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Online Resumes with "Claim "



Director - 15 Years of Experience - Near 19438

QUALIFICATIONS SUMMARY Highly motivated healthcare insurance professional with 30+ years of management experience in the healthcare payer arena. Extensive background in healthcare operations, specifically claims, appeals, precertification, healthy lifestyles, case management and call centers. Candidate with proven record of exceeding management goals, implementing performance objectives and process improvements beyond expec...

Tags for this Online Resume: Home Health, Computer Aided Software Engineering, Customer Service, Inventory, Managed Care, Management, Inventory management, PEDIATRIC, Benefits, Blue Prints

Claims Adjuster - 20 Years of Experience - Near 32656

QUALIFICATIONS * Proficient in CLASS, CPS, Xactimate, CCC Pathways, E-Value Program, Marshall Swift Program, Microsoft Office, Lotus Notes, * Knowledgeable in the re-building and or re-modeling construction practice * Self motivated to work independently from the field and or an in-home office * Familiar with Time Element and Business Interruption claims * Current Florida License (13 years) * Effective communication and int...

Tags for this Online Resume: Billing, Home Care, Settlements, Coding, Lotus, Lotus Notes, Microsoft, Microsoft Office, Swift, Audit

In Between - 12 Years of Experience - Near 75019

Summary Deep experience in account management, business development, customer service and in growing business relationships, with a strong knowledge of the litigation cycle. Demonstrated ability to establish and grow relationships with key decision makers in claims organizations, law departments and law firms. Very good at building strong, trusting relationships, solving business problems and addressing customer service nee...

Tags for this Online Resume: Account Manager, Inside Sales, Insurance, Sales, Receivables, Accounts Receivable, Billing, Management, Account Management, Accounting, customer service

Licensed Nurse - 14 Years of Experience - Near 33760

Experienced, B2b inside medical sales account manager.

Tags for this Online Resume: Project Management, Project Manager, Management, Vendor Management, Layout, Page Layout, Account Management, ACLS, Automobile Claim Law Specialist, Emergency Room

Claims Adjuster - 2 Years of Experience - Near 75212

Tags for this Online Resume: sales, employee benefits, customer service, marketing, investigator, health benefits broker

Civil Engineer - 15 Years of Experience - Near M4H1L1

SUMMARY * Over 15 years of project management experience in planning, bidding, procurement, Contract negotiations, claim and Risk Management * Extensive familiarity with safety, code and OHSA regulatory compliance, and on site management. Highly knowledgeable in general building trades, engineering change orders, purchasing and inventory control. * Successful track record of problem solving and taking initiatives to enhance...

Tags for this Online Resume: Management, Project Management, Project Manager, Compliance, Architect, Business Plan, Construction, Design Documents, Email, Project Coordinator

Director - 20 Years of Experience - Near 92692

Summary of Qualifications Over 20 years of progressive private/public/corporate legal and insurance experience in claims management and adjusting, with special emphasis on litigation control, subrogation, claims training, and cost containment. A skilled communicator, disciplined, exceptional negotiation skills, diplomacy, and team building skills.

Tags for this Online Resume: Claims Adjuster, Legacy, Management, Risk Management, Compensation, Filing, Litigation, Insurance, Human Resources, Legal, management

Claims Adjuster - 20 Years of Experience - Near 91304

Highly motivated, hardworking and dedicated individual with over 20 years of experience in the medical and long-term care insurance industry. Seeking a challenging and rewarding career that will allow me to utilize my leadership, management and analytical expertise while providing an opportunity for advancement and contribution in the growth and success of the company.

Tags for this Online Resume: Insurance, Referrals, Benefits, Claim Processing, Claims Adjuster, Complaints, Home Health, Licensing, Long Term Care, Management, insurance, customer service, group health benefits, employee benefits, claims examiner

Registered Nurse - 13 Years of Experience - Near 11598

Qualifications Attained: Master's Degree in Nursing Date Course Completed: 10/10/10 Name of Institute: Holy Name University Complete Address: Janssen Heights, Dampas District, Tagbilaran City, Bohol, Philippines U.S. Equivalent: Master's Degree in Nursing from regionally accredited educational institution in the United States Date of Evaluation: February 2, 2016 Qualifications Attained: Bachelor's Degree in Nursing Qualific...

Tags for this Online Resume: Licensing, Medication Administration, Necessary Adjustments, Rehabilitation, Nursing, Patient Care, Forth Programming Language, Integrate, ACLS, Automobile Claim Law Specialist, nurse, registered nurse

Claims Adjuster - 20 Years of Experience - Near 55422

SUMMARY OF QUALIFICATIONS * Investigated cause of loss and subrogation potential for hundreds of worker's compensation, liability and property losses. - Developed defense strategy for clients and carried it out through written discovery, depositions, motion practice, and employing proper experts. - Worked with numerous injured employees and employers, with assistance of outside experts, to find creative solutions for a back...

Tags for this Online Resume: Compensation, Insurance, Defense, Financial, Information Technology, Litigation, Management, Medical, Program in General Insurance, Risk Management, insurance, investigator

Director of Human Resources - 20 Years of Experience - Near 74012

CAREER HIGHLIGHTS * Created new employee appreciation and recognition programs which increased employee retention (4R Program-recruitment, referral, retention and recognition and 5 Star Clinical Ladder Program). * Implemented professional development courses for all staff at every level. Courses included customer service (appreciation and awareness), safety training and environment awareness, harassment in the work-place, a...

Tags for this Online Resume: HR, Human Resources, Management, Cms, Compliance, Policies and Procedures, Quality Assurance, Risk Management, Talent Acquisition, Test

Computer Programmer - 20 Years of Experience - Near 55016

PROFESSIONAL SUMMARY I have more than 30 years of experience in the area of software design and development (both Mainframe and Window/Web Environments), Data Warehouse design and development, and the following technical skills and management (soft) skills. SUMMARY OF TECHNICAL SKILLS * Have strong application development on IBM Mainframe computer systems with knowledgeable of these IBM application development tools (such a...

Tags for this Online Resume: C Programming Language, Micro Focus, Microfocus, Microfocus Cobol, Software AG Adabas, Software AG Natural, Test, ADAbase, Client/Server, Consulting