BS Computer Science
University of Pasig City
A Healthcare Data & Medical Claims Analyst with 10+ years of experience supporting insurance and healthcare operations.
Specialized in medical claims adjudication, eligibility verification, medical records review, and regulatory compliance, with hands-on experience across vendor-delegated and non-delegated workflows.
Proven ability to manage complex claims, interpret medical policies and coding, meet strict turnaround times, and deliver accurate, compliant
nt, data-driven outcomes. Detail-oriented, reliable, and collaborative, trusted to support business, client, and operational goals.
University of Pasig City
Reviews, adjudicates, and investigates medical claims. We process benefit applications, handle claim appeals, and analyze billing data to ensure accuracy, regulatory compliance, and correct insurance payouts, often supporting US and AU -based healthcare payers and providers
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Search the Internet for information on a wide variety of topics.
Promote companies' products and services by developing copy for websites, social media, marketing materials.