Claims QA & Data Entry Specialist

MANUEL ALEJANDRO BARRETO ROJAS

DATA ENTRY SPECIALIST DATA QUALITY CLAIMS OPERATIONS

Lima, Peru +51-997-***-*** ***********@******.*** Remote-ready PROFESSIONAL SUMMARY

Detail-oriented Data Entry and Data Quality professional with more than 3 years of experience entering, validating, reviewing, and maintaining high-volume records. Skilled in comparing data against source documents, identifying discrepancies, correcting errors, maintaining database accuracy, protecting data integrity, and following SOPs and case- specific requirements. Proven record of 100% accuracy while processing more than 120 files per day. CORE SKILLS

Data Entry Data Validation Accuracy Verification Database Maintenance Source Document Review Quality Control

Data Integrity Error Identification Records Management Claims Processing SOP Compliance High-Volume Data Processing QA Reporting Process Improvement Time Management Advanced English KEY ACHIEVEMENTS

• Achieved 100% accuracy while processing more than 120 files per day and consistently met quality and productivity standards.

• Trained and supported more than 18 team members on claim-processing procedures, documentation requirements, and quality standards.

• Standardized SOP documentation for a new India-based claims team, supporting consistent processing and onboarding.

• Recognized as Employee of the Month more than six times at Simpluris for accuracy, productivity, and overall performance.

PROFESSIONAL EXPERIENCE

Claims QA Specialist Simpluris 06/2025 - Present

• Conduct detailed quality assurance reviews of processed claims files to verify accuracy, completeness, and compliance with established procedures and standards.

• Document QA findings and maintain quality-control records to support tracking, reporting, performance analysis, and corrective action.

• Prepare QA reports and identify recurring errors, discrepancies, and quality trends.

• Manage high-volume review workloads while maintaining established productivity, accuracy, and quality standards. Data Entry Specialist Simpluris 01/2024 - 05/2025

• Entered, updated, and maintained high volumes of data across internal systems and databases while preserving consistency and integrity.

• Compared information from multiple sources and source documents to identify discrepancies, missing data, and potential errors before submission.

• Performed data verification and quality checks to ensure records complied with procedures, guidelines, and accuracy standards.

• Collaborated with internal teams to resolve discrepancies, clarify missing information, and complete assigned records on time.

Claims Administrator Simpluris 09/2022 - 12/2023

• Performed detailed data entry and validation of claimant information, ensuring records were complete, accurate, and properly documented.

• Reviewed claim documentation and case information to identify missing or inconsistent information requiring resolution.

• Applied SOPs, case-specific procedures, and eligibility requirements consistently across high-volume workflows. Administrative Support Advisor Instituto Nacional de Salud, Lima, Peru 03/2022 - 05/2022

• Reviewed, organized, and maintained administrative records to ensure accuracy, completeness, and accessibility. Specialist Advisor AMG LLC, Lima, Peru 10/2021 - 01/2022

• Handled customer requests while maintaining accurate records, service quality, and professional communication. ADDITIONAL EXPERIENCE

Marketing Assistant Acero Estudio Latam SAC, Lima, Peru 04/2021 - 10/2021

• Supported marketing campaigns and coordinated the information and documentation required for marketing initiatives.

Food and Beverage Assistant Bear Valley Alpine Country Resort, United States 12/2018 - 03/2019

• Provided customer service in a fast-paced food and beverage environment. EDUCATION

Technical Professional in Marketing ISIL 2020

Advanced English Program, Certificate of Completion Pontificia Universidad Catolica del Peru (PUCP) LANGUAGES

Spanish: Native English: Advanced

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