Suedy

Insurance Verification Virtual Assistant | HIPAA Compliant

Suedy

ID Verified
1,000/mo
Antipolo City, Philippines
Looking for Full-time
8 hours/day
Availability: US / EU / Asia timezone

Profile Description

Versatile and detail-oriented Virtual Assistant with a strong corporate background specializing in Insurance Verification, Database Administration, and Healthcare Operations. Fully HIPAA compliant with deep expertise in managing confidential customer data and protecting Protected Health Information (PHI). Proven track record of executing critical verification and data entry workflows across Property & Casualty (P/C) and Life Insurance sectors. Proficient in leveraging specialized systems such as...

Top Skills

B2B Sales · <1 yearB2C Sales · <1 yearCalendar Management · <1 yearClickUp · <1 yearCold Email Outreach · <1 year

Skills & Expertise

Virtual Assistance & Admin

Data EntryBeginner
Monday.comBeginner
NotionBeginner
ClickUpBeginner
Personal Assistant ServicesBeginner
Email ManagementBeginner
Research & Information GatheringBeginner
Calendar ManagementBeginner
Travel PlanningBeginner

Sales & Business Development

B2C SalesBeginner
SalesforceBeginner
Zoho CRMBeginner
Cold Email OutreachBeginner
Lead GenerationBeginner
B2B SalesBeginner

Customer Success

Live Chat SupportBeginner
Email SupportBeginner
Phone SupportBeginner
ZendeskBeginner
Social Media SupportBeginner

E-commerce & Marketplace

eBayBeginner
Facebook MarketplaceBeginner
TikTok ShopBeginner
Order ProcessingBeginner
DropshippingBeginner

Specialized Skills

Corporate TrainingBeginner
Medical BillingBeginner

Work Experience

Insurance Customer Service & Operations Representative

Everlake Life Insurance

Oct 2025 - Sep 2026

Key Achievements:

Managed and verified life insurance policies efficiently by leveraging Salesforce CRM to look up client accounts and maintain accurate data records. Processed financial transactions and policy modifications, including secure payment acceptance and real-time updates to customer profile information.Guided policyholders through the reinstatement process, explaining complex requirements and sending necessary legal forms to resume lapsed coverages.Resolved billing and payment inquiries, assisting customers with the preparation and delivery of premium certificates required for medical evaluations adhering to PHI safety protocols.

Data EntrySalesforceResearch & Information GatheringPhone Support

Omnichannel Customer Experience & Optical Consultation Specialist

Zenni Optical

Feb 2025 - Sep 2025

Key Achievements:

Managed financial and billing resolutions, including processing product refunds, issuing official billing receipts, and strategically applying promotional discounts.Secured and processed retail transactions, assisting clients with checkout workflows, complex billing inquiries, and alternative payment methods.Delivered omnichannel support via phone, live chat, and email, guiding global customers through the end-to-end e-commerce purchasing journey.Accurately analyzed and interpreted complex ophthalmic prescriptions ensuring compliance with HIPAA guidelines when handling sensitive customer vision data. Provided tailored optical recommendations based on vision prescriptions, expert-matching customer needs with single-vision, bifocal, progressive, or contact lenses. Drove sales and product education by proactively explaining lens technologies, frame features, and premium coatings to maximize customer value.

Email SupportPhone SupportOrder ProcessingEmail ManagementMedical Billing

Content Moderator (Meta Campaign)

TaskUs

Jun 2023 - Mar 2025

Key Achievements:

Enforced strict content policies and community guidelines for Meta platforms to maintain a safe and secure online environment.Reviewed and filtered user-generated content, including high-volume text posts, images, and digital stickers, to detect and mitigate policy violations.Evaluated and moderated AI chat interactions and AI-generated outputs, ensuring responses adhered to safety protocols and quality standards.

Insurance Verification Specialist

Assurant

Jan 2021 - Feb 2023

Key Achievements:

Verified and updated critical Property and Casualty (P/C) insurance policies using workflow management tools including SmartFlow, Black Knight, and TN3270 Mainframe to ensure 100% data accuracy.Conducted professional outreach to external insurance companies to securely retrieve, validate, and document real-time coverage information.Maintained database integrity by precisely entering and auditing policy details received from insurance carriers.

Data EntryPhone SupportEmail SupportResearch & Information GatheringCorporate Training

Logistics Customer Support Specialist (Shopee Campaign)

Ninja Van

Jun 2019 - Feb 2020

Key Achievements:

Managed end-to-end email correspondence with customers, providing real-time updates and resolving inquiries regarding parcel shipments and deliveries.Coordinated closely with Shopee’s e-commerce platform to track, expedite, and resolve critical delivery follow-ups and logistical bottlenecks.Investigated and resolved customer concerns regarding delayed shipments, missing parcels, and routing issues with a high level of accuracy and speed.

Email ManagementDropshipping

Dispute Resolution & Escalations Mediator (eBay Campaign)

Eperformax

Mar 2019 - Jun 2019

Key Achievements:

Served as an official mediator between buyers and sellers on the eBay marketplace, objectively reviewing and resolving complex transaction appeals.Evaluated dispute cases to make critical financial decisions, determining eligibility for customer refunds, item replacements, or seller payouts based on corporate policies.Analyzed account histories and transactional data to detect fraud, mitigate financial risks, and ensure fair marketplace resolutions.

B2C SalesB2B SaleseBayPhone SupportEmail Support

Hotel Reservations & Guest Experience Specialist

Hotels.com

May 2015 - Oct 2017

Key Achievements:

Processed secure payments, booking modifications, and cancellations efficiently through centralized reservation networks.Managed end-to-end hotel reservations, matching and tailoring accommodations to meet specific guest preferences, budgets, and itineraries.Drove revenue growth through active upselling, promoting premium room upgrades, extended stays, and exclusive amenity packages.

B2C SalesB2B SalesPhone SupportTravel Planning

Quick Stats

Age38 years
English LevelConversational
Other Languages
Tagalog/FilipinoFluent
EnglishConversational
ID VerificationVerified

Certifications

Leadership Management
HIPPA Compliance

Education

Associate's Degree

Asian Institute of Computer studies

2007 - 2009

High-school

St. Augustine International School

2004 - 2007