Michelle Dela Cruz

Michelle dela Cruz I am a qualified and professional claims analyst with five years of experience in dental claims adjudication in an insurance context with expertise in complex work types and process support. Strong creative and analytical skills. Team player with an eye for detail. - EXPERIENCE -Lapu-Lapu City, Cebu Philippines CLAIMS ANALYST Manulife Business Processing Services 2018- Present SKILLS Problem-Solving Manages the financial processing of claims, involving the receipt, analysis, and assessment of customer Strong Communication submissions. This encompasses claims indexing to Time Management separate items from settlements and notifications. Key Leadership responsibilities Collaboration overpayments, include reporting underpayments, instances and of other irregularities. Claims are evaluated and processed in adherence to contractual limitations and standard operating EDUCATION SECONDARY EDUCATION Marigondon National High School 2010 - 2014 PCHS NCII Holder procedures, following the guidelines outlined in the published claims manual, all within agreed-upon service levels. Identifies transactions requiring escalation back to the Business Unit or other departments/teams. Possesses expertise in handling provides support complex through the work types administration and of TERTIARY EDUCATION question support. Additionally, has been seconded to Cebu Technological University- various business units, including Vision and Drugs Main Campus Health Processing, Customer Service C Online Claim 2014 - 2018 Submission Dental and Health Email Support, and OCS Bachelor of Arts in English- Audit and Calls. Applied Linguistics Cum Laude