Third Elio
@thirdelio
Claims Manager at All in One Assistance, coordinating medical and technical assistance and cashless care across Europe.
PhilippinesWhat I'm looking for
At All in One Assistance, I coordinate medical and technical assistance services across Europe for international assistance and insurance partners. I work with hospitals, healthcare providers, patients, and insurers to arrange cashless medical services and issue Guarantees of Payment.
I manage cases end-to-end, collaborating with medical facilities and other partners to support efficient case handling and patient care.
At Lucent Health, I reviewed and processed in-patient and out-patient claims within authorized limits. I checked member coverage and provider billing against account benefits, policies, and approved references.
Earlier, I provided escalation support at Trip.com Group and coordinated travel arrangements at WNS. My experience also includes customer service and sales roles at Accenture, VXI Global Solutions, LLC, and FIS.
Experience
Work history, roles, and key accomplishments
Claims Manager
All in One Assistance
Nov 2024 - Present (2 years)
Orchestrated medical and technical assistance services across Europe, supporting international assistance and insurance partners. Coordinated cashless medical services, liaised with hospitals and healthcare providers, and ensured timely issuance of Guarantees of Payment (GOPs).
Claims Analyst
Lucent Health
Oct 2023 - Oct 2024 (1 year)
Approved in-patient and out-patient processed claims based on authorized approval limits. Ensured accuracy of all approved and validated claims within processing guidelines and defined priority timelines.
Provided second-level escalation support for unresolved issues escalated by operations supervisors. Conducted root cause analysis, identified agent errors, and investigated responsible departments to provide resolutions and compensation.
Planned and coordinated domestic and international travel arrangements, including flights, hotels, and ground transportation. Utilized Global Distribution Systems (GDS) to book, modify, and manage travel itineraries.
Exceeded performance goals by approaching all interactions with resourcefulness, organization, and customer-centric solutions. Supported new hires as a personal learner support.
Assisted customers with their billing, technical, and account management concerns while providing an exceptional customer service experience. Transitioned every call into a potential sale to maximize customer benefits and value.
Provided customer service support, handling inquiries and resolving issues to ensure customer satisfaction.
Education
Degrees, certifications, and relevant coursework
New Era University
Bachelor of Arts, Mass Communication/Media Studies
2014 - 2017
Pursued a Bachelor of Arts in Mass Communication/Media Studies at New Era University from 2014 to 2017.
Availability
Location
PhilippinesAuthorized to work in
Salary expectations
Job categories
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