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Online Resumes with "Claim "



Claims Examiner

Profile Enterprising professional with 15+ years of experience executing medical insurance claims functions. Possesses expertise in insurance, health policy complaints, compliance, and regulations. Employs excellent supervisory skills and builds high-functioning teams through development of targeted training programs. Self-governing and organized, works well in a remote, work-from-home, environment. Core Strengths: Test Pla...

Tags for this Online Resume: Complaints, Documentation, Management, Quality Assurance, Test, Customer Service, customer service skills, Process Improvement, Fraud, Policies and Procedures

Manager - 20 Years of Experience - Near 77379

pILOT CAT team responsible for writing and adjusting auto claims for allstate ins. co

Ideal Companies: automotive management, collision management, spring texas focus,

Tags for this Online Resume: CAT, Insurance, Inventory, radionics, management, automotive, manager, ase certified

Human Resources Manager - 16 Years of Experience - Near 29505

Tags for this Online Resume: Labor Relations, Management, Manufacturing, Surveys, Team Lead, Workers comp claims, Corrective Actions, HR, Human Resources, Support

Sales Representative

Professional Summary Licensed insurance professional with extensive experience in sales, prospecting and lead generation. Seeks a position offering new challenges and opportunities for career growth and advancement. I have over 30 years in the sales business so I know how to get it done the right way

Tags for this Online Resume: Insurance, Insurance Claims, Email, Health Insurance, Information Technology, Insurance Sales, Lead Generation, Referrals, Sales, Salesperson

Claims Examiner - 20 Years of Experience - Near 48235

PROFESSIONAL SUMMARY * Skilled dedicated 26 year healthcare professional with a versatile administrative skill-set developed as an office manager, claims processing supervisor, administrative assistant and quality assurance tester. * Extensive experience in resolving employer challenges with innovative solutions, systems and quality improvements proven to increase efficiency, customer service and provider satisfaction withi...

Tags for this Online Resume: Medical, Medical Records, Audit, Therapy, Training, Customer Service, Web, Coding, ICD-9, Claim Processing

Registered Nurse

and Skills Profession nurse looking to obtain a position that will use my current abilities and challenge me to gain new skills Proficient with Microsoft Office suite, Epic trained Reliable, organized, efficient, flexible, fast learner and works well under pressure

Tags for this Online Resume: Direct Patient Care, Patient Care, Surgery, Triage, Management, Nursing, Statistics, ACLS, Automobile Claim Law Specialist, BLS

Lawyer

CAREER HIGHLIGHTS * Senior Counsel for Jacobs Engineering Group Inc., Houston, Texas (2006-2016) o During the period 2006 to 2016, I supervised a wide range of litigation which included litigation management of asbestos claims, employment matters, contract issues, and many other areas of litigation. Commencing in 2014, I was assigned full time to the Jacobs litigation group and dealt almost exclusively with litigation. o Fr...

Ideal Companies: Legal

Tags for this Online Resume: Fabrication, Litigation, Management, Procurement, Professional Services, Services, Compliance, Entertainment, EPC, Facilitator

Computer Programmer

QUALIFICATIONS SUMMARY Accomplished Medicaid Management Information System (MMIS) Project and Systems Manager with 20+ years Technical, Analytical, and Management Skills. * Proficient at delivering highly critical projects on time, under budget, and in scope as is evidenced by the Louisiana HIPAA project * Overall management for implementing all HIPAA-mandated initiatives for the Louisiana MMIS. Under his management, Louisi...

Tags for this Online Resume: Management, Management Information Systems, CICS, Cobol Programming Language, Cobol II, IBM DB2 Database, Structured Query Language, Team Lead, Test, Acceptance Testing

Compliance Officer

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, Customer Service, Inventory, Managed Care, Management, Computer Aided Software Engineering, Inventory management, PEDIATRIC, Medicare, Pre-certifications

Medical or Health Services Manager

Tags for this Online Resume: Billing, Insurance, Insurance Claims, Medical, Compensation, Medicare, Payroll, Ultipro

Physician - 15 Years of Experience

for three years from July 2009 to July 9th 2012.

Tags for this Online Resume: ACLS, Automobile Claim Law Specialist, Certificate Authority, Critical Care, Health Care Industry, Pulmonary

Physician - 20 Years of Experience - Near 21044

Looking to acquire a DDS supervisory position or resident Director or full time anesthesiologist position.

Tags for this Online Resume: department head, resident director, faculty member hospital, staff anesthesiologist, oral surgery experience, community health center director of dentistry, ACLS, Anesthesiologist, Management, physical therapist, physical therapy, outpatient rehabilitation, nurse, healthcare, anesthesiologist