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Online Resumes with "Claim "



Computer Programmer - 20 Years of Experience - Near 60490

Summary Knowledgeable in 3GPP Telephony with specific responsibility for CALEA (lawful interception) interface with Law Enforcement Agencies. Experienced in Accounting software for Manufacturers, Health Insurance and Non-Profit Associations. Background also includes installation, training and conversion to new software. Dedicated to providing software that is on time, high quality and easily maintained. Technical Programmin...

Tags for this Online Resume: Structured Query Language, Accounting, Insurance, Insurance Claims, Training, Accounts Payable, Lawson, Oracle, C, C++, Telecommunications

Claims Adjuster - 6 Years of Experience - Near 95677

AREAS OF EXPERTISE * Adapt easily to new concepts and * Investigative Research * Operations Maintenance * Fraud/DV claims responsibilities * Complex claims * Customer services * Negotiating skills * Field Independent, ability to travel * Technical Proficiency * Self Development * PDR Training * Demonstrate analytical and * Communication skills * Time Management * Claims Adjusting administrative capabilities * Conflict Manag...

Tags for this Online Resume: Analytical Skills, Automotive, Communication Skills, Diversity, Excellent Communication Skills, Management, Microsoft, Microsoft PowerPoint, Microsoft Word, Problem Solving, Adjuster, Trainer, Claims Management

Executive Assistant - 10 Years of Experience - Near 11429

Tags for this Online Resume: Microsoft PowerPoint, Data Entry, Microsoft Outlook, Cactus Visio 3.1, Excel, Microsoft Word, Calendaring, Claims Examiner, Executive Assistant

Revenue Director of Operations - 10 Years of Experience - Near 38672

A career that will afford me the opportunities to display my knowledge and skills in healthcare operations, Provider relations and network management

Tags for this Online Resume: Billing, Network Management, Government programs, claims, Recovery, credentialing, Accounting, Audit, Budgeting, Claim Processing

Billing/Coding Specialist - 20 Years of Experience - Near 77014

Skills Summary____________________________________________________________ * Claims processing * Billing/Coding * Payment posting * Accounting adjustments * Accounts Receivable * Accounts Payable * Reimbursement analysis * Collections * Intake * Benefits verification * Prior Authorizations * Pre-determinations

Tags for this Online Resume: Billing, Benefits, Collection, Insurance, Medical, Medical Billing, Policies and Procedures, Coding, Referrals, Accounting, EPIC

Licensed Nurse - 20 Years of Experience - Near 33610

Healthintegrated - April 18 2016 to May 19 2017 Utilization Review Coordinator Telephonic pre-authorization of procedures over the phone for inpatient and outpatient utilizes clinical skills to support the coordination documentation and communication of medical services and/or benefit administration determinations. Critical competencies include flexibility professionalism as well as clinical knowledge with claims. InterQual...

Tags for this Online Resume: Back Office, LPN, Drug Screen, Home Health, Injections, Management, Nursing, Patient Care, Patient Education, Policies and Procedures

Claims Adjuster - 6 Years of Experience - Near 20910

Entry Level Position as Claim Adjuster

Tags for this Online Resume: Litigation, Science, Security

Claims Adjuster - 20 Years of Experience - Near 94505

ACCOMPLISHMENTS Received recognition from Subrogation Department regarding the amount of money they were able to collect on my files thanks to my efforts in getting them the information they needed to pursue subrogation on my files. Received numerous letters from policyholders regarding the outstanding customer service I provide to them on their claims. Received recognition from Audit Departments for my file documentation r...

Tags for this Online Resume: Pricing, Protocol, Research, Team Player, Training, Customer Service

General Manager - 10 Years of Experience - Near 75023

Career Highlights * Created hierarchy for 8-month project as lead architect that involved managing more than 35 team members while still meeting and exceeding regular duties * Recovered 2 million dollars in lost funds for Fannie Mae due to faulty reporting during five month span * Played key role in refining reporting structure for mortgage company PHH, leading to decrease in errors * Converted Chase Manhattan Bank's mortga...

Tags for this Online Resume: Black belt, Call Center, Collection, Account Management, Automation, Bankruptcy, Document Control, Documentation, Management, Quality

Medical Secretary - 0 Years of Experience - Near 95620

P e rs o n a l As s is t a n t Ma ry N e ls o n We s t Ra n c h o Do m in g u e z Ca . -2 0 1 6 -20 1 7

Tags for this Online Resume: Compensation, Insurance, Insurance Claims, Medical, Medical Records, Medical Terminology, Medicare, Microbiology, Microsoft, Microsoft Word

Medical Scientist - 1 Years of Experience - Near 93536

To establish, develop, and maintain the highest standards in clinical laboratory methods, create mutual understanding and cooperation between those in the laboratory and health professionals working in the interest of individuals and public health.

Tags for this Online Resume: First Aid, Policies and Procedures, Quality, Quality Assurance, Quality Control, ACLS, Automobile Claim Law Specialist, Chemistry, Hematology, Iris, MEDICAL LABORATORY SCIENTIST (ASCP)CM

Recruiter - 3 Years of Experience - Near 19702

To secure a dynamic and diverse opportunity within a Human Resources or Office Administration capacity that will fully utilize my combined 20 year knowledge base while allowing me to be a part of a thriving organizational environment. Administrative Coordinator, Employment Law Division TRU Corp. (Contract) 01/2017 - 05/2017 Vantage Point Consulting (client - Toys "R" US Corp., Wayne, NJ) * Liaise with various levels of mana...

Tags for this Online Resume: Bloomberg, Document Management, Human Resources Information System, Interwoven iManage, Lawson, Management, Microsoft, Microsoft Excel, Microsoft Office, Microsoft Outlook