Pancho Madlansacay

Claims Admin Specialist at Guild Solutions, Inc.
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Location
Metro Manila, PH

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Experience

    • Philippines
    • Outsourcing and Offshoring Consulting
    • 1 - 100 Employee
    • Claims Admin Specialist
      • Sep 2020 - Present

      • Adminstrative tasks for general, workers compensation, and liability insurance. • General mailbox management. • Stakeholder engagement within and outside the Guild Group. • Adminstrative tasks for general, workers compensation, and liability insurance. • General mailbox management. • Stakeholder engagement within and outside the Guild Group.

    • Australia
    • Insurance
    • 700 & Above Employee
    • Medical Underwriting Assistant
      • Oct 2019 - Aug 2020

      • Provide general back-office support to QBE's North America Operations. • Ensure policies are followed, refer/escalate when appropriate. • Adherence to legislation, industry codes and company policies & procedures. • Meet service level agreement requirements. • Mailbox management • Establish and maintain good working relationship with stakeholders. • Provide general back-office support to QBE's North America Operations. • Ensure policies are followed, refer/escalate when appropriate. • Adherence to legislation, industry codes and company policies & procedures. • Meet service level agreement requirements. • Mailbox management • Establish and maintain good working relationship with stakeholders.

    • Australia
    • Staffing and Recruiting
    • 500 - 600 Employee
    • Asst Team Lead
      • Mar 2017 - May 2019

      • People Management & Development: Manages a team of 10-15 staff, provides the necesarry support to each team member ensuring that Key Performance Indicators (KPIs) and deliverables are met.• Identifies knowledge gaps within the team, conducts coaching sessions, and comes up with performance improvement plans to bridge these gaps.• Recruiting, developing, and retaining high-caliber team members.• Building/maintaining productive internal & external business relationships to facilitate smooth delivery of strategies and objectives.• Monitoring of team performance, provides regular reports to the management.• Communicating announcements, updates, policies & procedures to team members.• Workforce management: Generating volume of workload and identifying the number of staff needed to finish the job.• Provides support to other team leaders whenever necessary. Show less

    • Quality Assurance Officer
      • May 2016 - Feb 2017

      • Mainly involved in Claims Review; in accordance with EML's guidelines and department procedures. Ensures all reviews are accurate and completed within required timeframes through a review tool based on the National Case Managent Model of Australia.• Provide regular reporting trends, issues, and coming up with recommendations for process improvement and solutions for any areas of confusion.• Projects & Tasks Management: Completing specific projects/tasks requested by the management team. Show less

    • Data Entry Agent
      • May 2013 - Apr 2016

      • Administrative support for the Business Administration Services department of EML's workers' insurance claims.• Data interpretation and data entry for new claims, medical certificates and payments.• Acts as an escalations agent; providing guidance to new team members and handling exception cases.

    • India
    • IT System Custom Software Development
    • 1 - 100 Employee
    • Junior Process Executive
      • Dec 2012 - Mar 2013

      • Customer and technical support for AT&T's U-verse account. • Basic troubleshooting for TV, internet & phone. • Handles promotions and offering upgrades for existing packages. • Customer and technical support for AT&T's U-verse account. • Basic troubleshooting for TV, internet & phone. • Handles promotions and offering upgrades for existing packages.

    • United States
    • Hospitals and Health Care
    • Post Graduate Nurse-Trainee
      • Aug 2012 - Oct 2012

      • Apprenticeship for staff nurses. • Immersion in a JCI-accredited tertiary hospital. • Apprenticeship for staff nurses. • Immersion in a JCI-accredited tertiary hospital.

    • United States
    • Veterinary Services
    • 1 - 100 Employee
    • Registered Nurse
      • Oct 2011 - Mar 2012

      • Volunteer work in a Level-2 healthcare facility • Experienced in bedside care (ward), Emergency Room, and Out-Patient responsibilities. • Volunteer work in a Level-2 healthcare facility • Experienced in bedside care (ward), Emergency Room, and Out-Patient responsibilities.

Education

  • Global City Innovative College, Bonifacio Global City, Taguig
    Bachelor of Science - BS, Registered Nursing/Registered Nurse
    2004 - 2010
  • University of Santo Tomas
    Bachelor of Arts - BA, Sociology
    2004 - 2004

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