Evan Vertudazo
Senior Benefits Analyst
Talent
Cebu CityMember since July 28, 2026
WGS MainframeWPDCMASalesforceFOBSeHPJiraABAMicrosoft Office applicationsBenefit CodingBenefit AdjudicationEmail ManagementWeb designing languagesComputer hardware and software applicationsAbility to work on production, audits, and reports simultaneouslyFast learnerTeam playerAbility to handle questions and problems in a timely and efficient mannerAbility to conduct trainings and mentorshipsConverse well with customers, Sales team, and Account Managers
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WGS MainframeWPDCMASalesforceFOBS
About
I am a highly organized and detail-oriented professional dedicated to driving organizational success. I bring a strong passion for delivering comprehensive support across production, auditing, and administrative functions, with a focus on optimizing workflows and improving operational efficiency.
Experience
Senior Benefits Analyst at Carelon Global Solutions Philippines (2024-01 – 2026-06)
- Quality Auditor – audit medical contract codes (New Group, Renewals, and Change Requests) for our US, India, and Philippines Benefit coding team before sending them to production.
- Creates comprehensive error summary reports for the Quality Team, identifying trends to drive continuous process improvements.
Benefit Analyst at Accenture Inc. (2013-06 – 2023-12)
- Configured and provisioned unique contract codes for client health benefit plans, ensuring seamless system architecture and alignment with plan designs.
- Created Benefit Summaries or Benefit Plan Designs for our clients
- Configured medical benefits, Utilization Management (UM) protocols, and pharmacy benefit structures within the system applications to automate claim accuracy.
- Assigned Healthcare Common Procedure Coding System (HCPCS) codes to medical contract configurations to ensure accurate claim adjudication and billing alignment.
- Create variations and attaching lookalikes, ensuring that the adjudication system recognizes and processes medical claims without manual intervention
- Conducted comprehensive peer reviews for onshore/offshore, providing actionable feedback to reduce error rates and foster continuous learning across onshore and offshore analysts.
- Acted as SME and provided region-based support depending on business needs.
- Provides mentorship and technical trainings to new analysts to ensure quality performance
IT Support (OJT) at Kudo Support, Inc. (2011-11 – 2012-03)
- Partnered with IT technicians to diagnose and resolve PC hardware and software issues.
- Assisted in network cabling installations and infrastructure setup.
Skills
Senior Benefits Analyst
