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Open to opportunities

Ma Rochie Opiaza

@marochieopiaza

Detail-oriented claims adjudicator with strong customer service skills.

Philippines
Message

What I'm looking for

I am seeking a role that values attention to detail and offers opportunities for professional growth.

I am a dedicated professional with extensive experience in customer service and claims processing. Over the years, I have honed my skills in analyzing and assessing claims submissions, ensuring that I consistently meet or exceed productivity and quality standards. My role as a Dental and Health Claims Adjudicator at Manulife Business Processing Services has equipped me with the ability to evaluate claims in accordance with contractual limitations and standard operating procedures.

My previous positions have allowed me to develop a keen eye for detail and a strong commitment to safeguarding data integrity. As a Business Transcription Specialist at Civicom Pacific, I transcribed audio files with precision and maintained data management lists in Salesforce. I also have a solid background in customer service, having worked in various roles where I resolved customer inquiries and complaints effectively, earning recognition as a top performer in multiple instances.

Experience

Work history, roles, and key accomplishments

MS
Current

Dental and Health Claims Adjudicator

Manulife Business Processing Services

Sep 2021 - Present (3 years 9 months)

Input, analyze, and assess dental and health claims submissions, evaluating and processing them in accordance with contractual limitations and standard operating procedures. Consistently met or exceeded productivity while maintaining high quality standards and referring claims for inquiry when necessary.

TL

Customer Service Representative

Teradyne Philippines, Ltd.

Sep 2019 - Nov 2019 (2 months)

Processed customer order requests for automated test equipment parts via email and calls, checking spare parts availability to minimize tester downtime. Coordinated with planners and logistics to ensure timely shipment of replacement system parts and resolved customer problems and queries.

MS

Customer Service Associate

Manulife Business Processing Services

Sep 2015 - Apr 2019 (3 years 7 months)

Answered general inquiries and managed customer complaints for long-term care insurance, consistently resolving issues and updating client information. Performed quality checks on case managers' work and meticulously reviewed applications for life insurance policies, ensuring accuracy and compliance with requirements.

SV

Volunteer Worker

SOS Children’s Villages

Jun 2015 - Jul 2015 (1 month)

Attended to children who were abandoned or abused, managing everyday expenses and catering to their emotional and material needs through one-on-one talks. Monitored children's emotional and mental stability by creating written reports for subsequent caregivers.

GI

English Tutor

Golden Great Peak English, Inc

Apr 2015 - Jun 2015 (2 months)

Taught English language to Japanese students following a specific module, regularly checking and tracking their progress through quizzes and assignments. Encouraged students to speak English through regular conversations and provided evaluations and reports to management.

RC

Professed Religious Sister

Roman Catholic Church

Jun 2008 - Nov 2012 (4 years 5 months)

Served as a professed religious sister, dedicating nearly five years to serving God within the convent under vows of poverty, chastity, and obedience. Taught basic church teachings to postulants and assisted in projecting PowerPoint presentations during masses.

EK

Grade School Faculty

Einstein School for Kids

Mar 2013 - Present (12 years 3 months)

Taught Science to Grades 4-6 and Science, Values Education, and Computer to Grades 1-3, experimenting with learning styles to optimize student engagement. Managed student schedules, created engaging lessons using various motivational techniques, and was elected as the Science subject coordinator.

SI

Financial Representative

SYKES Asia Incorporated

Apr 2007 - Present (18 years 2 months)

Performed financial transactions for investors, businessmen, bankers, and clients, including transferring funds between banks and authorized clients over the phone. Ensured accurate and secure processing of all financial requests.

FR

Freelance Tutor

Freelance

Jun 2006 - Present (19 years)

Taught English language to a Japanese high school student, making learning easy by introducing lessons through guessing games and drawing. Encouraged the student to explain math equations in English to enhance language proficiency.

SC

Grade School Teacher

Sacred Heart School – Ateneo de Cebu

Mar 2006 - Present (19 years 3 months)

Taught Math to Grades 4 and 6, managing the Art club for Grade 1 students. Followed the syllabus while adapting teaching styles and exploring different techniques and materials to suit diverse student needs.

FR

Freelance Tutor

Freelance

Jun 2005 - Present (20 years)

Taught English language to Korean children of different ages and proficiency levels, managing time effectively by working while studying. Utilized this opportunity as a training ground to practice the profession with very good results.

Education

Degrees, certifications, and relevant coursework

SC

Saint Theresa’s College – Cebu

Bachelor of Elementary Education, Elementary Education

Completed a Bachelor of Elementary Education program. The curriculum focused on pedagogical methods and foundational knowledge for teaching at the elementary level.

SS

Saint Alphonsus Catholic School

Secondary School Diploma, General Studies

Attended secondary school, completing the required curriculum for a high school diploma. Focused on a broad range of subjects to prepare for higher education.

LS

Lapu-Lapu City Central Elementary School

Primary School Certificate, General Studies

Completed primary education, building foundational skills in various subjects. Engaged in core academic learning during this period.

Tech stack

Software and tools used professionally

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Ma Rochie Opiaza - Dental and Health Claims Adjudicator - Manulife Business Processing Services | Himalayas