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Zyra Giner

Zyra Giner

Health Insurance Services Representative

Talent
IloiloMember since September 17, 2026
Benefits and Eligibility VerificationClaims and Billing SupportPrior Authorization AssistanceCRM and Case-Management SystemsHealthcare Documentation and Data EntryProvider Portals and Claims PlatformsHIPAA Compliance and Data PrivacyMicrosoft Office
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Benefits and Eligibility VerificationClaims and Billing SupportPrior Authorization AssistanceCRM and Case-Management SystemsHealthcare Documentation and Data Entry

About

Customer Service Representative with over 3 years of experience delivering excellent support. Skilled in resolving concerns, managing multiple systems, and handling challenging situations with empathy and professionalism. Committed to creating positive customer experiences through clear communication and effective solutions.

Experience

Member Services Representative - REALLY GREAT COMPANY

(2024-08 - 2026-06)

  • Assisted members with healthcare benefits, eligibility, claims, and account inquiries.
  • Explained coverage and services clearly and accurately.
  • Resolved member concerns professionally and efficiently.
  • Updated member information while maintaining confidentiality.
  • Coordinated with healthcare providers and internal departments.
  • Documented calls and interactions using CRM and member-management systems.
  • Followed HIPAA guidelines and company policies.
  • Delivered compassionate support through phone, email, and chat.

Healthcare Provider Support Associate - REALLY GREAT COMPANY

(2022-11 - 2024-04)

  • Assisted healthcare providers with eligibility, benefits, claims, and authorization inquiries.
  • Explained health plan policies, coverage, and claim status clearly and accurately.
  • Resolved billing, payment, and account-related concerns.
  • Coordinated with internal departments to address complex provider issues.
  • Updated provider information and documented every interaction accurately.
  • Used claims, CRM, ticketing, and call-center systems.
  • Maintained patient and provider confidentiality in accordance with HIPAA guidelines.
  • Delivered professional support through phone, email, and chat.

Education

BS - CRUISE SHIP MANAGEMENT - REALLY GREAT COLLEGE

TESDA - REALLY GREAT SCHOOL

Skills

Health Insurance Services Representative

Reviews