NINA RICCI
RALOTO
SUBJECT MATTER EXPERT
SKILLS
PERSONAL
PROFILE
Extremely motivated to
constantly develop my
skills and grow
professionally. I am
confident in my ability to
come up with interesting
ideas to help the business
grow.
Exceptional communication and interpersonal
skills
Successful working in a team environment, as well
as independently
The ability to work under pressure and multi-task
The ability to follow instructions and deliver
quality results
The ability to lead a team and create new ideas to
improve processes.
WORK EXPERIENCE
CONTACT
Bldg H2 Unit 202
Sorrento Oasis, C.
Raymundo, Brgy. Rosario,
Pasig City 1609-
Boston Dental Group, Subject Matter Expert/ Team
Leader
MARCH 2018 - SEPTEMBER 2018
Monitors the overall Verification team
performance, quality and guidelines compliance.
Conducts team meetings to update members on
best practices and continuing expectations.
Develops strategies to improve the overall
verification process and identifies areas for new
training or skill checks.
Conducts one on one coaching and helps the
team members in developing their skills for future
growth.
Boston Dental Group, Quality Assurance Specialist
EDUCATION
University of Baguio-
MARCH 2016 - FEB 2018
Ensured that all dental breakdown templates are
accurate and updated.
Created a checklist and ensured that all associates
properly gathered/obtained dental benefits either
from the web, call or fax copy of benefits.
Responded directly to all Client inquiries and
suggested ways on how to improve the overall
quality of the team.
WORK EXPERIENCE
Boston Dental Group, Account Executive
AUGUST 2015 - MARCH 2016
Determined patient’s eligibility for dental benefits
and updates account information accurately.
Gathered dental insurance information through
web, fax and through a live representative.
Determined if claim submission was completed
correctly, verified data and entered into system or
adjudication.
Processed claims adjustments when necessary.
Calls insurances to obtain and gather information
about denials and reprocessing of claims.
Posted payments for Ortho.
AT&T, Combined Billing Advisor
FEBRUARY 2013 - AUGUST 2015
Resolved product or service problems by clarifying
the customer’s complaint; determining the cause
of the problem; selecting and explaining the best
solution to solve the problem; expediting
correction or adjustment.
Recommended potential products and services
that will suit the customer needs to achieve
satisfaction.
Sprint, Inbound Sales Representative
FEBRUARY 2012 - FEBRUARY 2013
Responded to telephone inquiries, providing
quality service to customers and associates
inquiring about the availability of products or
status of orders.
Answered product and service inquiries;
suggesting information about other existing
products and services that will suit the customer's
needs.
Processed orders, prepare correspondences and
fulfill customer needs.
Virgin Media, Customer Service Professional
MARCH 2009 - FEBRUARY 2012
Answered inbound calls and maintain customer
accounts by recording account information.
Assisted with escalation calls and one of the floor
support that acts as the POC if the Team Leader is
not around.
Assisted and answered agents queries regarding
the processes and products information.