rizza V.

Rizza V. is a seasoned Customer Experience Agent at Alorica in Quezon City, with over 12 years of dedicated experience in the healthcare industry, focusing on provider relations and complex account management. She is adept at navigating healthcare policies, claims adjudication, and prior authorization processes. As a primary contact for provider offices, she expertly handles complex inquiries and escalations, addressing patient benefits and claim breakdowns. Her role involves managing offline claim adjustment queues and ensuring compliance with guidelines, all while maintaining high provider satisfaction through effective escalation management and case ownership. Rizza consistently meets key performance indicators like First Call Resolution and Quality Assurance scores, demonstrating her strong expertise in CRM Software and Data Entry. With a background in Advertising and Public Relations from the Polytechnic University of the Philippines, she leverages her strong communication skills to enhance customer service operations.