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Online Resumes with "Claim Audits"



I have worked for one of the major automobile insuran ce carriers for over 24 years. I have been mosty recently a Medical Payments Claims Representative. Experience in dealing with fatal injuries, serious injuries, and investigating potentatial fradulen

Excitement, a challenge, something different every day.

Ideal Companies: Geico

Tractor-trailer Truck Driver

Medical claims auditor - 20 years experience

To use experience, knowledge and abilities of medical claims auditing and processing in a position to provide strength to any team within any organization.

Administration Superstar

Conscientious and dedicated professional able to work independently or as a team member. Recognized by management and co-workers for ability to work under pressure with very little supervision. Willingness to take responsibility and handle special projects while being detail-oriented with a focus on quality.

Ideal Companies: Prudential, UnitedHealth Group, Hewitt Inc, TPA's

Tags for this Online Resume: Insurance, Administration, Claims, Flexible Spending accounts, COBRA

Health Claims Manager

To continue my career to becoming the Vice Prisent of the claims, audit, TPL and Medical review.

Tags for this Online Resume: fait anfd am not afraidd to learn and teach what the Copmaany needs. , Not afraid of assiting the claims department when needed. , Knowelge of billing, eligibilty, fund accounting. , QNIX - Implemention of a new system. . . . , Am ready to assist and can negotiate. , Inhouse and Vending auding.

Health Information Analyst

Hands on implementation of EMR system in a server based environment. Claims auditing and recovery for major health insurance carrier. Implementation of a managed care program at a New York City health care facility.

Manager Claims Audit

I have 10 years of Health Insurance experience. I seek to obtain a position in a highly esteemed institution where I can utilize my skills, clinical auditing experience, strategic thinking, and leadership abilities to further enhance my career

Tags for this Online Resume: Manager Health Insurance Claims, Manager Medical Claims Review and Processing, Manager Claims Audit & Arbitration, Manager Operations

Reinsurance Analyst - Philadelphia - 30+ years expereince

I am currently seeking a position to utilize my 30 years plus insurance experience which includes contract analysis, litigation management, detailed investigations, historical research, large loss management, written and verbal communication, report composition, claims auditing and resolution of complex coverage and legal issues.

Claims Adjuster

Manage a insurance claim division in the subrogation arena

Tags for this Online Resume: insurance claims, insurance subrogation, management, insurance professional, claim adjuster, claims auditing

Appeals and Grievance Representative, Claims auditing,, Benefit and claims testing

I would like to establish myself with a stable company and share my knowledge and experience with.

Senior National Account Executive - 15 years experience

Pharmaceutical Benefits Management professional with 15 years industry experience with managing large (Fortune 500) employer and union client relationships by developing benefit cost saving strategies to control overall healthcare trend. The maintaining of client relationships included all facets of pharmacy benefits management, including: contract management, claim audits, pricing, rebates, plan implementations, custom p...

Billing/Coding Specialist - 15 Years of Experience - Near 80230

Excellent knowledge and skills base in the healthcare industry. Strong leadership skills, great external and internal customer service skills, quick, organized, concise, striving perfectionist.