Open to opportunities

Katrina Oalican

@katrinaoalican

Message

Experienced healthcare claims and customer service specialist focused on accurate resolution and compliance.

Philippines

Message

What I'm looking for

I am seeking a role in healthcare claims or customer service where I can apply my claims resolution, compliance expertise, and attention to detail while growing professionally.

I am an experienced healthcare claims and customer service professional with a background in recovery analysis, provider correspondence, and data entry. I have worked on inbound/outbound calls, email, fax and mail channels supporting health plans, commercial customers, and government entities, consistently focusing on accurate claims research, negotiation, and resolution.

I prioritize compliance with state, federal and reimbursement policies and leverage strong attention to detail, active listening, and data-entry accuracy to identify trends and produce actionable reports. I bring several years of hands-on experience in US healthcare insurance processes, provider support, and cross-channel communications.

Experience

Work history, roles, and key accomplishments

Current

Recovery Analyst

Current

Optum

Sep 2024 - Present (1 year 4 months)

Provide claims support by reviewing, researching, investigating, negotiating and resolving recoveries for health plans, commercial customers and government entities; analyze trends and produce reports while ensuring compliance with state and federal reimbursement and contract policies.

Claims Resolution Medical Terminology Compliance Data Entry Reporting Customer Service Investigation

Customer Service Representative

TTEC

Sep 2022 - Apr 2024 (1 year 7 months)

Handled inbound/outbound calls, email and fax to explain claim denials, educate insureds on disability and life insurance policies, and assist with policy loans and surrenders to resolve customer issues.

Inbound Outbound Calling Claims Customer Service Communication

Customer Service Representative

TTEC

Aug 2015 - Dec 2021 (6 years 4 months)

Corresponded with providers via phone and writing to resolve unpaid medical claims, assisted on claim status and next steps, and handled inbound provider inquiries on benefits, eligibility and password resets.

Eligibility Verification Email Support Phone Support Medical Claims Documentation Problem Solving

Data Encoder

CCK City Network, Inc.

Dec 2013 - Feb 2015 (1 year 2 months)

Encoded and verified data accurately in the system, ensured alignment with source documents, and performed collaboration and self-audit checks to prevent errors and duplication.

Data Entry Data Verification Self Audits Documentation Attention To Detail

Inbound Customer Service Representative

Infocom Technologies, Inc.

May 2013 - Nov 2013 (6 months)

Provided technical support via inbound calls by troubleshooting issues, researching solutions, and educating customers on products, services and billing.