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Online Resumes with "CLAIM MANAGEMENT"
Not Listed - 20 Years of Experience - Near 07670
SUMMARY Accomplished Risk Management and Insurance Professional with an extensive background in global insurance programs, loss prevention, enterprise risk management, insurance brokering and complex claim settlements. Advisor to Senior executives on insurance coverage, risk financing alternatives and emerging risks. Strengths include strategically combining traditional risk transfer capacity with captive programs to balanc...
Tags for this Online Resume: Management, Risk Management, Compensation, Risk Manager, Insurance, Acquisitions, CIO, Due Diligence, Legacy, RIMS, Enterprise Risk skills, risk management, Technical Insurance expertise, Insurance coverage knowledge, Claims management, captive, insurance management, risk consulting, M&A Due diligence
Business Analyst
SUMMARY * 10+ years of experience as a Business Analyst/Business System Analyst in industry domains including Banking, Health e, Financial, Insurance, and Retail. * Skilled Business Analyst in PMO environment who leads projects to successful completion and acts as liaison between business users and technical development teams to bridge gaps. * Strong understanding of financial valuation concepts and various capital market i...
Tags for this Online Resume: Microsoft Visio, VISIO, Integrate, Legacy, Management, Planning, Business Analysis, Business Analyst, Business Requirements, Data Mapping
Billing/Coding Specialist
Summary: * Well versed experience in Health Care, Health Care Administration management, Medicare/Medicaid Claims management. * Extensive Knowledge of Complex Disease Processes with Clinical experience in an Inpatient setting. * Experienced in Clinical & Experimental Research, Medical Information Retrieval and Communication. * ICD-10 Boot Camp successfully completed. * Good verbal and written communication and interpersonal...
Tags for this Online Resume: EKG, VITAL SIGNS, Imaging, Injections, Medical, Surgical, Venipuncture, Coding, Documentation, Management
Business Analyst
SUMMARY * 10+ years of experience as a Business Analyst/Business System Analyst in industry domains including Banking, Health e, Financial, Insurance, and Retail. * Skilled Business Analyst in PMO environment who leads projects to successful completion and acts as liaison between business users and technical development teams to bridge gaps. * Strong understanding of financial valuation concepts and various capital market i...
Tags for this Online Resume: VISIO, Microsoft Visio, Business Analysis, Business Analyst, Business Requirements, Integrate, Legacy, Management, Planning, Structured Query Language
Sr. Litigation Paralegal, Business Manager & Marketing Director with Insurance, Risk, Dispute Resolution & Subrogation Experience
Results-oriented and solution-focused individual with the ability to effectively manage a heavy caseload involving multi-million-dollar liability, from inception to settlement or trial.
Tags for this Online Resume: Billing, Filing, Policies and Procedures, Probate, Administrative Assistant, Civil Litigation, Litigation, Accounting, Accounting Statements, Accounts Payable, Claims handler, Claims examiner, Legal recruiter, Legal, Contracts manager, Claims assistant, Claims manager, Litigation specialist, Litigation manager, Paralegal, Fort Worth, Irving, Tx
Amazing Project Manager - - Loves Challenges - wants remote position, will travel
Innovative and results-oriented senior information technology leader with progressive experience in all phases of project and program management, enterprise rollouts, organizational leadership and strategic development. Proven track record of success in building, leading, motivating and managing teams, strong communication skills, while increasing productivity. Specializes in delivering world-class systems and serv...
Tags for this Online Resume: Insurance, Management, Real Estate, Scheduling, Call Center, Consulting, Project Management, Insurance Claims, P&C, P&C Insurance
Assistant Director
Accomplishments Successful cost reducing negotiations with international, national, and regional vendors to include 8% cost reduction with UPS, 12% cost reduction with FedEx, 20% cost reduction with Verizon, 10% cost reduction with Panalpina, 10% cost reductions with The Scale People, Kenworth, and Webex. Implemented a successful Quality Assurance Department by establishing scheduled quarterly meetings, project and task tra...
Tags for this Online Resume: Distribution, Training, Audit, Complaints, Quality Assurance, Test, Fabrication, Metrics, Insurance, Management
Billing/Coding Specialist - 20 Years of Experience - Near 48075
To leverage my experience, processing member data and medical claims in the managed care industry. Expertise in performing timely reviews of new and current procedures and policies for accuracy. Proficient at developing policies and procedures for clerical and financial claims processing areas.
Tags for this Online Resume: Audit, Benefits, Claim Processing, Cms, Configure, Customer Service, Medicare A &B, Medicare C&D, Managed care, Quality Assurance, Trainer, Claims resolution, HMO, PPO, Medical Terminology, Team Building
Project Manager
PROFESSIONAL SUMMARY Accomplished and versatile PMO/program director and senior project manager with 25+ years of successful enterprise and full-lifecycle experience in IT strategic planning and execution. Guided start-up and maintained full profit and loss (P&L) responsibility for 5-year, $15 million Information Technology (IT) managed services engagement, supporting the largest class-action lawsuit in US history. Created ...
Tags for this Online Resume: Management, Vendor Management, CAO, FACETS, Fraud, Litigation, P&L, Reliability, SAS, Services
Claims manager/ Investigations manager - Near 85205
Areas of Expertise Claims Management Third Party Administrator Management Auto/Transportation Claims Expertise Claim Reserves Subrogation Errors and Omissions SIU Operations Special Account Management Workers Compensation Claims High Exposure Losses Arbitration Litigation
Tags for this Online Resume: Transportation, Compensation, Referrals, Workers Compensation, Training, Arbitration, investigator, insurance
Electrical Engineer
KEY QUALIFICATIONS * Self-motivated senior MEP manager and proven leader with extensive project management and design skills who thrives on working with tight project budgets under fast track conditions including world recognized mega projects. * Specialized in management of FIDIC contracts from bidding stage to final handover. Took part in every stage from initial contract negotiations, project management to claim manageme...
Tags for this Online Resume: Project Coordinator, Project Manager, Budgeting, Construction, Management, Security, Engineering, Purchasing, Security Systems
Vice President - 20 Years of Experience - Near 06484
ACCOMPLISHMENTS Instrumental in turnaround of Westchester Health Care Corporation. Workers' compensation reserves were $45M+ with loss potential of $258M. Created infrastructure for a dedicated Workers' Compensation unit. Developed best practices including a third party administrator and legal team overseeing medical component of claim management. Within 9 months reduced incurred costs by $3M and held stable over subsequent...
Tags for this Online Resume: leadership, change agent, CT, CA, NY,FL, workers'comp expert, HR VP, Risk Control, cost containment, Financial, Labor Relations, Compensation, management, Vice president
