CV, Curriculum Vitae and Online Resumes Search
Recruiters - Try Postings!
Postings.com™ is a must-have for recruiters who want to:
- Find Qualified Candidates
- Find Job orders and Post Splits
- Be Found in Search Engines
- Implement a Social Sourcing Strategy
Job Seekers - Look Here!
Hitting a wall with your job search? Try Climber Premium.
- Top the Search Engines
- Unsurpassed Candidate Marketing
- Power Career Networking
- Fresh Jobs from the Net
Were you looking for Claim-Audits job results?
Click Here to search for Claim-Audits in our 2.4M jobs.
Online Resumes with "Claim Audits"
Business Consultant, Benefit/Provider/Claims Configuration, Business Analyst
Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products. Strong understanding of healthcare business operations, with a focus on configur...
Tags for this Online Resume: Telecommute, Benefit Configuration, Provider Confguration, SQL queries, User Acceptance Tester, 837p/837I XML/X12, Clearquest
Operations; Process Improvement; Business Analysis; Quality Assurance; Sarbanes Oxley Compliance; Quality Control
I have a successful track record for process improvement as a result of my extensive background as the National Claims Audit Manager, Claims Manager; Unit Manager; Operations Auditor; Project Coordinator; Litigation Specialist; Claims Training Specialist and Claims Supervisor for Mercury Insurance Group (MIG), in insurance claims management and business operations management. I have been able to restructure existing departm...
Ideal Companies: Walt Disney Companies; South County Outreach; Automobile Club Southern CA;
Tags for this Online Resume: Process Improvement, Business Transformation, Quality Assurance, Sarbanes Oxley Compliance, Cost Control
Experienced Benefits Professional
Dedicated knowledgable benefits leader with exceptional people skills
Ideal Companies: Zales, Flour, Nokia
Tags for this Online Resume: Benefits Manager
Medical Office Manager - 20 Years of Experience - Near 90041
Tags for this Online Resume: Claims Auditing, Billing & Collections, Management, Medicare & Medicaid, Authrizaions / Pre-Certifications, Claims Reconciliations, Appeals & Grievance, WC Compensation Negociations, Appeals, Financial Analyst, Contract Specialist, Quality Assurance, Medical- Legal
Claims Audit Manager
I am an Insurance Claim Leader including an extensive global background in Commercial Claim with a Fortune 500 Insurance provider. Extraordinary record of claim professional skill, resource, organization, discipline, claim technical expertise, litigation management and claim quality review. Extensive background and proven leadership in managing staff performance, talent development, team building and collaboration with st...
Tags for this Online Resume: Coding, Compensation, Compliance, Insurance, MCUs, Underwriting, Integrate, Settlements, Litigation
Claims Adjuster - 12 Years of Experience - Near 24153
Claims and Auditing expert Experience for 25 years with claims adjusting for auto homeowners personal injury and total loss Experience with claims adjusting for auto homeowners personal injury and total loss
Tags for this Online Resume: Appraisals, Claims Adjuster, Acquisitions, Audit, Team Lead, Leadership, Microsoft Access, Microsoft Excel, Microsoft PowerPoint, Microsoft Word
Claims Adjuster - 18 Years of Experience - Near 77584
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, Fraud, Policies and Procedures, Documentation, Management, Claim Processing, Data Quality, Protocol, Quality, Quality Assurance, insurance
Accountant - 20 Years of Experience - Near 92677
Summary 30 years experience in Insurance/Reinsurance Accounting, Auditing, Financial Reporting and Analysis. Major areas of experience Budgeting, Planning & Forecasting System Design Internal Control Accounting, Underwriting and Claims Audit Policies and Procedures Consolidation Financial Reporting (GAAP/Statutory) Taxation
Tags for this Online Resume: Accounting, Financial, Financial Statements, Reinsurance, Statutory, Corporate Accounting, GAAP, Generally accepted accounting principles, Management, Consolidations, accounting, finance, audit, gaap, excel, accountant, Treaty Accountat, Reinsurance Accountant, Assumed Insurance, Senior Financial Analyst, Statutory Accounting, Consolidation
Claims Investigator - 15 Years of Experience - Near 06457
Accomplished Professional with proven ability to administer comprehensive business plans in the insurance and nonprofit arenas. Creative influencer who approaches management solutions and related problem solving with innovative and quantifiable value-added vision coupled with exacting ethical standards and logistical prowess. Core competencies includes a commitment to teamwork necessary networking and customer relationships...
Tags for this Online Resume: Audit, Arbitration, Litigation, Reinsurance, Management, Novell Netware, Risk Management, Compensation, Workers Compensation, Budgeting
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
Claims Investigator - 1 Years of Experience - Near 91767
FRaud investigation Utilizing best in class fraud detection and development practices to successfully develop cases for law enforcement referral and prosecution. Focused on the detection and prevention of Fraud Waste and Abuse Learning Leadership and Organizational Development in Special Investigation Unit in the following ways: Utilizing data analysis claims audits and complaint referrals Enhances the thinking learning and...
Tags for this Online Resume: Audit, Reinsurance, Data Analysis, Fraud, Management, Policies and Procedures, Referrals, Team Lead, Insurance, Benefit Plans
Billing/Coding Specialist
Tags for this Online Resume: Coding, Medical, Billing, Health Insurance, Insurance, Medical Records, Risk Assessment, Vitals, Documentation, 3M
