Gabrielle Alden

Gabrielle Alden

$5/hr
Claims Processing/ Claims Adjustment/ Claims Audting and Im also a Subject Matter Expert
Reply rate:
-
Availability:
Hourly ($/hour)
Age:
41 years old
Location:
Marikina , Metro Manila, Philippines
Experience:
8 years
 GABRIELLE H. ALDEN #52 DON GONZALO PUYAT ST. BARANGKA, MARIKINA CITY Email ID:-/ - OBJECTIVE To achieve customer support service levels by managing staff and workload to ensure optimal performance. Provide continuous interaction with Operations (leadership and associates) and the client to achieve service-level metrics with the intent of meeting contractual objectives. PERSONAL INFORMATION NAME:Gabrielle H. Alden ADDRESS:#52 Don Gonzalo Puyat St. Barangka, Marikina City DATE OF BIRTH:June 16, 1984 PLACE OF BIRTH:Camarines Sur NATIONALITY:Filipino CIVIL STATUS:Married GENDER:Female WORKING EXPERIENCE Accenture Philippines Incorporated Claims Operation Team2009 - Present SME / Claims Processor and Adjuster Motortrade Philippines & DORFLEX Aus- Branch Secretary LCC Mall- Warehouse Clerk SKILL HIGHLIGHTS Excellent in multi-tasking and works well under pressure Strong written and communication skills Basic Software knowledge Claim Analysis and review specialist Problem resolution ability Team player with positive attitude TECHNICAL SKILLS Accenture Philippines Incorporated2009-Present Adjustment & Transaction Processing Representaive Responsible for processing / adjusting almost all types of claims such as COB /medicare, medicaid, ITS, HMO, PPO (professional and facility claims) Researching member and provider requests to locate discrepancies. Ensuring accurate payment is made based on contract benefits. Entering & deleting claims into the system if necessary. Subject Matter Expert- Assist in resolving complex or escalated issues. Assist in onshore and offshore conference calls. Oversee training of new hires and associate cross training initiatives. Responds to all inquiries from claims processors. Research processing issues and finding resolutions. Branch Secretary (Motortrade and DORFLEX AUS Inc- Experience of managing complex administrative and clerical activities. Ability to maintain high level of confidentiality and manage office operations. Answering telephone calls, emails, taking and distributing messages. EDUCATIONAL BACKGROUND TERTIARY- Ateneo De Naga University Bachelor of Secondary Education Major in Computer Application Patido State University Bachelor in Accountancy- SECONDARY Partido State University- PRIMARY Goa Central School- AWARDS AND ACHIEVEMENT Neptune ISG CA-Claims Subject Matter Expert 1 time SME of the year Neptune ISG CA-Claims Subject Matter Expert Most Valuable SME Awardee for several months CHARACTER REFERENCES Jowell Marin Accenture Philippines Inc. Junior Team Lead - France Camille Ramirez Accenture Senior Team Lead - Christoper John limos Accenture Philippines Inc. Business Excellent Consultant -
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