Leigh Evan Caumeran
@leighevancaumeran
Senior claims executive bridging insurance operations and IT/cybersecurity.
PhilippinesWhat I'm looking for
I am a senior claims executive with rapid career progression and a proven record in medical claims management, client relations, and team leadership. I combine 2+ years of hands-on insurance operations experience with formal IT education and Google-certified skills in cybersecurity and IT support, enabling me to streamline workflows and improve service accuracy.
I have led complex claims processing for corporate accounts, delivered client orientation programs that reduced inquiries, trained and mentored staff, and maintained a 98% claims accuracy rate. I pursue continuous technical growth—currently completing a Diploma in Computing—and leverage skills in Python, SQL, Linux, SIEM tools, networking, and web technologies to resolve technical issues and drive process improvements.
Experience
Work history, roles, and key accomplishments
Senior Claims Executive
Pacific Prime Global Management Services
Apr 2025 - Present (11 months)
Leads complex medical insurance claims processing and resolution for high-value corporate accounts, drove process improvements and orientation programs that reduced inquiry volume and maintained high client satisfaction.
Claims Executive
Pacific Prime Global Management Services
Feb 2024 - Apr 2025 (1 year 2 months)
Processed and resolved medical insurance queries, appeals, and claims with 98% accuracy while providing technical support for client app and web portal issues to reduce resolution time.
Claims Admin Assistant
Pacific Prime Global Management Services
Jun 2023 - Feb 2024 (8 months)
Provided first-line support for medical insurance inquiries and claim submissions, assisted clients with digital platform issues, and maintained detailed records leading to promotion within 8 months.
Education
Degrees, certifications, and relevant coursework
Cebu Institute of Technology – University
Diploma in Computing, Computing
2024 -
Pursuing a Diploma in Computing with coursework in Java, web development, Python & Django, data analytics, and UI prototyping; expected completion in 2026.
Cebu Institute of Technology – University
Bachelor of Science in Civil Engineering, Civil Engineering
2018 - 2022
Completed a Bachelor of Science in Civil Engineering, covering core civil engineering principles and project-focused coursework.
Tech stack
Software and tools used professionally
Availability
Location
PhilippinesAuthorized to work in
Job categories
Skills
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