I'm a healthcare specialist with a combined 6 years of experience in claims adjudication, claim resolution, and appeal management. I help companies provide better service, maintain compliance, and operate efficiently, ultimately supporting both financial health and client satisfaction.I'm also an experienced virtual assistant with a combined 1 year and 8 months in CRM management, administrative support, and remote team collaboration. I help businesses and individuals by providing remote support.I get excited about opportunities where I can apply my healthcare experience and virtual assistant skills.I love connecting with new people, and you can reach me at morgaapplejay97@gmail.com.
Optum Technology Solutions
-
Appeals CoordinatorOptum Technology Solutions Mar 2018 - PresentCebu, Central Visayas, PhilippinesAs an Appeal Coordinator in medical health insurance, I’m responsible for reviewing appeals carefully to catch any errors and ensure everything is processed accurately. I keep providers updated on the status of their appeals and make sure everything is properly entered into the healthcare database so providers have the most up-to-date information.I also handle generating letters to notify members about their coverage and keep them informed about any decisions regarding their plans. Meeting deadlines is super important to prevent compliance issues, so I always make sure that everything aligns with our SOP—whether it’s overturning a service, upholding a decision, or handling expedited or standard cases. Attention to detail is key, and I double-check everything to make sure it’s done right!
-
Virtual AssistantLevel Up Insurance Agency Feb 2023 - PresentCebu, Central Visayas, PhilippinesAs a team leader, my priority is to ensure that our tasks are delivered with the highest level of satisfaction for our clients. I focus on optimizing our team's productivity, keeping a close eye on their tasks, and making sure everyone is up to date, especially since our processes can change from time to time. I provide guidance and support, helping my team stay motivated and tackle any challenges that come up.I also communicate directly with clients, keeping them updated on the status of orders, fulfillment, and any roadblocks we might encounter. If we hit a snag, I love working together to brainstorm and resolve issues as quickly as possible. I make sure scheduling and availability are clear to everyone and handle any task reallocation smoothly—especially if a team member faces a family emergency.I really enjoy being a virtual assistant and would be happy to explore new opportunities! Feel free to reach out if you're interested. 😊
-
Fraud SpecialistEperformax Contact Centers & Bpo Aug 2017 - Mar 2018Salinas Drive, Cebu CityAs a former Fraud Specialist, my job was all about ensuring a safe and trustworthy online marketplace for both buyers and sellers. I was responsible for checking if items were delivered honestly and making sure sellers were paid fairly for their products. I also reviewed the authenticity of items posted on eBay, ensuring they were legitimate.We used a database to verify if a seller’s IP address was trustworthy, helping to prevent issues like multiple fraudulent sales to different buyers. Overall, my main task was to protect the integrity of the online selling world and keep it secure for everyone involved. -
Telecommunications AssistantTelstra Jun 2016 - Aug 2017Insular Life Bldg, Cebu Business ParkAs a former Telecommunications Billing Specialist, my role was to help customers understand their bill charges, upcoming bills, and offer them services or plans that could help manage their costs. I also handled payments, scheduled appointments with technicians to visit their area, assisted with changing phone numbers, and filed reports for scam callers.A big part of my job was following retention SOP's to try and keep customers from switching providers. It was definitely challenging at times, especially when dealing with upset customers, but I always did my best to stay patient and explain things clearly so they could understand their charges better. -
Telecommunications SpecialistVerizon Jan 2016 - Jul 2017Cebu, Central Visayas, PhilippinesAs a former Telecommunications Billing Specialist, I was responsible for helping customers navigate their bill charges, upcoming payments, and offering services or plans that could help them save. I also handled payments, scheduled technician visits, assisted with number changes, and reported any scam callers to ensure customer safety.A significant part of my role was focused on customer retention, working to keep clients from switching providers. While it could be challenging at times—especially when dealing with frustrated customers—I always made it a priority to stay patient and ensure they fully understood their billing details. -
Order SpecialistFingerhut Mar 2015 - Jan 2016Cebu, Central Visayas, PhilippinesFrom March 2015 to January 2016, I worked with Fingerhut, where my main tasks were receiving orders, offering complimentary products, and introducing sales insurance to customers. I handled calls daily, and many customers were excited to place their orders and often enthusiastic about adding insurance to their purchases. It was a great start to my career, and I really enjoyed my time there.
Apple Jay Morga Skills
Apple Jay Morga Education Details
-
Bachelor Of Science Information System
Frequently Asked Questions about Apple Jay Morga
What company does Apple Jay Morga work for?
Apple Jay Morga works for Optum Technology Solutions
What is Apple Jay Morga's role at the current company?
Apple Jay Morga's current role is Healthcare Specialist with 6 Years in Claims Management | Virtual Assistant | Passionate About Efficiency and Client Success.
What schools did Apple Jay Morga attend?
Apple Jay Morga attended Asian College Of Technology - Cebu.
What skills is Apple Jay Morga known for?
Apple Jay Morga has skills like Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Powerpoint, Social Media.
Free Chrome Extension
Find emails, phones & company data instantly
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial