Ersad Bayani

Analytical and detailed oriented with experienced in healthcare insurance, Data analytic and Underwriting service. Seeking to contribute my expertise and to be part of your company that indulges professional growth which provides challenging and rewarding career while allowing me to utilize my knowledge skills and can quickly learn and master’s new concepts and skills.

Mid-Underwriting Services at Arch Global Services (2022 – 2026)

• Managed end-to-end policy lifecycle operations, including preliminary risk assessment, policy issuance, Acord forms, file set up, credentialing, modifications, renewal, and cancellations.
• Prepared accurate insurance quotes based on risk evaluation and underwriting guidelines, maintaining an accuracy rate.
• Handled policy cancellation workflows, managing and pulling invoices. calculating pro-rata/short-rate unearned premiums and ensuring timely delivery of cancellation notices in accordance with state compliance regulations.
• Collaborated directly with insurance agents and brokers to clarify risk factors, resolve documentation discrepancies, and issue endorsements.
• Conducted system audits to ensure all active and terminated policies met company quality standards.

Lead Generation at RealPage Philippines Inc. (2018 – 2022)

• Conducted daily outbound calling to property managers, real estate owners, and site personnel to retrieve, verify, and update property listings, rates, and operational parameters.
• Researched, audited, and clean-up large volumes of property data across primary databases to maintain a high level of accuracy and data freshness.
• Resolved property-level data discrepancies by cross-referencing documentation with verbal updates from property contacts.
• Generated daily and weekly status reports outlining call completion rates, verified property records, and data accuracy metrics.
• Collaborated with cross-functional teams to streamline property research workflows and reduce data acquisition turnaround times.

Resolution Specialist at Optum Global Solutions (2016 – 2018)

• Processed complex healthcare benefit claims and evaluated prior authorization requests for US healthcare members and providers.
• Conducted follow-up communications with medical facilities, insurance carriers, and policyholders to retrieve missing claims documentation and clarify benefits.
• Verified patient eligibility, coverage limits, copays, and deductibles while adhering strictly to HIPAA guidelines.
• Resolved benefit claims disputes and authorization appeals, delivering first-contact resolution on complex cases.

Bachelor of Science in Secondary Education in Major in English – WESTERN MINDANAO STATE UNIVERSITY-Zamboanga City (2012 – 2016)