Marfe Cabasco

-- EDUCATION Me d i c a l Ce n t e r L u c e n a E d u c a ti o n al I n s ti t u ti o n March 1982 - March 1987 Registered Nurse Bachelor in Science of Nursing EXPERIENCE CLAIMS MANAGER Saffa Makkah Polyclinic 3 -Hara Riyadh K.S.A. September 2017 – to September 2018 Handling insurance Claims auditing and reviewing before submitting to different Insurance Company. Making sure that documents are complete and accurate. Handling Pre-Authorization Approvals Constantly update the documents Hard copies and soft copies on the database. ADMINISTRATOR ASSISTANT LABAS Health Third Party Adminstrator Co. - Riyadh, K.S.A. December 2016 – to February 2017( Releiver) Screening calls, managing calendars, meeting and event arrangements, preparing reports and financial data. Support on department like Office of the CEO, COO HR, Constantly update the documents Hard copies and soft copies on the database. . INSURANCE & MAINTENANCE SUPERVISOR Anwar Tareeq Rent A Car Co. – R iyad h , Saud i Ar abi a. April 2016 – to October 2016 Handling Motor Insurance Claims processing and policy maintenance. Make a monthly visit to all branches inspecting cars maintenance and possible problems Constantly update job and update the records on the database. MEDICAL UNDERWITER Da r Ma iar I n s u ran c e B ro ker – R iyad h, Saud i Ar abia April 2015 – to April 2016  Evaluate business or individual customers’ needs and financial status and propose protection plans that meet their criteria Work with clients to deliver risk management strategies that fit their risk profiles Report the progress of monthly/quarterly initiatives to stakeholders Maintain bookkeeping systems, database and records Monitor insurance claims to ensure mutual satisfaction Achieve customer acquisition and revenue growth objectives Constantly update job knowledge and learn about new products and services Fulfill all policy requirements Marfe D. Cabasco GROUP LEADER MEDICARE SUPPORT UNIT LEVEL 2 CUSTOMER EXPERIENCE Al Ra j h i Ta k a f u l – Ri ya d h , Sa u d i Ar ab i a August2013 – to March 2015 Support Unit for approval doctors/customer service. Setup the Section to receive major queries from call Center and find solution for the queries. Provide support to Approval Doctors for referrals of Insured members to higher medical Services. Developed a database by using Microsoft Access to store data needed for queries and statistical purposes. Developed different Correspondence Templates by using Microsoft Word. Trained Call Center Agents on how to handle major queries from the customer and provide the customer the service they deserve. My section responsibility is to make sure that customer are satisfied with our products hence we call it customer experience. Our work are not completed until we hear from the customer that they are satisfied with the product and their queries are resolved. I also trained my staff on how to respond to different queries and respond to them with very good TAT. CUSTOMER SERVICE CENTER(CSC) SUPPORT SUPERVISOR | ME DG U LF/ Me di vi sa – Ri ya dh , Sa ud i Ar a bi a March2011 – to July 2013 Supervising the work load of the Section Facilitating Correspondence with different Assigned Providers Statistics and monthly report monitoring of Exgratia payments. Assist with Pre-authorization Approval Section on clarification of disputes and facilitate to ease the work flow and protocols. Assisting customers in their approval disputes and queries. Page 2 Marfe D. Cabasco IN-HOUSE CLINIC SUPERVISOR ME DG U LF/ Me di vi sa – Ri ya dh , Sa ud i Ar a bi a January 2008 to March 2011 Monitoring, Handling statistics report and updating data. In-House Clinic Pre- Authorization Approvals. Preparing Medicine Orders to be supplied to the client. Coordinating with Medicine suppliers and In-House clinic Staff Preparing Monthly salary sheet for the In-HouseClinic Staff Developed a system on Microsoft Excell and Acces to speed up the Process of work in the department. March 2011 department stop operation as per CCHI Instructions. Transferred to CSC department as a supervisor. CUSTOMER SERVICE SUPERVISOR/NETWORK CO-ORDINATOR| G UL F U N I ON I NS UR AN CE CO. – Al - Kh o b a r , S au d i Ar ab i a January 2001 – December 2007 Supervising the work load of Claims Auditing claims and Approvals Visiting Hospitals Assigned providers for reconciliation of the Accounts and discussing other problems on how to improve the services. Page 3 Marfe D. Cabasco UNDERWRITING ASSISTANT B AH RAI N KU WAI T INS U RAN C E CO. - B ah r a i n April 1994 – April 2000 Conduct analysis and computation of Group Life and Group Credit Life premiums for client proposal. Auditing medical Reimbursement Claims. To file documents, prepare declaration, statements of premiums Perform, update, and monitor renewal notices. Prepare/arrange policy documentation and endorsement dispatch. Issue Policies and certificates (to be checked by Supervisor) Underwrite within limited designated authority the incoming proposals and enquiries. Enter the required information and proposals into the database system. Perform task requested by direct superior. SSTAFF NURSE | A ME R I C AN MI S SI ON HOS P I TAL B AH R AI N - Bah rain April 1993 – April 1994 Attending emergency cases and assisting Doctors in minor operations Giving medications and injections to patients as part of carrying out Doctors order. Charting patients records including vital signs and chief complaints of patient. In order to prioritize the needs of the patients. Page 4 Marfe D. Cabasco | COMPANY NURSE | H AI L AGR I C UL T U RAL DE V CO. Hail, Saudi Arabia March 16, 1990 – March 18, 1992 Responsible for out- patients and emergency cases. Transferring patients to the hospital. Assisting doctors in performing minor surgical operations.  Carrying out doctor’s order. Handling monthly inventory of medicine stocks.Ambulance Nurse. | COMPANY NURSE | L U C E N A DE S I C CAT E D COC ON UT C O.Lucena City, Philippines March 1989 – March 1990 Responsible forout- patients and emergency cases, first aid treatment and clerical works.  Carrying out doctor’s order and as ambulance nurse. | STAFF NURSE | ME DI CAL CE N TER L UCEN A Lucena City, Philippines March 1987 – March 1989 Responsible for out-patients and emergency cases Assisting major and minor surgical operations. Work at different wards like male/female surgical wards.  Carrying out doctor’s order.  Recording patient’s data and status. Page 5 CERTIFICATES POST GRADUATE: INSURANCEFOUNDATIONCERTIFICATE(IFCE) IFCE exam successfully passed given on 30th September 2011 Riyadh Saudi Arabia under the supervision of the institute of Banking and Saudi Monetary Agency (SAMA). Advance Life Support Program (Basic CPR), American Mission Hospital, Bahrain Basic Electrocardiogram for Nurses – Philippine General Hospital, Manila Philippines. Nursing Care of Patient with Respiratory Problems – Lung Center of the Philippines, Manila, Philippines Abbreviated First Aid Training – Medical Center Lucena, Lucena City, Philippines. SKILLS Knowledge in Computer like MS Office Excel, Word,Acces,Powerpoint. Customer Service Oriented. Fast Learner and can work with minimum supervision a team player. Able to adapt oneself to new surroundings; to make suitable change so as to fit new conditions.