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Ann J. — Mid-Level Team Leader in Healthcare Claims Processing from Philippines

Ann J.

Mid-Level Team Leader in Healthcare Claims Processing

Philippines 2-3 years
Open to offersNew to Platform
Languages
English
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About

Ann J. is a seasoned professional in the human resource development management sector with a comprehensive academic foundation from Tarlac Agricultural University, class of 2017. Her career spans multiple domains, showcasing her versatility and commitment to excellence. At SWAK BPO, she excelled as a Team Leader from January 2025 to September 2026, where she led the Claims Examiners team in processing healthcare claims, ensuring quality and accuracy. Her role was pivotal in training and mentoring staff while managing workflow efficiency. As a Customer Representative L1 and Claims Examiner with Continental General Insurance, she honed her skills in processing claims and resolving complex issues. Previously, Ann's tenure as a Telesales Representative at Universal Access Solution Company highlighted her aptitude for sales and customer engagement through effective communication. At IFP Manufacturing Corporation and Toyota Tarlac City, she further advanced her expertise in sales and HR compensation management. Her early experience as an Onsite Manager at Cleanedge Manpower Services demonstrated her capabilities in recruitment and employment processes in collaboration with Jollibee Food Corporation.

Experience

  • TEAM LEADER

    SWAK BPO · 2025 — 2026
    Led Claims Examiners in the processing of healthcare claims and invoices, ensuring adherence to quality, accuracy, and productivity standards. Provided guidance on complex claims and processed issues, while conducting training and onboarding for team members. Reviewed audits to identify errors, offered coaching for performance improvement, and monitored team productivity to support daily targets.
  • CUSTOMER REPRESENTATIVE L1

    SWAK BPO · 2023 — 2024
    Reviewed healthcare claims and invoices following benefit plans and company guidelines. Verified member eligibility and claim information to ensure accurate processing, handled complex claims, and corrected processing errors. Maintained productivity and quality standards while coordinating with other departments to resolve discrepancies.
  • TELESALES REPRESENTATIVE

    UNIVERSAL ACCESS SOLUTION COMPANY · 2022 — 2023
    Initiated sales through outbound calls to potential customers and documented relevant customer information. Maintained knowledge of products to inform clients about new offerings, generated leads through cold calling, and successfully converted prospects into sales.
  • ACCOUNT DEVELOPER – SALES

    IFP MANUFACTURING CORPORATION · 2020 — 2022
    Delivered presentations to prospective clients and coordinated sales efforts with marketing initiatives. Assessed client needs during visits to promote products and services, while responding to inquiries on pricing and offerings.
  • HR TIMEKEEPING COMPENSATION AND BENEFITS

    TOYOTA TARLAC CITY · 2019 — 2019
    Maintained timesheets and entered time and attendance data, verifying attendance and hours worked. Tracked employee leave and ensured timely submission of timesheets for accurate payroll processing.
  • ONSITE MANAGER

    CLEANEDGE MANPOWER SERVICES (JOLLIBEE FOOD CORPORATION) · 2018 — 2019
    Screened resumes and conducted candidate interviews through various formats. Advertised job openings across multiple platforms and provided candidate shortlists to hiring managers. Managed job offer communications and participated in recruitment events.

Skills & Expertise

Education

  • BSBA Major in Human Resource Development Management
    Tarlac Agricultural University · — — 2017

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