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Allan C. — Senior Healthcare Claims Quality Auditor from Philippines

Allan C.

Senior Healthcare Claims Quality Auditor

Philippines 6+ years 600 - 750 USD
Actively lookingNew to Platform
Languages
EnglishTagalog
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About

Allan P. is a seasoned Quality Auditor and Technical Coach with over 15 years of experience in U.S. healthcare claims processing, working extensively with Accenture Philippines. He has showcased expertise in auditing, mentoring, and improving procedural accuracy and was instrumental in refining the claims review process for the Cigna LifeSource Transplant Network. Allan has conducted comprehensive training for over 100 associates, enhancing new hires' claim accuracy by 15%. His career is marked by numerous accolades, including being recognized as a Top 5% Performer and multiple awardee of productivity and quality recognitions. Allan's diverse skill set also includes proficiency in Google Workspace, Microsoft Office, and graphic design tools like Canva and CapCut. He holds a Bachelor of Science in Management from Colegio de San Juan de Letran and has completed several specialized trainings, further solidifying his reputation for excellence and leadership in process management and innovation.

Why hire me

I bring a solid mix of accuracy, reliability, and initiative. With years of experience in data entry, auditing, and administrative support, I’ve developed strong attention to detail and the ability to manage multiple tasks efficiently. My background as a franchise operator also taught me how to handle operations, automate workflows, and communicate clearly with teams. I take pride in delivering consistent, high‑quality results and finding practical solutions that make daily work smoother.

Experience

  • Technical Coach | SME | Trainer | Quality Auditor | Lifesource Processor

    Accenture Philippines · 2009 — 2025
    Performed reviews and repricing of claims for the Cigna LifeSource Transplant Network. Executed quality audits and provided training to over 100 associates. Guided new hires to enhance claim accuracy. Proficient in data management and process documentation.

  • Marketing Assistant / Layout Artist

    JB Music & Sports Inc. · 2004 — 2004
    Assisted in marketing efforts and created layouts for promotional materials.

  • External Affairs Assistant

    E. Ganzon Inc. · 1997 — 2001
    Supported external affairs operations and maintained communication with stakeholders.

  • Data Encoder

    Development Bank of the Philippines · 1996 — 1997
    Encoded data for various banking operations to ensure accurate record-keeping.

  • Loans Clerk

    Planters Development Bank · 1995 — 1995
    Managed loan processing tasks and provided clerical support within the lending department.

  • Data Encoder

    Maersk Mercantile Ocean · 1995 — 1995
    Handled data entry tasks to support operational efficiency.

  • Sales Coordinator

    Cinderella Store · 1993 — 1993
    Coordinated sales activities and assisted in customer service.