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Faye M. — Mid-Level Claims Specialist from Philippines

Faye M.

Mid-Level Claims Specialist

Philippines 1-2 years
Open to offersNew to Platform
Languages
English
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About

Faye M. is an experienced Claims Specialist and Customer Service Representative with a robust background in healthcare and roofing insurance. She excels in handling customer inquiries through calls, emails, and chats, ensuring accurate documentation and resolving complex billing and claims issues. At ServPro and GCNAT, she managed property claims from initial report to resolution, effectively coordinating with homeowners, contractors, and adjusters. Faye's strong problem-solving skills were demonstrated as she analyzed claims, identified discrepancies, and submitted supplements to adjusters, significantly improving client and stakeholder experiences. Her proficiency with CRM systems, claims management software, and communication platforms underscores her tech-savvy nature. Furthermore, Faye has practical experience with QuickBooks, which she utilizes for billing and invoicing to support daily accounting and administrative tasks. Based in Quezon City, Philippines, Faye is adaptable and thrives in fast-paced environments.

Experience

  • Claims Specialist

    ServPro
    Reviewed claim details, assessed damage reports and estimates, and verified documentation. Facilitated communication between homeowners, contractors, and adjusters to ensure claims progress effectively. Oversaw the claim process by monitoring progress and following up on pending approvals to avoid processing delays.
  • Claims Analyst

    GCNAT
    Conducted analysis of claims to identify missing or underpaid items and prepared supplements for adjusters. Provided regular updates to clients and stakeholders while addressing concerns to enhance the overall experience. Organized documentation to ensure compliance with insurance requirements and deadlines.
  • Customer Service Representative

    The Restoration Operators - Teleperformance - Healthcare
    Managed incoming inquiries and assessed member concerns to provide accurate information regarding coverage, claims, and billing. Investigated issues and coordinated with internal teams to deliver timely resolutions. Maintained and updated member records to ensure data accuracy and compliance with standards.