Policy Service Officer I (Insurance)

Role: Policy Service Officer I

Experience Required: 10 years in BPO

Specializations: Technical, Medical, Back-Office, and Insurance

Responsibilities:

• Provide comprehensive policy service and support to insurance clients.

• Manage policy processing, data entry, and document management in a back-office setting.

• Coordinate with insurance providers to ensure accurate policy details and resolve discrepancies.

• Apply technical and medical expertise to address client inquiries and provide precise information.

• Ensure compliance with insurance regulations and maintain up-to-date knowledge of policies and procedures.

• Collaborate with team members to enhance overall customer satisfaction and service quality.

Skills:

• Extensive experience in insurance policy administration.

• Proficiency in back-office operations and data management.

• Strong technical and medical knowledge.

• Excellent communication and interpersonal skills.

• Detail-oriented with strong organizational abilities.

• Ability to work effectively in a fast-paced environment.

WORK EXPERIENCE

Policy Service Officer I
QBE Insurance (July 11, 2022 - Present)

• Ensure policies are followed and refer/escalate when appropriate.
• Enter data into systems and make updates, obtain quotations based on parameters provided by onshore partners while adhering to the guidelines.
• Enter license information into the system and grant access while adhering to the DTP.

Associate Software Engineer
Accenture (Aug. 9, 2021 - Jan. 18, 2022)

• Organize workflow for HR using Workday.
• Create organizational charts for companies.

Patient Care Coordinator
Optum Global Solutions (Oct. 25, 2017 – May 26, 2021)

• Process patient's specialty medications over the phone.
• Validate orders to avoid re-shipping of medications.

Customer Service Representative (Back Office)
Wipro Limited (May 2017 – Aug. 2017)

• Create reports on damaged medical devices like stents.
• Send reports to the FDA for those medical devices that are reportable.

Technical Support Associate
Tech Mahindra VCustomer (Feb. 22, 2016 – Mar. 3, 2017)

• Attend to customer concerns regarding internet issues.
• Troubleshoot internet issues over the phone.

EDP Staff
Gaisano Capital Group of Companies (Sept. 2013 – Feb. 2016)

• Receive stocks from suppliers and encode them into the system.
• Create barcodes and process withdrawal slips for each item to be displayed in the selling area.

ACHIEVEMENTS

• PhilNITS I.T Passport (IP) Certification Exam Passer (April 2013)
• Licensure Examination for Teachers (LET) Passer (September 2023)

EDUCATIONAL ATTAINMENT

Post Graduate
Cebu Technological University - Main Campus
M. J. Cuenco Ave., Cor. R Palma Street, Cebu City
Diploma in Professional Education
2020-2021

Tertiary
Asian College of Technology - Cybertower
Corner Leon Kilat & P. del Rosario Sts., Cebu City
Bachelor of Science in Information Technology
2012-2013

Asian College of Technology - Cybertower
Corner Leon Kilat & P. del Rosario Sts., Cebu City
Associate in Computer Technology
2010-2011

Secondary
Sangat National High School
Sangat, San Fernando, Cebu
2008-2009

Primary
Sangat Elementary School
Sangat, San Fernando, Cebu
2004-2005