This document provides a resume for Kathlyn Therese Rivera Criste. It summarizes her education including degrees in biology, guidance and counseling, psychology, and occupational medicine. It also outlines her work experience in medical examination, claims processing, and management roles at companies like Manulife and Maxicare. Additional sections include certifications, extracurricular activities, workshops attended, and personal background.
1. KATHLYN THERESE RIVERA CRISTE
B4 Lt 54 Andover St. Vermont Park Executive Village Marcos Hi-way/
Robinsons Homes East Exec. Antipolo City 1870
09328568118
Kathlyncriste@gmail.com
EDUCATION
2013 PHILLIPPINE COLLEGE OF OCCUPATIONAL MEDICINE
Basic Course in Occupational Medicine (BCOM); Elected Batch Secretary
Field of Specialization: Occupational Medicine
2001.2005 DE LA SALLE-HEALTH SCIENCES CAMPUS DASMARINAS CAVITE
Post Graduate Diploma, Medicine CGPA:85-90%
1996.2000 DE LA SALLE UNIVERSITY -TAFT
Bachelor of Science, Major in Biology, June 2000. Dean’s List 3rd
Term SY
1996-97, 2nd
Term SY 1997-98; 1st
Term SY 1999-2000
1996 DE LA SALLE UNIVERSITY –TAFT
Bachelor of Secondary Education, Major in Guidance and Counseling and
Bachelor of Arts in Psychology, 1st
Honor Dean’s List, 2nd
Term SY 1996-97
1992.1996 SAINT THERESA’S COLLEGE, QUEZON CITY
High School Diploma, March 1996. Outstanding Student. Graduated top 10% of
class 1996
WORK EXPERIENCE
MEDICAL/HOSPITAL/CLINIC
February 2007-Present MANULIFE –PHILIPPINES- ACCREDITED DOCTOR/MEDICAL
EXAMINER -14, 16th
, 17TH
FLOOR LKG TOWER MAKATI; 20F HANSTON
SQUARE,17 San Miguel Avenue, Ortigas, Pasig.
Authorized to do final medical examination / clearance/ diagnosis of insurance
clients. Routine urinalysis via dipstick on all patients . General, cardiovascular,
pulmonary analysis and collection of clinical data.
Coordinates with new business department and other accredited medical
examiners, insurance advisers and business managers. Healthcare provider. 24
hour Turnaround time (TAT) submitted to the new business unit. On call by
MDRT ( Million Dollar Round Table) and Manulife -Philippines–LKG agents.
2011-2015 (Currently Accredited) MAXICARE, INTELLICARE, MEDICARD ,HEALTH
PLAN PHILIPPINES, INC- (THE MEDICAL CITY-ORTIGAS. ,ST MICHAELS DIAGNOSTIC
CLINIC, SUTHERLAND P-Tuazon and Bonifacio Global City, MANULIFE, SUNLIFE,
HEWLETT PACKARD, UP-Technohub) BOSH company regular/retainer/reliever doctor. Out-
patient (OPD) clinic for BPO and public sector/private companies. 2-8 hour morning or night duty
depending on company need. Shifts rendered.: 8-5pm, 10am- 12nn, 6-9pm, 9pm-12mn. 1-3am
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2. 2013-2014 UTILIZATION MANAGEMENT PHYSICIAN ADVISOR –ST LUKES –
GLOBAL CITY - Performed Case management with Attending physician and US Based/Guam Based
Medical Director. Reviewed and analyzed patient records and provider information to assess medical
necessity of admission, treatment and length of stay in a healthcare facility. Followed Milliman Care
Guidelines. Within scope of medical utilization management, systems encoder of the reviewed claim to
computer generated system. Clinical Rounds at ST LUKES-GLOBAL CITY. If needed- also travelled to
ST LUKES QUEZON CITY /THE MEDICAL CITY -ORTIGAS and/or coordinated to the UM senior
nurse. Daily Reporting to Guam Medical Director.
2013 HEALTH PLAN PHILIPPINES,INC(The Medical City, Ortigas) - 8-5pm duty Flying V
private company doctor. (Thursday to Saturday) ON CALL Vaccination and Lecture requests.
2013 AVENTUS MEDICAL CLINIC-PCS BOSH.(Near SM Annex,PCS) Annual Physical
Examination. Daily Patient Consultation. PAP SMEAR.
2007-2013 MANULIFE ACCREDITED EXAMINER/COMPANY PHYSICIAN
May 2005-2006 MEDICAL INTERN- DE LA SALLE MEDICAL HOSPITAL (PRIVATE)
and JOSE P RIZAL NATIONAL MEDICAL CENTER
HOSPITAL(PUBLIC)
Experienced in discharge summaries and patient interview. Dealt with In patient
and outpatient histories and medical/physical examination.
Healthcare provider helping medical residents and consultants in providing
utmost care. 1-4 years experienced in health care diagnosis in healthcare/medical
industry.
MANULIFE WORK EXPERIENCE
September 2011-2013 MANULIFE TEAM LEADER- GROUP BENEFITS HEALTH and
DENTAL CLAIMS UP TECHNOLOGY PARK- Direct accountability of day to day operations of
associates/employees of team assigned. Ensure service level agreements are met to exceed. Act as
product resource, coach and mentor for quality (Hospital, Drugs, Routine, RoutineOTH,C2OCSDrugs
worktype) and productivity of team. Coordinates with various offices for technical issues alongside with
subject matter expert.
May 2009-Sept 2011 MANULIFE ASSISTANT TEAM LEADER- HEALTH and DENTAL
CLAIMS UP
NORTH SCIENCE and TECHNOLOGY PARK, COMMONWEALTH
AVENUE- Effectively and efficiently manage the day to day operations of the
subgroup/team. Ensure (SLAs) service level agreements are met to exceeded.
Act as product and process knowledge resource to associates on the production
floor. Responsible for maintaining and increasing performance levels. Assist
Team leader in coordinating team resources , monitoring team activities and
preparing reports. Leadership, support, motivation , coaching and development of
staff; building high performance and cohesive team.
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3. Dec 2008 DENTAL CLAIMS TRAINER-MANULIFE-CANADIAN GROUP BENEFITS-
UP
NORTH SCIENCE and TECHNOLOGY PARK, COMMONWEALTH
AVENUE-provides initial and ongoing training of departmental procedures and
workflows, identifying gaps in staff. Develops and maintains documentation for
procedures and training. Provides analysis of procedures for streamlining and
enhancements , delivery of solutions , cost and benefit analysis.
November 2006 MEDICAL CLAIMS ADJUDICATOR -MANULIFE DATA SERVICES
March 2007 – 2008 (CANADIAN GROUP BENEFITS) -ELJCC BLDG, ABS-CBN COMPOUND
Followed up established guidelines for processing clientele drugs using
confidential systems. . Processing drugs and hospital claims given thru scanned
computer claims from Canadian regions like Waterloo and Montreal .
Compute payment/s amounts based on allowable coverage benefits and limits.
ADDITIONAL ACADEMIC EXPERIENCE
May 2006 VICE PRESIDENT - EXCELLENCE , ACADEMICS , ARTS DIVISION- ON
CALL SCHOOL PHYSICIAN - CHILD JESUS- LITTLE FLOWER SCHOOL – ROBINSONS
HOME EXECUTIVE Administrative work of school curriculum. Providing Healthcare assistance and
yearly medical examination of the students.
May 2006 DANCE, CLASSICAL AND MODERN BALLET TRAINER - CHILD
JESUS- LITTLE FLOWER SCHOOL – ROBINSONS HOME EXECUTIVE
VILLAGE, ANTIPOLO CITY . Instructor/ trainer from basic to advance dance
lessons.
June 2002- June 2004 COR CHRISTI MEDICAL TRANSCRIBER/EDITOR -DE LA SALLE
HEALTH SCIENCE CAMPUS
Transcribing medical lectures for the whole work /school week. Editing the
transcription notes prepared by other transcription teams. 2 year experienced
transcriptionist in medical curriculum.
December2000- INSURANCE ADVISER- INTERNATIONAL NETHERLANDS GROUP
LIFE INSURANCE COMPANY ( PHILIPPINES), INC
June 2002 Professionally marketing life insurance with the customers by building,
establishing and maintaining a high level of trust and credibility
Assisted the underwriter in reorganizing documents, computing data and
gathering medical examination of clients.
July- August 1999 INDEPENDENT DISTRIBUTOR, E. EXCEL INTERNATIONAL
PHILIPPINES- INCORPORATION
Generate sales for the company by effectively selling the products of E. excel and
ensuring customer satisfaction.
March-May1996 EDUCATOR- LITTLE FLOWER OF THE CHILD JESUS PRE-SCHOOL,
GRADE SCHOOL, DAYCARE CENTER
Learned Piaget type of Montessori training for pre-school kids. Handled pre
school division, assisted the cooperating teacher in preparing and checking the
students activities and projects. Prepared the daily lesson plan used in teaching
and employed several teaching techniques , strategies depending on the character,
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4. attitude of the students. Received high teaching evaluation from cooperating
teachers of the school.
CERTIFICATION YEAR OBTAINED
MEDICAL BILLING (ICD-9,ICD-10 overview, CPT) 2014
BCOM (OCCUPATIONAL MEDICINE) 2013
PHYSICIAN LICENSURE EXAM 2007
MEDICAL INTERNSHIP PROGRAM 2006
LIFE INSURANCE LICENSURE 2001
EXTRA CURRICULAR ACTIVITIES
2012-2013 ANAK STICHTING FOUNDATION- NEGROS- Volunteer at Bacolod
Attended the 10th
Anniversary at Amsterdam, Netherlands. During the event,
communicated with Filipino Ambassador and Board Directors for the
scholarship ongoing for selected Ilonggos.
2011- present TRAVEL VENTURE INTERNATIONAL- Resort/Hotel Accomodation
June 2010 AMWAY Philippines -Independent Distributor-responsible in endorsing,
promoting Nutrilite (Health ,Medicinal, Food supplements ) and Artistry
March 2007 MBPS DANCE TROUPE
August, 2006 MEMBER- GOD’S PEOPLE
Proclaiming the word of God in the ecumenical way. Tasked to read the lessons
from the scripture at group gatherings and other functions. To share God’s word
at Robinson’s Homes east or any areas needing petitions, understanding more the
Light of God and his teachings
May 2000 UST MEDICAL DANCE TROUPE
Training after medical classes. Choreographer and member of the team on
medical social activities.
August 1999 VOLUNTEER- STAFF, Redeemer’s Home
Rendered sixteen hours of service for the said institution. Assisted the caretakers
in feeding the babies, changing the diapers, washing the feeding bottles,
arranging the clothes and baby sitting the orphaned infants, toddlers.
1997.1999 MEMBER, OUTREACH AND PUBLICITY COMMITTEE- SOCIETAS VITAE
(SV)-Promoted activity and social awareness such as the medical tour at De La Salle
University Medical School Cavite
1996.1997 MEMBER, LA SALLE DANCE TROUPE ( LSDT)
6-9 pm rigorous training, performed at Araneta Coliseum when DLSU hosted
UAAP opening and various dance activities
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5. 1996 MEMBER, SAMAHAN NG MGA MAG-AARAL NG SIKOLOHIYA
(SMS)
Participated in the numerous activities organized by the project head committee.
1987-1996 SENIOR MEMBER,RADAIC ROYAL LONDON OF CLASSICAL BALLET
1982 UP DANCE GYMNASTICS, BALLET, HAWAIIAN – Abelardo Hall.
WORKSHOP/MISSIONS/SEMINARS ATTENDED
2013, May BPMN Workflow Training- Business Users course training for process
workflow using BIZAGI.
2012-2013 URBAN ANGELS MEDICAL MISSION- MBPS volunteer with Canadian ( St
Michaels Hospital) and Filipino medical, paramedical and non-medical team at various sites Negros.
Rendering service and free consultations to over 1000-3000 patients/day.
2012 COPC Training
2011,October GUTHRIE OPERATIONAL PLANNING -MBPS/ Manulife Training for
leaders on operational analysis to identify, prioritize, analyze and summarize issues. Action Plans for
current handling team.
2010 MBPS HR Selection, Training Hiring Tasked to do FINAL INTERVIEW for
BPO sector.
2010 AMWAY CONFERENCE- Training for NUTRILITE and ARTISTRY ,
ATENEO and DUSIT THANI HOTEL-Makati
Nov 2008-09 MBPS MEDICAL MISSION -Baseco , Tondo Manila-Volunteer with
colleagues.
2004.2006 BASIC LIFE SUPPORT/ MEDICAL CLERK/ INTERN MEDICAL
MISSIONS
De La Salle University HSC, Dasmarinas Cavite, Trece Martires Cavite,
Pampanga
December- INSURANCE ADVISER’S TRAINING PROGRAM
June 2001 International Netherlands Group Life Insurance Company ( Philippines), Inc.,
Quezon City
July 1999 NUTRITIONAL IMMUNOLOGY LECTURE TRAINING
E.Excel International- Philippines, 28th
Floor, Rufino Pacific Tower- Makati City
June 1999 E Excel DISTRIBUTOR’s TRAINING
E.Excel International- Philippines, 28th
Floor, Rufino Pacific Tower- Makati City
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6. PROJECTS/TOWNHALL MEETING DONE
2013 Q2TOWNHALL MEETING- Overall program director for the second
quarter Townhall Meeting for 179 team. Theme: Canada Day. Rewards and
Recognition of ~ 79 awardees.
2013 HEALTH CLAIMS SHAREPOINT- Coordinated with team leaders and
Camille Sta-Ana for the sharepoint link of associates. For efficient dissemination of information and site
for communication.
2012 HEALTH,COMPLEX and DENTAL TEAM BUILDING- Spearheaded the
team building , collaboration with other leaders at TANAY ADVENTURE
PARK. Activities such as Wall Climbing, Rappelling and usual team building
activities was done.
2011 CLAIMS NEXT TOP ADJUDICATOR- Spearheaded the MBPS Rewards and
Recognition program for awardees on the team.
RESEARCH PAPERS DONE
December 1999 A Study of IMPATIENS CAVITEANA HOOK IN Mt. Palay- Palay
National Park.Conducted a population study of Impatiens caviteana Hook for
six months, April to October 1999. Conducted a vegetation analysis of the forest
in the vicinity of Impatiens and recorded environmental parameters.
August 1998 Effect of Stress on asthmatic and non-asthmatic persons.
Direct observations and surveys were gathered. Investigated the causes of stress
on asthmatic and non- asthmatic persons.
PERSONAL BACKROUND
Born on August 18, 1979 in Quezon City, Philippines. Fluent in English and
Filipino. Basic Dutch/Nederlands. Knowledgeable in Microsoft programs,
WORD , EXCEL, XP POWERPOINT. Interests include travel, modern
dancing, classical ballet, surfing the internet, watching movies. Continuous-
Improvement Oriented, Quality- Results Oriented , Professional.
ADDITIONAL INFORMATION
Willing to travel :Heavy (>90%); Highly considered
Willing to relocate :Will Consider
Willing to work night shift :Will Consider; Flexible on any work shift
Availability :Open to consideration
REFERENCES Available upon request
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7. PROJECTS/TOWNHALL MEETING DONE
2013 Q2TOWNHALL MEETING- Overall program director for the second
quarter Townhall Meeting for 179 team. Theme: Canada Day. Rewards and
Recognition of ~ 79 awardees.
2013 HEALTH CLAIMS SHAREPOINT- Coordinated with team leaders and
Camille Sta-Ana for the sharepoint link of associates. For efficient dissemination of information and site
for communication.
2012 HEALTH,COMPLEX and DENTAL TEAM BUILDING- Spearheaded the
team building , collaboration with other leaders at TANAY ADVENTURE
PARK. Activities such as Wall Climbing, Rappelling and usual team building
activities was done.
2011 CLAIMS NEXT TOP ADJUDICATOR- Spearheaded the MBPS Rewards and
Recognition program for awardees on the team.
RESEARCH PAPERS DONE
December 1999 A Study of IMPATIENS CAVITEANA HOOK IN Mt. Palay- Palay
National Park.Conducted a population study of Impatiens caviteana Hook for
six months, April to October 1999. Conducted a vegetation analysis of the forest
in the vicinity of Impatiens and recorded environmental parameters.
August 1998 Effect of Stress on asthmatic and non-asthmatic persons.
Direct observations and surveys were gathered. Investigated the causes of stress
on asthmatic and non- asthmatic persons.
PERSONAL BACKROUND
Born on August 18, 1979 in Quezon City, Philippines. Fluent in English and
Filipino. Basic Dutch/Nederlands. Knowledgeable in Microsoft programs,
WORD , EXCEL, XP POWERPOINT. Interests include travel, modern
dancing, classical ballet, surfing the internet, watching movies. Continuous-
Improvement Oriented, Quality- Results Oriented , Professional.
ADDITIONAL INFORMATION
Willing to travel :Heavy (>90%); Highly considered
Willing to relocate :Will Consider
Willing to work night shift :Will Consider; Flexible on any work shift
Availability :Open to consideration
REFERENCES Available upon request
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