Open to opportunities

John Marivic Hernandez

@johnmarivichernandez

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Detail-oriented customer service and workers' compensation claims specialist.

Philippines

Message

What I'm looking for

I seek a client-focused role in claims, billing, or customer service where I can apply my compliance expertise, CRM skills, and administrative strengths to improve processes and support customers.

I am a detail-oriented, service-focused professional with a Bachelor of Science in Psychology and multi-industry experience across insurance, financial healthcare, retail billing, and legal support. I prioritize compliance, confidentiality, and client-centered outcomes in every role.

As a Worker’s Compensation Claim Specialist, I managed high-volume inbound and outbound calls, coordinated medical appointments through MPN, processed prior authorizations and medical records, and maintained case files in accordance with California regulations while collaborating with attorneys and providers.

In financial healthcare and retail billing roles, I explained plan types (FSA, DCA, HSA), handled billing and credit inquiries, processed payments and card replacements, performed password resets, and worked extensively with CRM platforms such as Salesforce and Genesys.

I bring strong administrative support capabilities, proficiency in Microsoft Word, Excel, and PowerPoint, and a commitment to HIPAA and data privacy compliance. I am driven to deliver efficient, accurate, and compassionate service that advances client and organizational goals.

Experience

Work history, roles, and key accomplishments

Worker's Compensation Claim Specialist

Legal Corner Law Office

Managed high-volume inbound/outbound calls and coordinated medical appointments through the MPN for California workers' compensation claims; processed prior authorizations and medical records while maintaining HIPAA compliance and supporting attorneys toward timely claim resolution.

Workers’ Compensation HIPAA Case Management

Human Resource Business Partner

Megawide Construction Corporation

Posted job openings, sourced and screened applicants, scheduled interviews, maintained employee records (201 files, 2316), and supported manpower monitoring and job profiling for major construction projects.

Recruitment Sourcing Manpower Monitoring HR & Administration

Customer Service Representative

Concentrix

Managed billing and credit inquiries, processed payments and card replacements, handled credit limit requests and OTP verification, and resolved billing disputes while maintaining data privacy and company compliance.

Billing Payment Processing Customer Support Data Privacy Troubleshooting

Customer Service Representative

IntouchCX

Handled high-volume inbound calls for financial healthcare plans, explained FSA/DCA/HSA differences, resolved eligibility and claims inquiries, and assisted with debit card replacements and account access while ensuring data privacy.

Customer Service Eligibility Verification CRM (Salesforce)Genesys

Clinical Psychology Intern

Clinic of the Holy Spirit

Supported patient engagement and therapeutic activities under supervision, assisted with basic patient care and event logistics, and observed clinical routines while maintaining confidentiality and ethical standards.

Patient Engagement Therapeutic Activities Clinical Support Confidentiality Event Coordination Patient Care Hygiene Assistance

Education

Degrees, certifications, and relevant coursework

Universidad de Manila

Bachelor of Science, Psychology

Activities and societies: Clinical psychology internship at Clinic of the Holy Spirit; involved in patient engagement, therapeutic activities, and daily care support.

Completed a Bachelor of Science in Psychology with coursework and practicum experiences relevant to clinical and organizational settings.

Arellano University

Senior High School Diploma, Humanities and Social Sciences

Completed Senior High School in the Humanities and Social Sciences strand, focusing on social science subjects and foundational skills for tertiary study.