Jun M.
Junior Appeals Coordinator
Open to offersNew to PlatformAbout
Jun Mark E. is an accomplished Customer Service Representative with extensive experience in the financial and telecommunications industries. Currently serving as an Appeals Coordinator at United Behavioral Health, Optum, he excels in decision support and coordination by working with clinical teams and providers to ensure accurate appeal determinations. His role also emphasizes effective member and provider communication by delivering timely updates regarding appeal outcomes. Previously, as a Fraud Analyst at Citibank, Concentrix, Jun Mark specialized in fraud detection and prevention, monitoring accounts to identify suspicious activities and conducting comprehensive investigations into potential fraud cases. At T-Mobile, Concentrix, he provided expert-level support to customers, consistently achieving high KPIs such as call quality and first-call resolution. Jun Mark holds a Bachelor's Degree in Education majoring in Social Studies from La Concepcion College and demonstrates strengths in data analysis, project management, and problem-solving.
Experience
Appeals Coordinator
United Behavioral Health, Optum · 2023 — PresentCollaborated with clinical teams, providers, and internal departments to compile necessary documentation, clarify case specifics, and facilitate accurate appeal decisions. Communicated timely updates to members and providers about appeal results, required documents, and subsequent steps while upholding high customer service standards.Fraud Analyst
Citibank, Concentrix · 2022 — 2023Oversaw customer accounts and transactional activities to detect suspicious behaviors, minimize losses, and thwart fraud attempts in real-time. Conducted thorough investigations on potential fraud cases, including data review, customer information validation, behavioral analysis, and findings documentation. Utilized Citi’s fraud policies and analytical structures to evaluate risk exposure, suggest account measures, and ensure adherence to regulatory requirements.Customer Service Representative
T-Mobile, Concentrix · 2021 — 2022Delivered specialized support to a dedicated customer base, ensuring solutions were in line with T-Mobile's 'Un-carrier' standards. Achieved set KPIs related to call quality, NPS, first-call resolution, and overall customer satisfaction rates.
Skills & Expertise
Education
- Bachelor's Degree in Social StudiesLa Concepcion College · 2018 — 2022
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