statements Analysis, Financial Statement Analysis, Cash flow Projection, and summary Of Collateral Position) for each application.

2. Prepare documentation requirements upon approval of offering slip- i,e; approval letter, REM contract, credit line agreement, DBP line agreement, release documents(release ticket, disclosure statement, promissory note) and other required documents.

Request and review credit investigation or appraisal reports.

Check annotation and registration of real estate mortgage contract before submitting to Securities Department.

: Release approved loans, and monitor payments and due dates.

: File documents in credit

folders.

: Review loan rates

periodically.

: Go on client calls with Branch Head when

needed.

: responsible for reporting any suspicious transactions in the branch to the branch or head office for immediate action.

: Perform other tasks that may be assigned by superiors from time to time

Customer Service Associate- New Accounts ( April 2003-2005)

: Entertain client queries, provide information on Bank products and services to

clients.

: Process opening of new accounts and ensure compliance to the existing policies procedures on account opening and AMLA provision.

procedures on account opening and AMLA

provision.

: Process requests for other special bank products and services.

: Monitors and processes term placement transactions and maturities.

: Proper safekeeping of account opening documents and bank records.

: Handles release of bank statements, returned checks and checkbooks in accordance with existing procedures.

: Processes locals and foreign bills sent for collection.

: Responsible for reporting any suspicious transactions in the branch

Accountant ( Jan 2003- March 2003)-Branch Reconciliation Unit – H.O.

: Monitor the branch assigned to me.

: Balancing of Daily report of Income and expenses of the branch

: Consolidation of monthly reports given by the branch.

: To review the audit findings for future audit trails

: To tract /review monthly reports and transactions submit to me by the respective branch assigned to me.

Asst. Branch Accountant ( May 1996 to Dec 2002)-At various Phil Savings

Branches

: Preparing and Balancing the proof sheet ( Balance Sheet and Statement of

Income and Expenses)

: Monitoring Of Statement of Account of the clients.

: Monitoring and Balancing of All Special savings Deposit and Time Deposit

Maturities.

Counter-checking of all the posting media of the tellers deposit slip, withdrawal slips, official receipt)- to know if there are any erroneous posting and transposition

of the validation done by the tellers.

: To report and monitor any overage and shortage incurred by the tellers.

: Manually counter – checking of all checks for clearing ( to check if there are any

2nd-endorsed checks accepted by the tellers and Branch Cashier

: Monthly monitoring of all SECA ledger ( Second Endorsed Check Account Ledger of the Client)- to check up to when it is valid and when it expires.

: Consolidation of monthly reports

: To report any irregularities and any suspicious transactions done by the branch.

Accounting Staff for (Nov 27, 1995 to May 1996)-At Head office

: Monitoring and balancing of Special Savings deposit, Time deposit and

Checking Account Deposit of the client.(checking manually as against system computation)

: Balancing of daily Trial balance of both Savings and Checking Account deposit.

: Monitoring of SDB tickler (Safety Deposit Boxes) of the client (the maturity and availability of the SDB vault.

: Checking all freeze and dormant account of the clients and the correct tagging of the system.

: Counter-checking all the posting media and the late check deposit of the tellers

( to know if there were any erroneous posting from one client to another client)

: Balancing the General ledger.

In the Field of Accounting:(from Nov 27, 1995 – March 2003)

Transfer to Branch Service Operation: ( April 2003- Feb 5, 2011)- as per my request to the bank.



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