Ely Borromeo
Customer Associate II
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About
Provide service to patient by checking their benefits and coverage, and with their billing. Educating and verifying patient's claim status, finding care professional and making appointment. Handled prior authorizations, claims, grievances, and appeals, ensuring accurate processing and timely resolution in line with healthcare guidelines.
Experience
Customer Associate II - Carelon Global Solutions - BGC, Taguig City
(2025-03 - 2026-05)
- Provide service to patient by checking their benefits and coverage, and with their billing.
- Educating and verifying patient's claim status, finding care professional and making appointment.
- Handled prior authorizations, claims, grievances, and appeals, ensuring accurate processing and timely resolution in line with healthcare guidelines.
Resolution I - Resolution II - Dedicated SuperHost Support - IntouchCX - Cubao, Quezon City
(2023-04 - 2024-12)
- Managed client communications via email, phone, and chat, ensuring professional and timely responses to inquiries, resolving booking conflicts and ensuring guest satisfaction with a KPI of 90%.
- Coordinated with clients to address pre-trip, during and post-trip concerns, leveraging strong organizational and communication skills.
Technical Support Representative - Concentrix - San Lazaro, Manila City
(2022-05 - 2023-03)
- Provided technical troubleshooting support and coordinated follow-ups for efficient issue resolution.
- Scheduled manufacturer appointments and provided step-by-step resolutions using company tools
Credit Risk Analyst (Remote) - StarTek International - Bel - Air, Makati City
(2020-10 - 2022-05)
- Conducted thorough evaluations of customer credit information, ensuring compliance and accuracy.
- Utilized CRM software to manage customer accounts and maintain accurate records.
Customer Care Representative - Concentrix - Ayala, Makati City
(2019-07 - 2020-03)
- Handled service scheduling and inquiries, ensuring seamless communication and client satisfaction.
- Scheduled meetings and coordinated service appointments for local internet provider customers.
Dispatcher - Concentrix
(2019-04)
Education
Senior High School - Information and Communication Technology - ACLC - College of Legarda (2019-04)