Philip Elizalde

Professional with seventeen years of experience at Anthem, Inc. as a Claims Examiner and Customer Service. Expertise in data entry, processing, and claims adjusting for diverse healthcare plans, including Professional, Outpatient, Inpatient HMO, POS, PPO, EPO, FFS, HRA, HSA, COB, Medicare, Transplant High Dollar claims, utilizing WGS Mainframe System. Proven ability to manage customer inquiries effectively while mastering all relevant programs and web-based systems.

• Lead Claims Examiner.
• Received compliment calls and emails on a regular basis from members and managers.
• Received numerous awards for excellent attendance, claims processing at 100% no errors, customer service care awards for member satisfaction for calls.
• Recognition for 15 Years Employed at Anthem Inc.

Employed at Anthem Inc. for 17 years. Gained invaluable experience as a Claims Examiner in which I learned Data Entry, Claims Examining, Claims Adjusting professional, outpatient an inpatient HMO, POS, PPO, FFS, and Medicare claims on the WGS Mainframe System. Handle incoming calls with enthusiasm and care as a Customer Service Representative in the Large Group Employer Department and learned all programs and web based programs associated with that position.