Edgaras Petkevicius CIP

Experience

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  Keywords Studios

  Aug 2012 - Jul 2014

  Localization Quality Assurance

  -Identifying, isolating and logging bugs in a bug database-Running test suites, spot Russian grammar and language errors -Verify that bugs have been fixed and implemented correctly-Following documented processes at all stages of the testing process-Provision of reports to team leads-Constant feedback to queries-Liaising within a multinational team about issues found

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  Allianz Partners

  Jul 2014 - now

  Claims Officer

  -Adjudicate and process Claims within the agreed company SLA - clear to zero from members and providers, in accordance with policy benefits to facilitate the company achieving its KPIs-Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention-Be up to date with the latest compliance or EU regulatory changes applicable such GDPR-Management of client’s medical cases according to service-level agreements, Group as well as Underwritten-Taking ownership of cases from start to finish-Accurate and effective use of AP’s client database, Gulliver and other tools-Cost containment, identification of duplicate payments, possible non-disclosure and fraudulent claims-Project work such as Product Simplification (mapping of TOBs against a framework and review of it), Process review (Dashboard creation), Helpline assistance (Be the first point of contact for any queries/complaints to expedite replies for customers), User Acceptance Testing (Test and record results of new system, products changes prior to implementation)-Reviewing and assessing the FIR Audit for the team with reporting back to team lead-Medical translations from Russian to English-Continuous training on VIP groups-Responsibility for processing and assisting on particularly complex VIP groups-Daily management of the SLA reports consisting of work distribution to officers according to language and product training-Mentoring new claims officers-Assisting other teams with translations of cases-Liaising with various departments to make sure that claims are reviewed and closed in a timely manner-Point of contact for queries regarding regional specifications and support on internal procedures-Providing detailed information to Helpline due to member queries or complaints on decisions made in claims Show less