1. APRIL GANUELAS
101-500 Partridge Avenue Phone: 204-583-3678
Winnipeg Manitoba R2V 3H1 Email: aprilmaeganuelas@yahoo.com
PROFILE
 Proven skills in Medical and Dental Claims Adjudication/Processing with highly
effective interpersonal and communication skills, establishing and maintaining
professional relationships with diverse clientele
 Demonstrated ability to meet client’s expectations and giving 100% result of claims
adjudication including turn-around time, financial and non-financial accuracy
 Proficient in Lotus Notes, Microsoft Word and Excel and other system application for
claims processing
EMPLOYMENT HISTORY
Health and Dental Claims Processor October 6, 2014 - Present
Great-West Life Winnipeg, Manitoba
 Carefully investigating each receipts submitted if it is for inquiry before proceeding in
processing.
 Manually processing claims for Group Benefits, Extended Accounts, Flexible and
Wellness Account etc.
 Investigating and checking for possible fraud including an alterated claim.
 Entering all client information including the receipts they submitted into data base with
100% accuracy and maintaining the productivity target everyday.
 Filling all claim processed using the company’s standard operating procedure and
placing all unprocessed claims to it’s designated folders.
Courtesy Clerk and Checker May 10, 2014 – October 3, 2014
Safeway Winnipeg, Manitoba
 Courtesy Clerk: Conducting price checks, take return products back to proper shelf
locations, and help maintain store shelves by cleaning and fronting products.
 Assisting customers in quick and efficient checkout service by helping to unload grocery
items onto check stands, bagging groceries, and providing carry out service.
 Gathering shopping carts from parking lots sweep and mop floors, assist in prompt clean
up spills and other general housekeeping duties.
 Checker: Scanning items and processing payments.
 Greeting customers and maintain a clean organized store environment.
Medical Claims Adjudicator September 2010 – January 2014
Manulife Financial, Canadian Group Benefits-Health Claims Manila, Philippines
 Investigated health claims ensuring all claims were signed by member and covered by
plan for continuous of processing.
 Adjusted member plan information ensuring all plans were up to date with correct
information providing accurate file management.
 Entered all client information onto data base with specific system code under each
benefit providing the system computation.
Medical Claims Processor August 2009 - September 2010
Accenture Delivery Centre, US Division Manila, Philippines
 Entered data into system using specific codes managing all claim records maintaining
entries accurately.
 Managed and updated all client information on database in charge of adding new
member to existing plans ensuring all client plan profiles were up to date and accurate.

2. APRIL GANUELAS
Phone: 204-583-3678 │ Email: aprilmaeganuelas@yahoo.com
Medical Claims Processor May 2009 – August 2009
Prime Movers Business Solutions, Inc. Manila, Philippines
 Research various systems and tracking tools to investigate claims ensuring there was no
fraud, or duplicate of claim.
 Responsible for all data entry of claims for accurate information in system database.
 Assessed and resolved non-standard and standard issue claims, sent flagged claims to
appropriate department for further investigation.
Administrative Assistant July 2008 – December 2008
Solutions Insurance Broker, Inc. Manila, Philippines
 Created accounting reports as per request of management team submitted all reports in
in a timely manner
 Managed and processed prescription claims for clients assigned to our group released
cheques after all claims were approved and verified.
 Answered calls regarding claims issues, approvals, inquires of cheque release status
providing customer support to all clients.
 Managed and in charge of ordering supplies for office ensuring all staff had necessary
supplies for daily tasks.
Data Encoder June 2007 – May 2008
AB International Placement Agency Manila, Philippines
 Data encoded for personal records into a special format for transmission or storage
purposes of the company.
 Compiling, sorting and verifying information with previous documentation for updating of
records in company’s file.
Management Trainee/Shift Manager December 2006 – April 2007
Jollibee Foods Corporation Manila, Philippines
 Ensured compliance for operation standards to achieve shift sales target.
 Implemented crew training, development for effective performance management system.
 Ensured scheduled preventive maintenance for the compliance of government
requirements.
Head Reviser December 2005 – June 2006
Presidential Electoral Tribunal, Supreme Court of the Philippines Manila, Philippines
 Examined self-locking security and padlocks to ensure the condition of the ballot boxes.
 Examined the ballots found inside the ballot boxes and recording the condition and serial
numbers of the paper seal and the election returns to set forth clearly any objections
submitted by the team.
VOLUNTEERING
Recreational Assistant Coordinator May 2014 - Present
Misericordia Health Centre Winnipeg, Manitoba
EDUCATION BACKGROUND
Accounting Specialist August 17, 2015 – Present
Robertson College Winnipeg, Manitoba, CA
Bachelor of Science in Computer Science June 2001 – March 2005
New Era University Manila, Philippines