Behamar Endaila
CLAIMS ANALYST/CLAIMS PROCESSOR
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About
Dedicated and results-oriented healthcare claims professional with progressive experience in claims processing, claims review, and team leadership. Proven expertise in evaluating insurance claims, ensuring complainance with healthcare policies, resolving complex claims issues, and leading high-performing teams. Strong background in operational management, quality assurance, and process improvement within the healthcare industry.
Combines analytical thinking, technical knowledge, and leadership skills to deliver accurate, efficient, and customer-focused results.
Experience
IP Claims Supervisor - Lift-Off Consulting Inc (PhilCare)
(2025-12 - 2026-05)
- Supervised daily in-patient claims operations and team performance.
- Ensured compliance with company policies and healthcare policies.
- Managed escalated and complex claims cases.
- Implemented workflow improvements to enhance productivity and accuracy.
- Conducted coaching sessions and performance monitoring.
OP Claims Reviewer - Lift-Off Consulting Inc (PhilCare)
(2024-03 - 2025-12)
- Reviewed and validated insurance claims based on policy guidelines.
- Assessed claims accuracy and completeness of supporting documents.
- Investigated discrepancies and potential fraudulent claims.
- Collaborated with providers and internal departments for claim resolution.
OP Claims Processor - Lift-Off Consulting Inc (PhilCare)
(2023-12 - 2024-03)
- Processed healthcare claims accurately and within turnaround times.
- Verified member eligibility and claim documentation.
- Maintain compliance with operational standards.
IT Technical Support Intern - Awesome OS, Davao City
(2023-02 - 2023-03)
- Provided technical support and troubleshooting.
- Assisted in maintaining company computer networks.
- Supported daily IT operations and system maintenance.
Education
BACHELOR OF SCIENCE - INFORMATION TECHNOLOGY - NOTRE DAME OF MIDSAYAP COLLEGE (2019 - 2023)
