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Online Resumes with "Claim Process"



Sales Representative

Career Summary Marketing management professional with proven ability to analyze markets and increase sales. Self-directed individual who interacts effectively with clients and business associates and consistently achieves or exceeds corporate goals. including office relocations Managed corporate business in moving intra and international freight storage and associated recordkeeping. Called on architects Jan '79 (2 Years) bu...

Tags for this Online Resume: Retail, Business Management, Management, Sales, Advertising, Receivables, Marketing Management, Wholesale, Claim Processing, Class A CDL

Application Developmetna and Support

Tags for this Online Resume: Applications, Support, Training, Underwriting, Business Requirements, Dos, Microsoft FoxPro, sql, agile, software, Guidewire, GOSU, Claims Processing

Claims Adjuster - 20 Years of Experience - Near 08520

Key Qualifications - * Proven track record of assessing benefit claims and healthcare options, including extensive knowledge of Medicare and government regulations. * Adept at developing and maintaining detailed administrative and procedural processes that significantly reduce expenses, improve accuracy and efficiency, and achieve organizational objectives. * Highly focused and results-oriented in supporting complex, deadli...

Ideal Companies: Blue Cross Blue Shield of New Jersey, Aetna Insurance Company, Horizon Blue Cross

Tags for this Online Resume: Benefits, Billing, Compensation, Complaints, Fraud, Health Insurance, Insurance, Managed Care, Anesthesia, Behavioral Health, insurance, sales, group benefits associate, marketing, health benefits broker, Health insurance adjuster

Administrative Assistant - 11 Years of Experience - Near 97302

Summary_______________________________________________________________ Accomplished, detail oriented professional with a solid history as an administrative assistant to the Directors of Pharmacy of two hospitals systems in Portland, Or. I am skilled in analyzing government documentation and guidelines, public speaking, teaching, mentoring, as well as claims processing and auditing including fraud, waste, and abuse investiga...

Tags for this Online Resume: Administrative Assistant, Audit, Billing, Cms, Documentation, Fraud, Management, Medicare, Microsoft Excel, Microsoft PowerPoint

Featured Profile

Excellent insurance sales experience with the constant balance of underwriting (company) and service (client).

My career objective is to obtain financial position within either the Insurance or the Banking industries offering a full-time, direct employee position. I welcome responsibly and have experience managing each market to operate at full staff capacity; a proven record of achieve or exceed business goals.

Ideal Companies: USAA, Amica Insurance, Allstate Insurance, Wells Fargo, UnitedHealth Group, BB&T, Bank o America, & ect...

Tags for this Online Resume: analyze risk, profitability, retention, counseling borrowers, advanced verbal and written communication skills, relationship-building skills, marketing, integrity, manager experience, proven sales experence

Billing/Coding Specialist - 20 Years of Experience - Near 48075

To leverage my experience, processing member data and medical claims in the managed care industry. Expertise in performing timely reviews of new and current procedures and policies for accuracy. Proficient at developing policies and procedures for clerical and financial claims processing areas.

Tags for this Online Resume: Audit, Benefits, Claim Processing, Cms, Configure, Customer Service, Medicare A &B, Medicare C&D, Managed care, Quality Assurance, Trainer, Claims resolution, HMO, PPO, Medical Terminology, Team Building

Billing/Coding Specialist - 8 Years of Experience - Near 60473

SUMMARY Skilled professional with 10+ years of managerial experience in the healthcare sector, managing claims processing systems, data analysis, auditing, financial reporting and contracts. Experienced in managing government programs including Illinois Medicaid and Managed Care Organizations (MCOs) processes. Executed and managed in-network contracts with various MCOs expanding consumer base to increase billing opportuniti...

Tags for this Online Resume: Benefits, Billing, Financial, Government, Managed Care, Project Management, Project Manager, Payroll, Management, Audit

Director - 20 Years of Experience - Near 98422

Qualifications: EDUCATION

Tags for this Online Resume: Consulting, Customer Service, C Programming Language, Claim Processing, Communication Skills, Construction, Management, People Skills, Product Liability, Protocol, Claims

Senior Vice President

Tags for this Online Resume: HR, Human Resources, Insurance, Management, Account Management, Claim Processing, Ile, Social Media, Advertising, Logistics

Featured Profile

Operations Unit Manager

A results oriented professional with experience in the Service Industry and Mortgage Banking who combines planning, organizational and communication skills with the ability to work in an extremely fast-paced environment.

Ideal Companies: BlueCross BlueShield, Google, Kodak, Zerox, Datto, United Healthcare

Tags for this Online Resume: Complaints, Insurance, Inventory, IBM DB2 Database, Banking Industry, Communication Skills, Fast-paced Environment, Planning, Management, Word, Excel, Outlook, Training, Procedure updates

Bookkeeper

Qualifications * Accounting skills including accounts receivable, accounts payable * Manage and train employees * Administration skills: multi-line phone system and phone etiquette, copy and fax machine use, Microsoft Word and Excel, internet, filing, 10-key * Organization and time management, detail oriented, accurate * Oral and written communication skills * Research and claims processing knowledge * People skills: diplom...

Tags for this Online Resume: Wholesale, Accounting, Retail, Accounts Payable, Accounts Receivable, Credit Card, Customer Accounts, Inventory, Plating, accounting, finance, excel

Insurance Sales Manager

Profile An experienced, energetic and highly motivated insurance professional, with integrity, customer focus, hardworking with the spirit of teamwork and the desire to succeed in enriching lives through excellence teamwork, is seeking a full time position of a Branch middle-level manager in any Insurance Company or an Agency in Denver, Colorado. As a mid-level manager, my responsibilities would include but by no means limi...

Tags for this Online Resume: Audit, Bankruptcy, Benefits, Customer Focus, Email, Endeavor, Financial, Financial Stability, Focus, Home Health