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Chatmaine Dela Torre Insurance claims officer

philippines

CHARMAINE M. DELA TORRE
1009-A Basak South Road, Cebu City Philippines 6000
Mobile No.: (63)9173212060
Email Add.: [email protected]

PERSONAL INFORMATION:

DATE OF BIRTH :        July 31, 1981
PLACE OF BIRTH:       Cebu City
CIVIL STATUS :            Single
CITIZENSHIP:               Filipino

EDUCATIONAL BACKGROUND:

TERTIARY:

Philippine Paramedical and Technical School – Cebu,Inc.
Applied Science in Nursing
License Practical Nursing
September 2005 – January 2007

Cebu Doctors’ University
BACHELOR OF SCIENCE IN PSYCHOLOGY
(1998 – 2003 )

SECONDARY:

University of San Carlos Girls High School
(1994 – 1998)

ELEMENTARY:
Colegio del Sto. Niño
(1988 – 1994
PRE-SCHOOL:
Colegio del Sto. Niño
(1986 – 1988)

Skills:
• Customer service skills
• Good Communication skills
• Knowledge on insurance industry and claims process
• Well developed interpersonal skills
• Analytical and negotiation skills
• Intermediate PC and keyboard skills
• Effective planning skills and time management

WORK EXPERIENCE:
COMPANY: GSSC QBE INSURANCE ( FEB 24 2014 – PRESENT)
POSITION: Claims Management Officer
DUTIES AND RESPONSIBILITIES:

:Manage claims (end – end process)
: Receive, record and process all incoming insurance claims for assigned area: Set reserves and authorized payment within scope of authority
:Settle claims in the most cost effective manner, ensuring timely issuance of
disbursements
:Identify suspicious or potentially fraudulent claims, notifying supervisor,
arranging investigation and briefing solicitors if further action is to be taken
:Ensure compliance with QBE policies, procedures and relevant legislation
:Acting as a Communications champion of the Claims Service Centre
:Insuring the customer is treated fairly and that the customer receives excellent
service in accordance with the industry and company guidelines.

COMPANY: ASSISTED OUTSOURCING PACIFIC (MAY 2011 – FEB.2014)
POSITION: Phone/ Call Center Agent
DUTIES AND RESPONSIBILITIES:
:Marketing Research (conducting surveys)
:Answering customer’s questions and concerns
:Handling inbound and outbound calls
COMPANY: NORTHERN TRANSCRIPTION WORKS
(AUGUST 2010- FEBRUARY 2011)
POSITION: Call Center Agent
DUTIES AND RESPONSIBILITIES:

:Marketing Research

COMPANY: PHILIPPINE  HEALTH  INSURANCE  CORPORATION
(April 17, 2005 – May 17,2005)
POSITION: Data Encoder 1 ( Project Base )
DUTIES AND RESPONSIBILITIES :

:Encoding the members form

ON THE JOB TRAINING:

COMPANY: HOSPITALS IN CEBU PHILIPPINES (2005-2007)
POSITION: STUDENT NURSE
DUTIES AND RESPONSIBILITIES:
: taking vital signs
: building rapport to the patient
: giving of medicine as prescribe by the doctor
: monitor intake and output of the patient
: taking notes on the patients chart

COMPANY:PILIPINAS MAKRO INC. (March 2001 – October 2001)
POSITION:Personnel Staff (On the job training)
DUTIES AND RESPONSIBILITIES :
• Conducting entrance test
• Interpreting the test result
• Receiving phone calls and fax
• Entertaining the employees concern with regards to
the work concern