Claims Analyst|Customer Service/ VA| Insurance| E-Commerce

Overview

Looking for full-time work (8 hours/day)

at $5.00/hour ($880.00/month)

BBA - Marketing

Last Active

September 15th, 2024 (yesterday)

Member Since

December 17th, 2015

Profile Description

My goal is to provide your company with professional customer service. I can handle any administrative task in a timely manner. I have extensive customer service experience, including email and chat support, online research, data entry, and order Upgrade to see actual info addition, I have managed Shopify stores with 100+ orders daily. I have a healthcare and property insurance background and am quick to learn new ones. I have reliable internet and can handle any customer account, from small businesses to enterprises.

Work Experience:

Sales support  - Light NZ   - Nov 2020 - Sep 2023
*Communicate with customers in online portals and systems (Gmail, Amazon, and Crisp)
*Processing orders, requests, and refunds. (Big Commerce, Dear, Amazon, and Shopify)
*Checking stocks and inventory 
*Administrative tasks.

Team leader  -  Online Store  - June 2018 - October 2020 
*Communicate with customers through online portals and systems (Gmail, Facebook, and Instagram). 
*Uploading products to the website. (Shopify)Liaising with suppliers.
*Monitoring shipments Product researcher Order processing (Shopify, Oberlo, and *Alibaba)Order fulfillment (Shopify, Oberlo, and Alibaba)Handling chargebacks and  PayPal disputes.
*Simple accounting tasks
*Administrative tasks.


Claims Officer -QBE GROUP SHARED SERVICES LIMITED PHILIPPINE BRANCH
 Jan 2016 - Mar 2018 
*Providing delivery of superior claims service, determining proper policy coverage to conclude, investigate, evaluate, and negotiate assigned cases.
*Provide personalized and quality service to meet the expectation of internal and external customers. 
*Understand customer needs and goals and actively look for ways to meet them. *Providing an exceptional customer experience at every point of contact. 
*Extensive experience in a customer-focused environment with the ability to build rapport over the phone and handle varying customer expectations and demands. *Ability to handle multiple and competing tasks to meet customer needs. 
*A highly empathetic approach to dealing with customers, possessing the ability to be friendly yet professional. 
*A modern approach to improving the business and a willingness to embrace change.


Health Claims Adjudicator -MANULIFE BUSINESS PROCESSING SERVICE 
Jan 2009 - May 2015 
*Input, analyze and assess claim submissions. 
*Evaluate and process claims in accordance with contractual limitations and standard operating procedures within the agreed service level through the aid of published claims manual. 
*Consistently meet and exceed accuracy and productivity standards.


Claim Analyst - Accenture
May 2006 - May 2009 
*Monitors liability claims from start to finish. Verifies and updates information on submitted claims. 
*Reviews the policy to determine which charges are eligible for reimbursement. Reconciles a claims adjuster's estimates. 
*Negotiates payments to all parties, and follows up to ensure that payments are made. 
*Monitors liability claims from start to finish. 
*Verifying and updating information on submitted claims. 
*Reviewing the policy to determine which charges are eligible for reimbursement. *Reconciling a claims adjuster's estimates, Negotiating payment to all parties, and following up to ensure that payments.
 
AREAS OF EXPERTISE:

Insurance| Customer service| Shopify VA |Order fulfillment |Handling refund| disputes |Administrative task| Health Insurance| Property Insurance| Data Entry