Philippines
Member Since 2024
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Terry Ergino Zabala

About the Candidate

EDUCATION
● Tertiary Education
Universidad de Dagupan (formerly Colegio de Dagupan), Dagupan City
Graduate of Bachelor of Science in Information Technology (2007-2011)
● Secondary Education
San Fabian National High School
San Fabian, Pangasinan (2003-2007)
● Primary Education
East Central Elementary School
San Fabian, Pangasinan (1997-2003)
WORK HISTORY
● Claims Adjuster (Anthem Account)– UST
6th Floor Building B, One Campus Place, 8 Park Avenue, McKinley Hill Cyberpark
The Fort, Taguig City, Philippines 1600
September 20, 2021 – March 2022
 Process new claims or modify existing claims according to the appropriate and applicable action.
 Analyze claims to determine the appropriate action to approve or deny a claim for payment.
 Determines accurate payment criteria for clearing pending claims based on defined policies and
procedures.
 Research claims to determine appropriate benefit application utilizing established criteria; applies
physician contract pricing as needed for entry-level claims.
 Review and address provider inquiries regarding claim adjudication.
 Demonstrated ability to work on high volume of claims and maintain quality standards.
● Casino Dealer – City of Dreams Manila
Asean Avenue Corner Roxas Boulevard, Entertainment City Paranaque, Manila
October 22, 2018 – September 26, 2020
-A casino dealer runs the games of chance in gaming settings, as he interacts with players, explains the
odds and methods of play, and runs the game according to the “house” rules. Adept with casino games
such as bacarrat, sicbo, money wheel and carribean studd poker.
● Quality Assurance Associate (HealthCare Account -HBCBS) -Alorica
Plaza C Northgate Cyberzone, Filinvest Corporate City, Alabang, Muntinlupa City.
July 16, 2012 – November 5, 2018
-A QAA focus on evaluating agents’ behavior against a scoring form. The main roles of a quality analyst
in a call center are monitoring of calls, accessing agents performance and monitoring trends. A Quality
Assurance Analyst is responsible for identifying areas of service improvements and developing programs
that improve the overall quality of the customer’s experience when interacting with the Call Center.
-Inbound calls
-Claims Adjuster; Coding medical benefits such as type of insurance, individual and family
deductible and coinsurance and benefit copay, Verify authorizations, Processing of professional and
facility claims, Medicare and Medicaid claims.
● Customer Service Associate – SITEL, Philippines Inc.
Baguio City
April–September 2011
-A CSA use their knowledge of company products, services, and policies to assist callers with inquiries,
complaints, or problems. They speak with customers, listen to them gain a better understanding of their
needs, and offer possible solutions
● System Developer – Philippine Economic Zone Authority (PEZA)
Baguio City
April – May 2011
● IT Associate – Department of Environment and Natural Resources – CAR Region
Baguio City
April – May 2011
HONORS AND ACHIEVEMENTS
● Dean’s Lister
Colegio de Dagupan
2 nd Semester S.Y 2009 – 2010
● Dean’s Lister
Colegio de Dagupan
2 nd Semester S.Y 2008 – 2009
● Dean’s Lister
Colegio de Dagupan
1 st and 2 nd Semester S.Y 2007 – 2008
● Reserved Philippine Air Force Cadet
2nd Air Reserve Center, AFRC
March 2008
AFFILIATION
● Colegio de Dagupan Alumni Association
Business Manager, Batch 2011 – to present
● Computer Science and Information Technology Society
Member, 2008 – to present
● Junior Information Technology Society
Member, 2007 – to present
REFERENCES
●Mr. Aldrin Catando
Senior Operation Specialist, Capital One
Plaza C Northgate Cyberzone, Filinvest Corporate City, Alabang, Muntinlupa City.
09273334347
● Mr. Raymond Dalmacio
Claims Analyst – UST
6th Floor Building B, One Campus Place, 8 Park Avenue, McKinley Hill Cyberpark
The Fort, Taguig City, Philippines 1600
09275509143
● Ms. Arnie Joy P. Dueñas
Associate, Quality Assurance – Alorica
Plaza C Northgate Cyberzone, Filinvest Corporate City, Alabang, Muntinlupa City.
09158782279
I hereby attest that the stated information’s are all true and valid.

 

TERRY E. ZABALA

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