I am a highly experienced customer service, collections, healthcare support, claims administration, technical support, and document management professional with over 10 years of remote and BPO experience serving clients across healthcare, insurance, financial services, e-commerce, logistics, and SaaS industries.
Throughout my career, I have built a strong reputation for delivering exceptional customer experiences, resolving complex issues, maintaining accurate records, and supporting business operations with efficiency and attention to detail.
Most recently, I worked as a Document Specialist (SME) at Clipboard Health, where I validated healthcare professional credentials, licenses, background checks, and supporting documents using state verification systems. I managed document collection and renewal processes, followed up on missing or expired credentials, handled escalations, and collaborated with Support, Sales, Product, and Operations teams to ensure compliance and improve workflows.
Prior to that, I served as a Claims Administrator and Customer Service Representative at Kathy Kuo Home, handling customer inquiries related to order tracking, shipment status, pricing, inventory availability, returns, exchanges, refunds, cancellations, and order modifications. I also processed and investigated carrier and vendor claims involving damaged shipments, shortages, service failures, lost shipments, and defective products while maintaining accurate records through Salesforce, Google Sheets, and Excel.
As a Technical Support Specialist at ChowNow, I provided phone,
I also spent three years as an Asset Retrieval and Collections Specialist at The Black Tux, where I managed accounts receivable activities, reviewed aging reports, conducted collection calls and
My healthcare experience includes working as a Medical Records Retrieval Specialist for Optum/Episource, where I coordinated medical record requests, communicated with healthcare facilities, ensured HIPAA compliance, managed sensitive patient information, and maintained organized records management systems.
I also worked as a Healthcare Customer Service Specialist for Anthem BlueCross, supporting healthcare providers with claims status, eligibility verification, reimbursement inquiries, coverage determinations, denied claims investigations, and benefit explanations.
Additionally, I served as a Customer Service and SME Escalations Representative for Western Union, handling complex and escalated cases involving money transfers, payment solutions, transaction issues, and account-related concerns while collaborating with internal teams to improve customer satisfaction and service quality.
Beyond my corporate experience, I have worked as a Part-Time ICT Teacher, Freelance Content Writer, and Freelance Graphic Designer, creating educational materials, student workbooks, PowerPoint presentations, marketing materials, event designs, invitations, posters, apparel graphics, and promotional content.
My skill set includes:
• Customer Service (Phone,
I am known for my strong communication skills, professionalism, attention to detail, adaptability, problem-solving abilities, and commitment to delivering excellent results. I thrive in remote work environments, learn new systems quickly, and consistently contribute to operational efficiency and customer satisfaction.
“My business would not be able to go forward if it was not for them”
Gaurab - Adhikari
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