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Michael N. — Mid-Level Insurance Claims Analyst from Philippines

Michael N.

Mid-Level Insurance Claims Analyst

Philippines 3-6 years
Open to offersNew to Platform
Languages
EnglishTagalog
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About

Michael N., based in Dauin, Negros Oriental, Philippines, is a seasoned professional adept in transaction processing and insurance claims analysis. With a solid background in computer engineering, he possesses foundational technical skills and strong analytical capabilities that underpin his career. During his tenure as a Transaction Processing Analyst at Accenture, Michael excelled in accurate data entry, analyzed insurance-related information, and ensured regulatory compliance through meticulous claim processing. His role involved determining claim eligibility and interpreting claims reports, consistently maintaining quality standards. Subsequent to Accenture, Michael served as a Customer Service Representative at Qualfon in Dumaguete City, where he delivered high-quality support across service channels while resolving customer concerns efficiently. In his position at The Soft Serve Café and Courts, he coached pickleball players and coordinated court logistics, enhancing user experiences within a subscription-based service model. Michael's technical proficiency extends to programming languages such as C++ and JavaScript, alongside productivity tools like Microsoft Excel and PowerPoint.

Experience

  • Pickleball Coach & Court Coordinator

    The Soft Serve Café and Courts · 2025 — 2025
    Coached players at different skill levels, emphasizing technique, strategy, and sportsmanship. Managed court schedules and daily operations to ensure smooth functioning. Aided in the promotion of programs and facilitated a subscription-based service model for court usage, ensuring a positive experience for customers.
  • Customer Service Representative

    Qualfon · 2021 — 2023
    Provided exceptional customer support through various service channels. Addressed and resolved customer issues efficiently while achieving service-level targets. Kept accurate records of customer transactions and interactions, showcasing strong problem-solving and communication skills.
  • Transaction Processing Analyst

    Accenture · 2017 — 2020
    Executed data entry and analyzed insurance information with precision. Processed claims reimbursements in accordance with established guidelines while determining eligibility for approval or denial. Addressed inquiries from clients and internally to resolve claim-related issues. Conducted analysis of payments, procedures, and benefits to ensure accurate processing, and interpreted paid claims reports for compliance and accuracy. Maintained quality assurance standards while ensuring adherence to industry regulations.

Skills & Expertise

Education

  • Bachelor of Science in Computer Engineering
    Asian College of Science and Technology · 2006 — 2016
  • Bachelor of Science in Accounting (Undergraduate Units)
    Asian College of Science and Technology · 2008 — 2009

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