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Online Resumes with "Adjudications"
Benefits Specialist
Highlights of Qualifications Strong health care and customer focused background, with emphasis on policy analysis, contract review, customer service, adjudicating and paying claims. Various computer applications. I am an energetic, goal-oriented person who loves to help people. I have great attention to detail and am driven to produce quality work.
Tags for this Online Resume: Benefits, Customer Service, Insurance, Long Term Care, Quality, Quality Assurance, Quality Control, Scheduling, Services, Applications
Investigator, Florida
Assist lawyers with my eleven (11) year experience in legal practice as a State of Florida investigator and facility inspector.
Tags for this Online Resume: paralegal, inspector, legal assistant, investigator, Adjudicator, Benefits, Health Care Industry, Insurance, Legal, Assessments
Adjudicator
Adjudicator
Ciminal Law Litigation Expert
Litigation Expert, Criminal Law, Nationwide Experience, State and Federal Courts, Trial and Appellate by Admission Pro Hac Vice
Admissions Director
Summary of Qualifications * Possess expertise in managing daily operations of Hospital Admissions and Information departments, Emergency Room Registration, medical office records and operating expenses. * Experienced in performing annual performance evaluations for department personnel and supervisory staff. * Successfully prepared hospital departments for audits and reviews, which resulted in 100% passing rates. * In depth...
Tags for this Online Resume: College Educator: Bio Sci, Medical record documentation, Analytical, Practitioner/Practice management, Emergency Room Regristration, Medical Claims Adjudication, Director of Admissions, Diagnostic & Treatment Coding, Washington DC - Metro area, Managed Care
Case Management Manager - 11 Years of Experience - Near L5V2V
PROFESSIONAL SUMMARY: Ms. Catherine Santos is an international medical graduate with a specialty training in Obstetrics and Gynecology benefiting from a broad medical experience and extensive background in healthcare, acquired over many years. In addition to her experience in medical management, Catherine has a considerable knowledge of assessment, analysis and adjudication of short term and long term disability and accommo...
Tags for this Online Resume: Medical, Assessments, Computer Aided Software Engineering, Management, Test, ACLS, Attention to Detail, Automobile Claim Law Specialist, Communication Skills, Compliance
Civil Service - 15 Years of Experience - Near 21144
Take a long-term view and build a shared vision with others act as a catalyst for organizational change. Influence others to translate vision into action. Technical Knowledge, Skills, and Assessment: * Posses knowledge of investigative procedures, concepts, principles and practices in order to review, analyze, prioritize and effectively manage an investigation program. * Posses the ability to write investigative reports and...
Tags for this Online Resume: Information Security, Physical Security, National Security, Management
Programmer Analyst- 20 Years of Experience - Near 75034
Summary of Qualifications Over twenty-nine years experience in Mainframe business application systems environments, including both development and maintenance projects as project leader, technical lead and programmer analyst. I have worked with users developing project specifications using SDLC protocols and have developed implementation and testing strategies. I have analyzed, designed, coded, tested and implemented COBOL ...
Tags for this Online Resume: Cobol Programming Language, Test, Securities, Support, Acceptance Testing, Banking Industry, Endevor, Management, User Acceptance Testing
Project Manager - 20 Years of Experience - Near 85297
Summary * Highly accomplished and results-driven Security professional with over 23 years of experience managing scope, strategy and deployment of enterprise (SAP) and Enterprise IT systems for large public sector organizations like Colgate Disney, Warner Brothers and Government organizations such as NASA, State of Washington and the United States Navy. * Project responsibilities include managing Enterprise and SAP Security...
Tags for this Online Resume: SAP MM module, Integrate, Payroll, Audit, Fraud, Information Security, Security, Infrastructure, Microsoft Active Directory, Policies and Procedures
Legal Support Staff
Career Objective is to find a "legal support" position such as paralegal or law clerk and find a long term position in the field of law.
Tags for this Online Resume: law, clerk, paralegal, litigation, manager, teacher
Business Analyst - 6 Years of Experience
Experience Summary * 7.9 years of experience in IT industry and immense knowledge about US healthcare domain and 5 years of experience in closely working with Business by Managing Various Client Projects. * 10 months of experience in the USA, California in CRM leads management using Salesforce. * Project Manager Expertise includes Planning and Defining Scope in Documentation of client requirements and translates them into d...
Tags for this Online Resume: Management, System design, Test, Test Plan, Coding, Monitoring, Project Management, Scheduler, Stored Procedures, Structured Query Language
