Mejanie O.
Mid-Level Healthcare Insurance Customer Service Specialist
Open to offersNew to PlatformPortfolios
About
Mejanie O. is an experienced Customer Service Professional based in Cebu, Philippines, with nearly nine years of expertise supporting customers in healthcare insurance and e-commerce sectors. At Manulife Data Services, she delivers multi-channel service for healthcare and dental insurance accounts, addressing inquiries on coverage, claims, and billing, while also managing complex and repeat cases. Mejanie has served as a Subject Matter Expert (SME), guiding new hires and managing internal policy queries. She actively participated in the GenAI Knowledge Pilot Group, evaluating AI-generated content for knowledge bases. Previously at Concentrix, Mejanie handled customer inquiries, order management, and escalation cases for a prominent online marketplace, consistently meeting performance metrics. Her role across these industries has leveraged CRM systems, case management, and order management tools to ensure service excellence and compliance with privacy standards.
Experience
Customer Service Professional
Manulife Data Services · 2022 — PresentHandled customer inquiries related to healthcare and dental insurance, supporting members via voice and chat channels by verifying eligibility, clarifying benefits, and addressing claims and billing concerns. Assisted new hires and provided process guidance as a Subject Matter Expert (SME), including support for internal policy inquiries from Manulife employees. Contributed to the GenAI Knowledge Pilot Group by assessing AI-generated knowledge base content for accuracy and usability, and managed complex and repeat cases to ensure timely resolution in compliance with data privacy standards.Customer Service Representative
Concentrix · 2017 — 2022Delivered customer support for an online marketplace account, assisting with product questions, facilitating account creation, order placement, and overseeing account management. Responded to customer requests for information on products, promotions, shipping, and delivery, while tracking order status and handling refunds and replacements for lost or damaged items in accordance with company policies. Addressed escalated calls involving complex concerns, ensuring consistent customer service performance.ITax Reviser / Encoder
Municipal Assessor’s Office · 2016 — 2017• Revised and encoded survey data records, including details on agricultural assets (number of coconut trees, banana trees, etc.) and land measurements (hectares, parcel dimensions, and property attributes). • Cross-checked raw survey information against source documents to ensure accuracy, consistency, and completeness of all entries. • Organized and formatted data into standardized digital databases or spreadsheets for easy retrieval and analysis. • Identified and corrected discrepancies in records to maintain data integrity, supporting informed decision-making for related projects or assessments.Substitute Teacher I
Department of Education · 2015 — 2015• Instructed a class of 20+ students across relevant grade-level subjects, adhering to established lesson plans and curriculum guidelines. • Facilitated engaging learning activities to ensure students grasped key concepts and demonstrated progress in their studies. • Managed classroom dynamics effectively, maintaining a positive and focused environment conducive to learning. • Monitored student performance and provided feedback to support their academic growth.
Skills & Expertise
Education
- Bachelor of Elementary Education (BEED)Josefina Herrera Cerilles State College · 2010 — 2014
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