Lizjer Generosa

Lizjer Generosa

$10/hr
Fraud Solutions, Customer Service Representative
Reply rate:
-
Availability:
Full-time (40 hrs/wk)
Age:
27 years old
Location:
Cebu City, Region Vii, Philippines
Experience:
4 years
LIZJER S. GENEROSA Cebu City, Philippines |--| LinkedIn Profile PROFESSIONAL SUMMARY Results-driven Virtual Assistant and Customer Service Professional with over 4 years of experience in high-stakes environments including fraud solutions, healthcare financing, and dental insurance. An English Language Studies degree holder with expert-level communication skills and a proven ability to manage complex billing, claims, and data-sensitive transactions with 100% accuracy. CORE COMPETENCIES • Specialized Support: Fraud Investigation, Identity Theft Prevention, Claims Processing. • Administration: Advanced Calendar Management, Data Entry, Billing & Payment Arrangements. • Communication: Professional Correspondence (English/Filipino/Cebuano), Conflict Resolution, and Technical Writing. • Technical Tools: MS Office Suite (Excel expert), CRM Management, and AI Prompt Engineering (ChatGPT), Dentrix Ascend | Curve Hero. Customer Service Representative (Financing & Healthcare) | Almost 2 years • • Took a seminar about HIPAA Compliance Assist inbound customer inquiries via phone call, addressing concerns related to dental insurance • Verify dental coverage and benefits • Explain policy details such as deductibles, co-payments, and annual maximums • Provide information on claim status and processing timelines • Help clients understand Explanation of Benefits (EOB) documents • Guide members through the provider network and helping them locate in-network dentists Sykes Asia Inc. (GUARDIAN Life Account) | Cebu City Customer Service Professional | For almost 2 years • Provided expert policy and coverage assistance for dental insurance, handling claims and pre-authorizations. • Facilitated provider network assistance and resolved high-level escalations regarding billing issues. EDUCATION & CERTIFICATIONS • • • Certifications: Basic IT Skills, Pedagogy and Teaching Approach. Attended HIPAA work journals and approach. Language Seminars: Gender Language Equalities, Español Basico.
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