Roslyn Mesias
Detail-oriented administrative and claims processing professional with more than 10 years of experience in claims & benefits administration, data reporting, and office operations.
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About
Detail-oriented administrative and claims processing professional with more than 10 years of experience in benefits administration, data reporting, and office operations. Skilled in MS Excel reporting, claims investigation, records management, and system coordination.
Civil Service
Professional eligible with strong background in financial and insurance documentation processing.
Experience
SENIOR CLAIMS & BENEFITS SPECIALIST VIII at PHILPLANS FIRST INC. (2013-04 – 2025-06)
- Preparing operational and financial reports using Microsoft Excel.
- Processing insurance claims, pension and education benefit requests.
- Conducting data validation and investigation of records.
- Signature verification
- Coordinating with internal departments for system and report requirements.
- Monitoring system issues and ensuring proper documentation of resolutions.
- Claims documentation and records monitoring.
- Reviewing & signing of Letter of Instructions for the withdrawal of Trust fund
- Prepared approval, pending and denial notices for planholders
OFFICE CLERK at GROW INC. (CLIENT: PHILPLANS FIRST INC.) (2011-06 – 2013-04)
- Responsible for mailing checks to PhilPlans branches nationwide
- Receiving & prescreening benefit requests
- Preparing Letter Of Instructions / Request for Checks
- Preparing daily reports using MS Excel
Education
BACHELOR OF COMMERCIAL SCIENCE in COMPUTER SCIENCE – JOSE RIZAL UNIVERSITY (2007 – 2011)
