Complex Claim Recovery Specialist- Personal Injury Claims
Rizal
I am in the BPO industry for 9 years, primarily as a Customer Service Representative. I handles various accounts including retail, food delivery. financial service. Telco, content moderation. e-commerce. and health care as Complex Claims Specialist. Though the business that I work with has different scope and task but still it has the same role of dealing. assisting, and resolving issues and concern. I am adaptable, resourceful and attention to details. I can work with less supervision even with high volume environment. Aside of having a background of being a content moderator and e- commerce I also manage my own social media as I have my spare time. I create a content like story telling, slide info. or pics integrated with story line. I posted some motivational and inspirational quotes. Though I don't have a particular niche because that is only my hobbies and I am still learning to find what niche should I go, currently I am observing my targets and the platform recommendation. But over all I would like to say that in Digital or social media skills I am aware of what should I monitor progress of the content. checking daily the analytic results and apply the recommendations of the platform to increase the data. Apart from that I have initiative behavior, to resolve improvements to see the potentials and opportunities.
Optum, full_time
Jan 2025 to May 2026
Verifying hipaa information manage to negotiate and investigate the claim Monitoring the payment Communicated to professionals like law firm, and insurances