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Online Resumes with "Claim "
Claims Adjuster - 18 Years of Experience - Near 19002
AREAS of EXPERTISE * * Project Management * PEGA Systems BRP * Best Practices Testing Manager * Waterfall and modified Agile methodologies * Software Development Life Cycle * SQL queries * Production Support * Requirements Gathering/Analysis * Development of Business & Functional Requirements * Development of Use Cases * Change Management * Quality Assurance Testing & Review. * Encounters management and remediation. TECHICA...
Tags for this Online Resume: Business Requirements, Management, Use Cases, Agile, Agile Methodologies, Agile methodology, Asset Liability Management, Best Practices, Business Analysis, Business Analyst, Philadelphia, Business systems analyst,
Health Technologist - 16 Years of Experience - Near 20191
My objective is to find an organization where I can apply my skill sets, and passions, for delivering effective IT solutions to business stakeholders and end users. This includes full investment lifecycle, regardless of development/deployment methodology, from the point of business case development through post implementation value measurement. I have deep expertise in the healthcare industry, both clinical and hospital fin...
Ideal Companies: Cerner, CoverMyMeds, Evolent, CareCloud, Enli Health, GE Health, Visiquate, Optum, Medstar
Tags for this Online Resume: Cms, Content Management, Financial, Financial Management, Management, Program Management, Benefits, Business Case Development, Computer Aided Software Engineering, EHR, Health IT, Revenue Cycle Management, Digital Health, Risk Management, Quality Management, Performance Improvement, Business Process Management, Enterprise Content Management, Health Information Exchange, Population Health Management
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
Insurance Sales Representative - 20 Years of Experience - Near 34243
Summary of Qualifications * Over 22 years workers' compensation knowledge with extensive supervisory and management experience overseeing the Claims Administrative Team for 6 years, the Policy Services Department for 16 years, the Premium Audit Operations for 8 years and all Operational aspects of the business for 14 years * Records Management Custodian for claims, underwriting and loss control units - 14 years * Human Reso...
Tags for this Online Resume: Applications, Audit, Billing, Insurance, Payroll, Compensation, Underwriting, Coding, Financial, Financial Services
Medical or Health Services Manager - 20 Years of Experience - Near 33534
SUMMARY * 15+ years' experience as a clinical professional with a broad range of healthcare experience, talent and expertise also in Medicaid claims reviews programs * Extensive nursing experience in multiple areas (Utilization Review/Managed Care including Inpatient/Outpatient service for Pre-Cert, Concurrent Review, Case Management, Medical Claim/Bill Review, ICD-9/ICD-10 Coding, Hedis Reviews, Home Health Care, School Nu...
Tags for this Online Resume: Medicare, Computer Aided Software Engineering, Management, Injections, Insurance, VITAL SIGNS, Medication Administration, Nursing, Wound Care, D.O.D., Case Manager, Billing, Coding, Auditing, Utilization Review, Manager, Supervisor, Health Services, Nurse, LPN, Trainer
Claims Adjuster - 20 Years of Experience - Near 07052
Tags for this Online Resume: Property Claims Field Adjuster
Clinical Research - 5 Years of Experience - Near 27571
Customer service oriented professional with strong leadership skills facilitates efficient workflows and communicates effectively with co-workers patients and staff. Follows policies procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality. KEY QUALIFICATIONS Analytical * Leadership & Management * Medical Terminology Interpersonal Professional Communications * Busines...
Tags for this Online Resume: Documentation, Management, Compliance, Filing, Data Entry, Data Management, Good Laboratory Practices, Quality, Quality Assurance, Good Clinical Practices
Claims Examiner - 12 Years of Experience - Near 19153
Tags for this Online Resume: Complaints, Management, Merchandising, Sales, Litigation, Insurance, Customer Service, Annuity, Billing, Call Center
Army - 20 Years of Experience - Near 39402
CAREER SUMMARY Seyfarth Investment Group, Inc. D/B/A SIGI Properties - President, 2004 - 2014 ° Managed 175 rental units ° Wrote Lease Agreement, application and supporting documents used by Company ° Wrote all Documents used in Justice Court Preceding's Seyfarth Construction, Inc. » President, 2006 - 2014 ~ Worked with Home Designers and Owners to design house plans ° Constructed New Residential Homes ~ Commercial Remodel ...
Tags for this Online Resume: Bankruptcy, Call Center, Insurance, Insurance Claims, Insurance Sales, Real Estate, Retail, Sales, Commercial Contractor, Residential Contractor, Real Estate Broker, Real Estate Appraiser, Collections, Foreclosure, Transportation Officer, Quartermaster Officer, Logistics, Plans and Operations Officer, Estimator, Consultant
Human Resources Manager - 12 Years of Experience - Near 92677
Human Resources Manager - Orange County Flexible but disciplined problem solver who balances business needs with employee needs
Tags for this Online Resume: ADP Payroll, Human Resources, Insurance, Insurance Claims, ISO, ISO 9001, Management, Payroll, Quality, Quality Assurance, Change Management, HR Best Practices, Paycom, Consensus Building, Staff Coaching & Mentoring, HRIS, HCM, PEO, Benefit Administration, Performance Management, Policy, Process
Room Director - 20 Years of Experience - Near 07073
PROFILE Experienced, Educated and Hands-on Professional with Extensive Knowledge (Over 20 years) in both Hospitality and Residential Property Management and Ownership. Extensive Background and Skills in all aspects of Operations and Administration with a Strong Focus on Productivity, Improved Efficiency of Operations, Team Building and Personalized Client Service. Proven record in cost reduction and revenue growth. SUMMARY ...
Tags for this Online Resume: Services, Uniface, Housekeeping, FACETS, Front Office, Inventory, Payroll, Scheduling, Management, Troubleshooting
Director - 17 Years of Experience - Near 92692
Profile Safety Professional with more than 15 years of experience in occupational safety and health management roles and have worked in a wide variety of settings, including hospitality, manufacturing, construction and restaurants. I worked for several national and multi-national corporations managing their workers compensation program, claims review, OSHA compliance, training, and loss prevention. In addition to understand...
Tags for this Online Resume: Compliance, Pharmaceutical, Plastics, CFO, Distribution, OSHA, Policies and Procedures, Compensation, Remedy, Staffing
