Claims Specialist | Overpayment Analyst
Bulacan, Paombong, Philippines
I assist healthcare providers with checking insurance benefits, investigating claims, verifying COB, reviewing contracts, and tracking appeal statuses.
Sagility, full_time
Feb 2022 to Aug 2026
Audited and revalidated overpayment claims while investigating payment disputes on behalf of healthcare providers. Tracked payment statuses and managed active follow-ups for insurance refund requests sent to the physicians. Served as a key point of contact for doctors regarding claim overpayment reviews, dispute resolution, and status tracking.
Hinduja Global Solutions , full_time
Sep 2019 to Dec 2021
Assisted healthcare providers with verifying patient insurance plans, coverage details, and active eligibility status to ensure care delivery. Reviewed, revalidated, and processed overnight claims and appeals, ensuring adherence to billing compliance and policy guidelines. Also executed end-to-end medical processing with high accuracy, minimizing denials and streamlining payout workflows.