Glenn Mervin Elleumerag
Bangkok
Summary
Experienced and dynamic health insurance claims adjudicator with a proven track record at AWP Services (Thailand) Co., Ltd. Skilled in claims processing, auditing and fostering collaboration. Adept in communication, problem-solving, and maintaining high standards of accuracy and efficiency.
Overview
13
13
years of professional experience
Work History
Health Insurance Claims Adjudicator
AWP Services (Thailand) Co., Ltd.
07.2017 - Current
- Increased productivity within the team by sharing expertise on different claim cases (Member and Provider Claims, Private Hospital and High Cost Claims, Direct Billing Claims, Peoplecare Claims Payment), fostering a collaborative work environment focused on continuous improvement.
- Contributed to team success by proactively identifying process inefficiencies and recommending solutions for improvement when working on Claims Escalations and monthly Calibration meetings.
- Ensured accuracy of claim payments by conducting thorough audits and identifying areas for improvement while working on Open File Review (OFR) and Closed File Review (CFR) tasks.
- Maintained compliance with industry regulations and company policies while adjudicating health insurance claims.
Mathematics Teacher
Anuban Wat Pichai Songkram School
10.2015 - 05.2017
- Provided meaningful math instruction to improve math skills of children.
- Improved students'' problem-solving abilities by incorporating real-life applications into mathematical concepts.
Maths Coordinator and Assistant Manager
Unique Education Solutions
04.2014 - 03.2016
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Assisted in recruiting, interviewing, hiring, and onboarding of new employees to maintain adequate staffing levels.
Class Advisor and Mathematics Teacher
South Hills Academy
04.2012 - 03.2014
- Assisted in the development of tailored lesson plans for diverse learning needs, improving overall class performance.
- Coordinated school-wide events promoting a sense of unity among students, staff, and families within the community.
Education
Bachelor of Secondary Education Major in Maths - Education
University of St La Salle - Bacolod
Bacolod City, Philippines04-2011
Skills
- Claims adjudication
- Claim auditing
- Customer service and support
- Adaptability and flexibility
Reference
Mr Keith Chuah
Claims Team Leader
AWP Services (Thailand) Co., Ltd.
+66 808127120
Chloe Glieowong
Former Claims Team Leader
AWP Services (Thailand) Co., Ltd.
+66 957010057
Mrs. Kirataya Sophasawatsakul
Former School Manager
Unique Education Solutions
+66 830916776
Timeline
Health Insurance Claims Adjudicator
AWP Services (Thailand) Co., Ltd.
07.2017 - Current
Mathematics Teacher
Anuban Wat Pichai Songkram School
10.2015 - 05.2017
Maths Coordinator and Assistant Manager
Unique Education Solutions
04.2014 - 03.2016
Class Advisor and Mathematics Teacher
South Hills Academy
04.2012 - 03.2014
Bachelor of Secondary Education Major in Maths - Education
University of St La Salle - Bacolod
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