Romielyn Oliverio

Detail-oriented and reliable Insurance Virtual Assistant with hands-on experience in Eligibility Management and Life Insurance Claims processing for U.S. healthcare and benefits accounts. Proven ability to manage enrollments, terminations, benefit changes, and death claims with high accuracy and compliance. Skilled in data entry, claims follow-ups, HIPAA adherence, and providing empathetic customer support in fast-paced environments.

Customer Service Representative – Life Insurance Claims - Express Funeral Funding (QVS Services Corp)

(2025-01)

• Process and manage life insurance death claims in coordination with beneficiaries, policyholders, funeral homes, and insurance providers
• Review and verify required documentation including death certificates, claim forms, identification, and beneficiary details
• Conduct regular follow-ups with insurance carriers to obtain claim status updates, approvals, and payment timelines
• Accurately document claim activities, communications, and notes in claims management systems
• Ensure strict compliance with HIPAA and data protection regulations
• Escalate complex, delayed, or disputed claims to appropriate internal teams
• Meet productivity, accuracy, and turnaround time standards

Eligibility Management Processor – Employee Benefits - ADEC Innovation (OneDigital)

(2023-01 - 2024-12)

• Process employee benefit enrollments, terminations, and changes for medical, dental, vision, life, and ancillary plans
• Review and validate eligibility data for accuracy and completeness prior to carrier submission
• Enter and update employee eligibility records in HRIS, benefits administration systems, and insurance carrier portals
• Coordinate with internal teams and carriers to resolve eligibility discrepancies and coverage issues
• Maintain accurate documentation and audit trails to prevent coverage gaps and claim denials
• Support compliance with client contracts, carrier guidelines, and service-level agreements (SLAs)

Quality Control Associate - ADEC Innovation

(2023-01 - 2023-12)

• Performed quality checks on processed data to ensure accuracy and compliance with internal standards
• Identified errors and provided feedback to improve processing efficiency and data integrity

Bachelor of Science - Accounting Technology - Cor Jesu College (2014-01 - 2018-12)