CAREER OBJECTIVES
- Develop leadership skills.
- Delivered an AI-powered health insurance claims support solution for health insurance claims processing in 2026.
- With over 14 years of experience in the insurance industry, combined with management skills and technical knowledge, I aim to grow as a project management expert in digital transformation projects, especially in the insurance sector.
PROJECTS
CLAIMS SOFTWARE USING AI: RECOGNITION – EXTRACTION – DECISION SUPPORT
01/2025 - Present · Project Owner
A personal initiative leveraging deep insurance domain expertise to redefine health claims processing in the AI era. The project showcases a strategic roadmap for integrating artificial intelligence technology into business models to optimize operational efficiency and accuracy.
- Strategic Planning: Conducted feasibility studies, constraint mapping, and Make-or-Buy analysis to ensure optimal investment through rigorous Cost-Benefit evaluations.
- Regulatory Compliance: Established frameworks to ensure strict adherence to legal and organizational standards, specifically Patient Privacy and Data Protection under Vietnam’s Law on Medical Examination and Treatment.
- Product Management: Defined project scope, translated business needs into functional requirements, and orchestrated the end-to-end implementation roadmap.
- GTM & Value Validation: Designed the Go-to-Market (GTM) strategy, developed a Pilot (MVP) version, and established KPIs to measure delivered business value.
- Quality Assurance: Implemented stringent QC protocols for AI outputs to ensure consistency, accuracy, and model reliability in claims resolution.
ONLINE CLAIMS PROCESSING SYSTEM
10/2021 - 4/2024 · Assistant Project Manager - Business Analysis - Tester
New web-based health insurance claims software: intake → processing → approval → notification.
- Gather and analyze business requirements from stakeholders.
- Build Business-rule, Business-flow, Process-flow and other documents.
- Approve/reject change requests related to business operations.
- Testing, coordinate with developers to analyze and fix issues.
- Collaborate with developers to build new features.
BUSINESS SUPPORT TOOLS - TASK AUTOMATION TOOLS
2017 - Now · Developer
Ideate - build - test - upgrade tools to replace repetitive tasks. Below is one of the tools I built.
LICENSES & CERTIFICATIONS
PROFESSIONAL SKILLS
- Project Management.
- Business Workflows.
- Workflow Management.
- Make/Buy Decisions.
- Deep knowledge of health insurance operations: fraud analysis, workflow management...
- Proficient in Python, AI model deployment.
- Good written English communication.
- Proficient in MS Office.
SOFT SKILLS
- Leadership.
- Team Coordination.
- Communication, clear and concise idea delivery.
- Team management, teamwork, motivation.
- Analysis, synthesis, problem-solving.
- Self-learning, initiative, accountability.
AWARDS & RECOGNITION
WORK EXPERIENCE
PVI Insurance - Southern Customer Care Center · 05/2025 - Present
Senior Claim Executive - Business Analyst
- Upgrade current organizational processes.
- Manage intake, keyin, processing of 1000+ claims/day.
- Develop support software, Excel with VBA, automated email tools.
- Coordinate with departments to build end-to-end claims process.
PVI Saigon Insurance Company
Health claims specialist · 10/2014 - 05/2015
- Manage and process health claims for major clients: Bosch, WPP, Deloitte...
Insmart Co., Ltd
Health claims adjuster · 10/2012 - 10/2014
Vien Dong Insurance Company
Motor claims adjuster · 10/2011 - 05/2012
HOBBIES
Programming, Reading, Swimming, Badminton, Cycling