Mart C - QLM : Qatar Life and Medical Insurance Company

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Mart Carino Capulong

P.O Box 237417 Dubai, U.A.E.

Mobile No: +971503961218

Email Add: martc_1111@ yahoo.com

Career Objective:

I want to work in an environment that promotes teamwork, provide challenges and opportunities. I also would like to develop and grow into level of responsibility where I can make significant contribution to the success of the organization.

WORK EXPERIENCES

Senior Policy Administrator

ACE LIFE International – Group Medical and Life Operations Department

21st Floor Silver Tower JLT

Dubai , UAE

Dec.4, 2011 up to May 2012

Process applications for change to, reinstatement and cancellation of insurance policies

Setting up new insurance policies group and individual accounts on the system

Compiling data on lapsed insurance policies to determine automatic reinstatement according to company policies, cancelling insurance policies as per the request of the customer, agents and brokers

Verifying the accuracy of insurance company records, cards, policy packs before releasing

Invoicing on regular basis according to the mode of payment for the group and individual clients

Process renewal notices and lapsed letters accordingly

Coordinate with the TPA’s , customers to provide information in response to inquiries about the products and services and to handle and resolve complaints

Checking the SME plans data, application forms and questioners

Adjusting terms such as addition and deletions of members as per the underwriting guidelines

Process new accounts and renewals both for group and individual accounts

Reconciliation of accounts during renewal period

Knowledge of HAAD Laws and Limitations as well as the OFAC countries

Handling Large Group policies and Individual Accounts

Liaise with Customers such as Brokers, Agents and Individual Clients for any inquiries

Preparing MIS report as needed

Verify and Investigate complaints with the resolution team department

Senior Policy Administrator – Plan Sponsor Services

AETNA International formerly (Goodhealth Worldwide LLC)

Bldg. 7 DOZ Office , Al Aweer Opp. Academic City Road Dubai

Oct. 26, 2006 to Nov 30 , 2011

Manage and coordinate benefit plan implementation for new and existing customers

Provide focused service from pre-sale consultation through initial post-sale client administration fostering strong, long-term partnerships with customers and consulting community

Liaise with IT support to report faults / enhancements, etc. to improve the efficiency and accuracy of the IT system.

Handles quality control checks and audits on the different documentation issued in the Plan

Sponsor Services Team.

Process New Individual Application/ Group policies, generate invoices and preparing and auditing the renewal notices before sending out to clients.

Develops a mutually rewarding working relationship with various client contacts by providing excellent customer service which results in customer/member satisfaction

Develop and maintain excellent interpersonal relationships with clients, brokers, third parties and other departments and offices

 Collaborates with team members on more complex issues to ensure client’s needs are met from a product/service perspective

Follows through on outstanding general issues to the point of resolution

Comply with underwriting and compliance guidelines and have good product knowledge

An effective team player and committed, proactive and supportive to achieve the teams goals and objectives

Manage and coordinate plan/group set-up on the system for new and existing customers.

Monitoring the different work queues on the different Global databases and maintaining the turn around times on these queues. Running the different reports from the system and working on the same.

Adhere to Best Practice Processes, Service Standards and to all relevant statutory or regulatory requirements, including treating customers fairly

Accounting Staff- Grp. Acctg. Dept.

GREPALIFE Great Pacific Life, Inc.

Makati City Philippines

Aug. 2003 to Oct. 2003

Prepare and send premium billings

Prepare premium Allocation

Verify of Hospital Claims and Death Claims

Prepare Disbursement Voucher for premium refund and collection fee

Perform other task as may be assigned by the superior from time to time

Custodian Staff / Mktg. Dept.

Empire East Land Holdings, Inc.

Makati City, Philippines

Dec. 2000 to Feb. 2001

Responsible in handling record files of each client

Coordinates with marketing and accounting Depts. Regarding the outstanding records of the buyers

Assist the marketing department for monthly billing of each client s for a certain project

Control of incoming and outgoing paid accounts / Allocation

Encode and file new buyers of designated project

Perform direct selling and indirect selling – personal and through phone

Marketing Assistant /Agency Branch

Insular Life Health Care, Inc.

Pampanga, Philippines

Jan 2000 to Nov. 2000

Conduct orientation regarding the package plan of certain account

Coordinate with head office regarding the proposal preparation including actuarial Department

Coordinate with admin & marketing for contract preparation and presentation

Handle Accreditation of Clinics / Hospitals to be listed within the network

Handle Petty cash, withdrawal and depositing cash for daily production

Prepares Daily and Monthly production report

Policy Administrator

Insular life Health Care, Inc.

Makati City Philippines

Feb. 1997 to Jan 2000

Conduct orientation program and provides assistance for new and renewal accounts

Coordinates with legal dept, regarding the contract preparation

Prepares fund allocation – billing and payment

Evaluate and process Death claims- Medical And Life Insurance

Prepares Billing and Refund fees

Entertain, receive and settles inquiries complaints of agent and clients

Coordinates with other dept. regarding the new accounts for immediate processing of enrollment forms including the releasing of identification cards

Record Staff / Policy Processor

Insular Life Assurance Co., Ltd.

Makati City Philippines

Aug. 1996 to Jan. 1997

Control of incoming and outgoing new policies

Process new policies

Encode and File new application policies

Attend to telephone inquiries

Make Daily production

SUMMARY PROFILE AND PERSONAL ATTRIBUTES

Proficient in Microsoft applications / Familiar with Actisure Program and DME

Hardworking, energetic, independent and creative with no supervision

Flexible, Fast Learner, and with multi –task ability

Easy to adopt a multicultural environment

Well organized with inter-personal skills

Expertise and well oriented in Customer Service environment and Administration

EDUCATIONAL BACKGROUND

University of the Assumption

San Fernando Pampanga Philippines

Bachelor of Science in Commerce

Major in Business Management

References available upon request…

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