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Online Resumes with "Claim "



Manager - 20 Years of Experience - Near 94513

SUMMARY: Highly-skilled IT professional with 25 years of experience in architecting, data modeling and implementing EDW and BI with analytical reporting solutions in mainframe, client server, desktops, web-based in Healthcare MDM, Labs and Pharmacy, BI Analytics, HL7 and EDI x 12 transactions, Insurance, Finance, Retails, Utility, HR, CRM, Telecom. wireless environments. * Managed pharmacy and MDM (pharmacy, medical, claims...

Tags for this Online Resume: Teradata, Teradata (NCR Data Warehouseing product), IBM DB2 Database, Java Programming Language, Architect, Billing, Informatica, Informatica PowerCenter, PowerCenter, Project Management

Claims Analyst - 20 Years of Experience - Near 23228

Tags for this Online Resume: Insurance, Spreadsheet, Utilities, Wire Transfers, Accounting, Appraisals, Adobe

Accounting Clerk - 5 Years of Experience - Near 77045

Willing to meet new challenges, surpass departmental and company objectives, proficient in multi-tasking. Responsible and loyal.

Ideal Companies: ADP or any company that does accounting or process payroll

Tags for this Online Resume: FileNet, SAP, Kofax, Scanning Clerk, Accounts Payable Clerk, Basware

Director - 13 Years of Experience - DC Metro Area and open to relocating

Management professional effective at building highly-motivated teams, as well as leading cross-functional teams in a fast-paced environment.

Tags for this Online Resume: Strategic Initiatives, Underwriting, Complaints, Management, Claims Adjuster, Project Management, Insurance, Call Center, Customer Service, Insurance Claims

Quality Assurance Specialist - 10 Years of Experience - Near 30096

Professional Summary * 10+ years of industry experience in Software Quality Testing of Web Client/Server and Web Services applications using Manual, ETL and Automation Test Tools. * Handled combination of QA, enhancement and maintenance projects across releases. * Played a prominent role in all dimensions of testing, which includes ETL testing, Automation testing using Selenium, System testing, Integration testing, Ad Hoc t...

Tags for this Online Resume: Management, Test, Test Cases, Microsoft Windows, Extensible Markup Language (XML), Java Programming Language, Acceptance Testing, Microsoft Windows 7, User Acceptance Testing, Windows 7

Health and Benefits Account Manager

Summary A self-motivated professional with over 15 years of comprehensive experience working in Consulting Firms and Fortune 500 companies. Strong knowledge in account management, insurance brokerage firms, and health benefit administration with excellent customer service skills. Managed multiple client accounts and able to meet strict deadlines. Exceptional strengths and knowledge in the following areas: * Participate in c...

Tags for this Online Resume: POS, Account Manager, Benefits, Audit, Compliance, Health and Welfare, Health Care Industry, Human Resources, Human Resources Information System, Payroll, Open Enrollment, Plan Summaries, HMO

Registered Nurse - 20 Years of Experience - Near 11756

SUMMARY: After 27 years of practicing nursing in all critical care environments, I developed working well in high-pressure environment. I am proficient in practicing and teaching Nursing, Venipuncture, EKG's, Infuser port access, Arterial blood gas collection, while implementing nursing theory. I am able to follow directions, while demonstration accuracy, and attention to detail like running military clinic for 600 people, ...

Tags for this Online Resume: Assessments, Trauma, operating room nurse, Certified legal nurse consultant, rn, registered nurse, operating be room RN

Help Desk Specialist - 7 Years of Experience - Near 22193

Summary of Qualifications 15 years healthcare operational experience. 7 years technical support experience. Knowledge of claims review and analysis. Motivated to learn and grow in responsibility.

Tags for this Online Resume: HYPERION, TERADATA, LOINC, SALESFORCE, EXCEL, Compensation, Insurance, Workers Compensation, Health Care Industry, telecommute, remote, Medical Billing, Arlington, Stafford, Prince William County

Claims Adjuster

an opportunity to continue my work in litigation and claims management

Tags for this Online Resume: Litigation. liability, claims, insurance, supervision, complex claims, Management, Workers comp claims

Claims Investigator

Career Summary MORE THAN 30 YEARS AT ASSURANT HEALTH/FORTIS/TIME INSURANCE COMPANY. EMPLOYMENT ENDED DUE TO COMPANY CLOSING. POSITIONS HELD: CODING REVIEW ASSOCIATE/PHYSICIAN AUDIT EXAMINER, HEALTH CORRESPONDENT/APPEAL RESOLUTION SPECIALIST, MEMBER SERVICE REPRESENTATIVE, PROJECT COORDINATOR, CORPORATE COMMUNICATIONS ASSISTANT, BENEFIT ASSISTANT, DATA ENTRY CLERK, AND CLOSE CLAIMS CLERK. Accomplishments and Career Highlight...

Tags for this Online Resume: Benefit Specialist, Appeals Specialist, Quality Assurance, Claims Representative, Project Coordinator, Customer Resolution Specialist, Telecommute, Customer Service, Clinical/Code Review, Claim Investigations, Data Support Specialist, Adjustment Specialist

Administrative Assistant - 4 Years of Experience - Near 45238

Committed to seeing projects through to completion & assist team-members on a daily basis. To grow with a company and help the company grow with my professional experience.

Tags for this Online Resume: Insurance, Adobe, Data Entry, Database, Health Care Industry, Microsoft, Excel, Outlook, Claims Processing, Administrative, Word Processing, Cincinnati, OH, Kentucky

Accountant - 10 Years of Experience - Near 76010

SUMMARY OF QUALIFICATIONS An accomplished professional with experience in many phases of Accounting, seeking a challenging, results-driven opportunity. Customer service oriented and highly skilled in Medicaid Cost Report and Claims acceptance and Appeals. Also, experienced in management and diverse areas of corporate, federal, state, and sales tax return preparation. I am results driven with strong communication skills. Hig...

Tags for this Online Resume: Arlington Texas, Management, Microsoft, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Quick Books, Outlook, Accounting, Bookkeeping, Medicaid Cost Repots, Medicaid Final Settlements, Abila, NLS, Dallas, Fort Worth, Corporate Tax, Sharepoint, BiQuery, Business Objects, Work Flow Processes, Auditor, Data Entry