Healthcare associate | Claim SpecialistHealthcare associate | Claim Specialist
Gellane
$1,400
per month
($8/hour)
Profile Description
I have over 5 years of experience in the BPO industry, handling different accounts such as Market Research, Appointment Setting, Airline account, and Healthcare. My background has honed my skills to be adaptive and competitive to whatever task is assigned to me. I am also highly organized, detail‑oriented, and proficient in managing administrative tasks such as scheduling, documentation, and client communication. My experience in healthcare claims and airline support has strengthened my ability ...
Top Skills
Skills & Expertise
Skill Levels Explained:
💡 Hover over any skill level to see exact years of experience
Customer Success
Specialized Skills
Virtual Assistance & Admin
Content & Writing
Data & Analytics
Design & Creative
E-commerce & Marketplace
Sales & Business Development
Work Experience
Claim specialist
Diversify ISS BGC INC
Sep 2025 - May 2026
Key Achievements:
- Handle all types of insurance (Medicare, Medicaid, Auto, Workers Comp, Commercial) - Verify patient insurance eligibility and benefits to ensure accurate billing - Submit, monitor, and follow up on claims with insurance carriers - Process adjustments and resubmissions to resolve denials or underpayments - Communicate with patients on coverage, balances, and claim status - Coordinate with physicians, billing staff, and insurers to expedite resolution
Healthcare Associate
Wipro
Sep 2024 - Sep 2025
Key Achievements:
- Handled sensitive patient data and insurance queries with precision and discretion - Maintained accurate records and documentation in compliance with HIPAA standards - Demonstrated strong attention to detail in data entry and verification tasks
Customer Experience Associate / Subject Matter Expert
Conduent
Dec 2021 - Aug 2024
Key Achievements:
- Delivered efficient and accurate support for international airline customers such as flight booking, rebookings, cancellations, special travel requests, travel requirements assistance, etc. - Managed multiple chat interactions simultaneously with high customer satisfaction - Provided expert-level support and training to new associates - Ensured quality and consistency in customer interactions and documentation
Market Research
Dynata SSI
Jul 2020 - Dec 2021
Key Achievements:
Conduct surveys to US households regarding a product, public person, current events, or elections while maintaining confidentiality.
Quick Stats
Certifications
Education
Bachelor's Degree
Bohol Island State University
2018 - 2022