John Benedict Valdez

Monitored patient and insurance balances, submitted claims with accurate coding, posted payments, followed up on denials, billed patients, managed collections, and generated aging reports to improve cash flow.

Evaluated eye prescriptions to guide customers in selecting eyeglasses, assisted with website navigation and order placement, and fostered strong customer relationships.

Reviewed and adjudicated insurance claims, analyzed data for informed decisions, ensured accurate client records, and assisted claimants with claim-related inquiries.

Investigated transaction anomalies, detected fraudulent activities, performed daily fraud analysis, and executed actions per SOP while responding to internal fraud inquiries.

Resolved high-risk customer issues related to deliveries, vouchers, and fraud concerns by coordinating with business units to prevent escalations, and verified voucher validity.

Verified voucher validity, assessed voucher issuance, and handled buyer and seller concerns through internal processes.

Handled and analyzed buyer and seller concerns through internal processes and resolved issues related to deliveries, vouchers, and fraud.

Generated performance reports, trained new recruits, audited claims processes, improved handling processes, and coached team members to enhance productivity.

Procured supplementary documents, composed justification notes for non-approvals, supported health doctors in assessments, and verified health insurance claims.

Supported veterinarians in assessing pet claims and verified veterinary health insurance claims to ensure proper payouts.

Pursued Bachelor of Science in Nursing at Saint Francis of Assisi College from 2009 to 2011.

Completed Bachelor of Science in Nursing at University of Perpetual Help System DALTA from 2005 to 2009.

Completed preschool, primary, and secondary education at Mary Immaculate Parish Special School from 1992 to 2005.