Monica D.

Monica D. is an experienced Claims Adjudicator and Customer Service Professional based in Quezon City, Philippines, specializing in the healthcare and insurance industries. From February 2023 to June 2026, she worked at Manulife Business Processing Services, expertly reviewing and adjudicating health and dental insurance claims while ensuring compliance with policy guidelines and regulatory requirements. Monica provided exceptional support to members and providers regarding benefits, eligibility, and claim inquiries through phone and email. Her role involved investigating denied claims and coordinating with internal departments to ensure prompt resolutions. Additionally, she facilitated prior authorization requests and maintained precise customer interaction documentation using multiple CRM systems. Prior to this, Monica was part of Sagility Health Philippines from August 2021 to January 2023, where she assisted with benefits and claims inquiries, processed premium payments, and ensured efficient claims processing. Her background in Business Administration with a focus on Operations Management underpins her strong focus on quality and compliance in healthcare service operations.