Hi there! I'm Judilyn

Experienced Claims Specialist with Exceptional Organizational Skills and Strong Customer Service Background

Hi there! My name is Judilyn Jornales from the Philippines, and I am excited to share a glimpse of my professional journey with you.

During my college years, I had the privilege of being a working scholar, juggling academic responsibilities while gaining practical experience as an Office Clerk at the university from which I later graduated. As an office clerk, I was doing typing jobs for the Dean's lecture materials, answering phones, directing them to appropriate individuals, maintaining and keeping student records, and other administrative tasks. In 2006, I moved to a different school where I continued to thrive as an Office Clerk. Despite the continuity in my role, moving to a new school brought about its own set of unique challenges and experiences. While the tasks may have remained similar, the dynamic nature of a different academic environment allowed me to refine my skills and adapt to diverse work settings.

After 7 years , I ventured into an entirely different work environment, transitioning to the Business Process Outsourcing (BPO) industry. This transition marked a pivotal point in my professional journey, providing me with exposure to a various range of challenges and honing my abilities in communication and customer service. As a customer service representative, I was supporting healthcare account primarily taking inbound calls from US medical providers with their claims inquiry. My responsibilities include resolving billing issues and addressing claims inquiries (such as payment information, claim rejection or claim denial), explaining how their claim was processed and if necessary, checking their Explanation of benefits. As part of our guidelines, we also made sure that we adhere to HIPAA compliance to protect the data privacy of both our patients and providers. Within the six years in my role as a Customer Service Representative, I took on additional responsibilities that went beyond direct customer interactions. This included overseeing call transactions made by my fellow representatives, ensuring accuracy, and assessing whether any further actions were required to address customer inquiries effectively. These administrative tasks added a layer of complexity to my role, requiring meticulous attention to detail and a proactive approach to problem-solving. This experience not only deepened my understanding of the overall customer service process but also enhanced my ability to contribute to the seamless resolution of customer issues through a collaborative and proactive approach within the team. In 2019, I transitioned into a leadership role within the same account, a position I held with dedication for a span of four years until my eventual resignation. As a leader, I took on the responsibility of guiding and motivating my team, ensuring the efficient operation of customer service processes, and maintaining a high standard of service delivery. This leadership experience not only allowed me to contribute to the professional development of my team but also provided me with invaluable insights into strategic decision-making and organizational management.

If you're looking for a dedicated individual passionate about delivering accurate and timely results, known for upholding the highest standards of integrity, adaptable to evolving work environments, and committed to continuous learning and professional development, you can shoot me an email and I would be excited about the possibility of discussing how my experiences make me a valuable asset to your team.