Lois Reine
@loisreine
I resolve medical and dental member inquiries, claims, and appeals while improving service workflows.
PhilippinesWhat I'm looking for
At Sagility Philippines, I manage medical and dental claims, authorizations, appeals, account documentation, and customer adjustments while resolving member inquiries through timely follow-up. I also use ChatGPT and Gemini for prompt engineering, email drafts, automated responses, and inquiry summaries.
Previously, at PNTC Colleges Training Center, I coordinated automation-project documentation, feasibility studies, risk assessments, and internal audits. My cross-functional process work contributed to a 25% improvement in client satisfaction.
Experience
Work history, roles, and key accomplishments
Customer Service Representative
Sagility Philippines
May 2021 - Present (5 years 3 months)
Managed administrative workflows including email correspondence, claim verification, and member account documentation. Reviewed and processed medical and dental benefit claims, authorizations, and appeals with high accuracy.
Education
Degrees, certifications, and relevant coursework
PNTC Colleges
Bachelor of Arts, Communication
Graduate of Bachelor of Arts in Communication.
Tech stack
Software and tools used professionally
Availability
Location
PhilippinesAuthorized to work in
Job categories
Skills
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