Jhon Ericson Ilustre
@jhonericsonilustre
Quality Control Manager specializing in fraud analysis, background screening, and evidence-driven risk reporting. NEMT Dispatch with experience.
PhilippinesWhat I'm looking for
I built my career from the ground up inside operations, analytics, and fraud investigation support, starting with quality control and case review and evolving into leading teams. I’m naturally analytical, detail-driven, and calm under pressure—especially when accuracy matters and small findings can make a significant impact.
As a Quality Control Manager at Argus Solutions Inc., I supervise investigators supporting insurance fraud investigations and ensure reports meet strict quality, accuracy, and client compliance standards. I conduct structured reviews of investigative documentation, background checks, and supporting evidence to validate timelines, identify discrepancies, and flag potential fraud indicators—using fraud risk assessment principles and quality assurance methodology to improve defensibility.
As a NEMT Dispatcher, I coordinate non-emergency medical transportation services by managing trip scheduling, routing, and real-time driver assignments to ensure patients and members are transported safely and on time. I monitor trip status, provide ETA updates, handle schedule changes and last-minute requests, and communicate with drivers, facilities, and clients to resolve transportation issues efficiently. I apply strong attention to detail, time management, and problem-solving skills to maintain accurate trip records and ensure reliable, compliant, and patient-centered transportation operations.
Experience
Work history, roles, and key accomplishments
Managed inbound and outbound communications with patients, healthcare facilities, drivers, and the SafeRide brokerage team to coordinate Non-Emergency Medical Transportation (NEMT) services.
Scheduled, modified, and coordinated transportation requests using MediRoutes dispatch software, ensuring timely and accurate trip assignments.
Assigned trips to drivers based on location, vehicle availability
Supervised a team supporting insurance fraud investigations, ensuring all case reports met strict quality, accuracy, and client compliance standards. Conducted structured reviews of investigative documentation, background checks, and supporting evidence to identify discrepancies, validate timelines, and flag potential fraud indicators.
Applied [Fraud Risk Assessment Principles] and [Quality Assur
As a Data Analyst in Fraud Detection and Risk Management, I examined transactional data, background records, and behavioral patterns to identify anomalies and potential fraud indicators. I conducted structured reviews, cross-verified information sources, and assessed risk exposure to support accurate case evaluations. My analysis helped strengthen internal controls, reduce financial losses, and im
As a Data Encoder,, I analyze recorded CCTV footage to assess roadway conditions and traffic behavior. My work involves reviewing accident history indicators, evaluating whether a location shows patterns consistent with high-risk zones, and measuring traffic density across different time frames. I also conduct vehicle and pedestrian volume counts to support data-driven decisions for infrastructur
Education
Degrees, certifications, and relevant coursework
Alternative Learning System
2014 - 2015
Tech stack
Software and tools used professionally
Availability
Location
PhilippinesAuthorized to work in
Job categories
Skills
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