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Online Resumes with "Adjudication"



Electrical Engineer

QUALIFICATIONS More than 25 years of proven business, technical, and security experience with the Fortune 1000, Department of Defense (DoD), Intelligence Community (IC), US Government agencies, and International clients. Extensive experience in managing dynamic quality and highly productive sales, operations, and engineering teams (hiring, training, mentoring). Highly experienced with major prime integrator/contractors and ...

Tags for this Online Resume: Business Plan, DS, Sales, Business Development, Compliance, Consulting

Claims Adjuster - 18 Years of Experience - Near 74936

SUMMARY A Workers Compensation Claims Professional who managed medical only claims by analyzing multi-jurisdictional lower-level worker's compensation claims to determine benefits due. Ensured ongoing adjudication of claims within company standards and industry best practices. Have experience in higher level claims with contacts, investigation, determining compensability and settlement negotiations. Competent knowledge in m...

Tags for this Online Resume: Benefits, Billing, Compensation, Filing, Medical, Workers Compensation, Litigation, Medicare, Settlements, Management, insurance, human resources

Business Analyst - 7 Years of Experience - Near 60661

Summary: * Qualified professional with more than 7 years of experience as a IT Business Analyst in Healthcare and Banking Industry. * Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross-platform environment. * Demonstrated ability to work actively in different phases of Software Development Life Cycle (SDLC) using Waterfall, RUP an...

Tags for this Online Resume: Business Analysis, Business Requirements, Insurance, Microsoft Visio, Structured Query Language, Unified Modelling Language, Use Cases, agile, Risk analysis, Impact analysis, Change management, EDI Claims

Human Resources Manager - 13 Years of Experience - Near 29631

QUALIFICATIONS PROFILE Growth-driven, detail-oriented, and performance-focused professional, offering more than 13 years of experience in human resources, training development and execution, as well as operational administration within the military setting. Recognized for distinguished leadership at all levels of administration as well as valuable support to senior leadership earning the senior human resources position with...

Tags for this Online Resume: Human Resources, Reliability, Leadership, Planning, Defense, Support, Alexandria, Database, Educational Services, Email, human resources, employee relations, hr

Insurance Sales Representative - 20 Years of Experience - Near 30228

SUMMARY OF EXPERIENCE * Licenses: Life, Fixed Annuities, Property & Casualty, Health and Accident * Sales Producer, Inside Sales Agent * Skilled with difficult people * Call Center Proficient, Claims Adjudication * Supervised, Managed

Tags for this Online Resume: Facilitator, Medicare, AIS, Associate in Insurance Services, Benefits, Compensation, Litigation, Workers Compensation, Sales, Medical, insurance, sales

Claims Adjuster - 20 Years of Experience - Near 94545

COVER LETTER: Dear Potential Employer, I'm writing to express my interest in becoming gainfully employed with your company. With a diverse background and over forty (40) of years of overall experience, I bring many tools and skills to the table. I am seeking the right the right opportunity to share my talents with the employer who can best utilize my skill sets. I believe my experience working in a variety of different posi...

Tags for this Online Resume: Budgeting, Compensation, Management, Retail, Workers Compensation, insurance, employee benefits, group benefits associate, benefits consultant, group health benefits, health benefits broker

Executive Assistant - 20 Years of Experience - Near 20721

Skills Summary * * Adjudicated Secret Clearance * Project Management * Written Correspondence * General Office Skills * Domestic & International Travel Arrangements * Black Belt Certification * Green Belt Certification * ITIL Foundation * Customer Service * Scheduling * Proficiency in MS Office * Typing: 65 - 70 wpm * Database Management * Calendar/Meeting Logistics * Lotus * APPIAN * Front-Office Operations * SharePoint/HR...

Tags for this Online Resume: Administrative Assistant, Spreadsheet, Accounting, Credit Cards, Documentation, Filing, Accounts Payable, Billing, Coding, Financial, administrative, clerical, customer service, administrative assistant, sales, data entry, receptionist, telecommute, typing, staffing

Quality Coordinator - 20 Years of Experience - Near 11590

Professional with 15+ years of experience in the healthcare industry. Seeking a challenging opportunity with growth potential within an expanding organization where I can utilize my years of reimbursement, collection and Appeals/Grievances experience with outstanding interpersonal, communication and organizational skills. NORTHWELL HEALTH, CARECONNECT A&G Investigator - Greenvale, NY - January 2017 - present * Facilitates m...

Tags for this Online Resume: INTAKE SUPERVISOR, PATIENT FINANCIAL REPRESENTATIVE, REIMBURSEMENT MANAGER, REIMBURSEMENT SPECIALIST, CUSTOMER SERVICE MANAGER, Analytical Skills, Billing, CMM (Capability Maturity Model), Coding, Communication Skills

Tax, Real Estate, Law, Business, Education

I am available to work in these areas including but not limited to Tax, Real Estate, Law, Business, and Education. However, there are many positions that are indirectly relate to those areas mentioned above that I will be glad to be involved such as negotiator almost in any field, management position, speaker, politics and many other fields that require someone with my background.

Tags for this Online Resume: law clerk, Real Estate, Banking, Taxation, Negotitor, Education

regulatory affairs project manager, B,Sc,LLB MBA, 16 years experience west coast

regualatory affairs project manager biotechnology

Tags for this Online Resume: regulatory affairs , project manager, biotech, heath care, pharmaceutical, business

Contracts Specialist

Contracts Specialist with extensive international experience in negotiations and complex business transactions. Expertise in researching and developing contracts; structuring transactions and drafting agreements; negotiating joint ventures; establishing franchises; paralegal and court interpretation. International member of the North Carolina Bar Association, Bilingual (English-Spanish).

Tags for this Online Resume: Contracts Specialist, Mediator, Arbitrator, Interpreter, Civil Law , Professor

Attorney with 20 years of experience at a small law office. Licensed in Illinois.

Find a full time or temporary job that will utilize all my skills learned in an office where almost all facets of the law were practiced.