Evelyn Fernandes
Mississauga,Ontario
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Experienced Administration and Accounting with over 25 years of experience.
Excellent reputation for resolving problems and improving customer satisfaction. Dedicated professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level position. Ready to help team achieve company goals.
Overview
12
12
years of professional experience
Work History
Claims - Triage
Royal Bank of Canada
01.2014 - 04.2018
- Prepared variety of different written communications, reports and documents
- Collaborated with team members to achieve target results
- Exceeded goals through effective task prioritization and great work ethic
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
- Improved operations through consistent hard work and dedication
- Learned new skills and applied to daily tasks to improve efficiency and productivity
- Actively listened to customers' requests, confirming full understanding before addressing concerns
- Used coordination and planning skills to achieve results according to schedule
- Worked within applicable standards, policies and regulatory guidelines to promote safe working environment
- Carried out day-to-day duties accurately and efficiently
- Used critical thinking to break down problems, evaluate solutions and make decisions
- Developed team communications and information for meetings
Claims Examiner - Collection Receivable Unit
Royal Bank of Canada
09.2006 - 08.2014
- Reviewed new files to determine current status of Medical or Travel claims and to develop plan of action.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Researched claims and incident information to deliver solutions and resolve problems.
- Investigated and processed insurance claims for policyholders.
- Finalized files for insurance claim payment release.
- Set up functions and enter data for claims information.
- Preparing OHIP and GHIP submission.
- Coordinate and submission of third party benefits.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Identified issues, analyzed information and provided solutions to problems.
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
- Collaborated with team members to achieve target results
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution
- Actively listened to customers' requests, confirming full understanding before addressing concerns
- Developed and implemented performance improvement strategies and plans to promote continuous improvement
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
- Offered friendly and efficient service to customers, handled challenging situations with ease
- Received and processed stock into inventory management system
- Worked with customers to understand needs and provide excellent service
Education
Bachelor of Arts - Management
Colegio De San Juan De Letran
Manila - Philippines03.1991
Skills
- Medical Triage
- Triage Meetings
- Handling & Analyzing Claims
- Claims Reporting
- Filing Claims
- Claims Assessments & Evaluation
- Claims Submissions
- Administering Claims
- Claims Investigations
- Claims Knowledge
- Complex Claims
- Claims Support
- Claims Service
- Warranty Claims
- Claims Resolution
- Neglect Claims
- Claims Understanding
- Generating Claims
- Inputting Claims
- Preparing Claims
- Claims Analysis
- Electronic Claims
- Insurance Claims Cases
- Fraudulent Claims Investigation
- Claims Processing Paperwork
- Claims History Analysis
- Claims Processing Documentation
- Insurance Claims Review
- Insurance Claims Analysis
- Insurance Claims Processing
- Proof of Claims Understanding
- Processing Travel Claims/According to Credit Card Benefits
- Claims Information Gathering
- Medical & Travel Claims Submission
- Handling Denied Claims
- Denied Claims Identification
- Warranty Claims Process Management
- Claims Investigation and Research
Timeline
Claims - Triage
Royal Bank of Canada
01.2014 - 04.2018
Claims Examiner - Collection Receivable Unit
Royal Bank of Canada
09.2006 - 08.2014
Bachelor of Arts - Management
Colegio De San Juan De Letran
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