US Medical Insurance Specialist
Cavite
As an Escalation Officer handling insurance claims, I managed complex and high-priority cases involving claim delays, denials, and billing disputes. I served as the main point of contact for escalated concerns, ensuring each case was reviewed thoroughly and resolved in line with policy guidelines and service standards.
Conduent Inc., full_time
Nov 2019 to Aug 2025
As an Escalation Officer handling insurance claims, I managed complex and high-priority cases involving claim delays, denials, and billing disputes. I served as the main point of contact for escalated concerns, ensuring each case was reviewed thoroughly and resolved in line with policy guidelines and service standards. I worked closely with internal teams such as claims processing and billing to investigate issues, clarify coverage details, and provide accurate updates to customers. My role required strong attention to detail, clear communication, and the ability to handle sensitive situations with empathy while maintaining compliance and turnaround targets.