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Online Resumes with "Claimes"



Customer Service Representative - 20 Years of Experience - Near 76119

QUALIFICATIONS Dedicated insurance professional with more than 20 years of experience as an inbound/outbound customer service agent, claim re-price representative and effectively managing multiple high priority projects. 10 years of experience as a medical office receptionist with knowledge of various medical insurance payers Experience using proprietary medical claims processing software/applications Strong organizational,...

Tags for this Online Resume: Health Insurance Portability And Accountability Act, Protocol, Billing, Insurance, OB/GYN, Pediatrics, Surgery, Urgent Care, Customer Service

Engineering Manager - 20 Years of Experience - Near 11102

SUMMARY OF QUALIFICATIONS Brian Gerlach has over 25 years of professional construction and engineering experience on over 100 traditional Design/Bid/Build (DBB), Design/Build (DB), and Engineer/Procure/Construct (EPC) projects and programs totaling over $40-billion (USD). Mr. Gerlach has extensive experience and expertise in project and program management with a special emphasis on project control functions. He has worked w...

Tags for this Online Resume: Project Controls, Project Management, Project Manager, Cash Flow, Management, Program Management, Training, Construction

Claims Investigator

Worked over twenty-two years as a Special Agent with the Federal Bureau of Investigation (FBI) successfully investigated numerous subjects suspected of committing federal violations including but not limited to Bank Fraud Securities Fraud and Credit Card Fraud. * Investigations included running several data base searches developing and interviewing witnesses and subjects writing comprehensive reports documenting every step ...

Tags for this Online Resume: Commodities, Communication Skills, Credit Card, Fraud, Management, Problem Solving, Securities, Software, Written Communication, Written Communication Skills

Featured Profile

Team Leader\Project Manager - 20 Years of Experience - Near 08822 Will work in Jersey City and NYC

PROFESSIONAL SUMMARY Innovative, performance driven IT leader with a 20 year track record of success. Motivated Professional, highly skilled in managing priorities, identifying critical issues and delivering positive results on time and on budget. Consistently identify and implement processes and procedures that save money and improve performance outcomes. Proven skills in: Global Multi-Site IT Project Management * Vendor M...

Ideal Companies: Insurance Companies, Pharmaceuticals, Banking\Financial

Tags for this Online Resume: Process Engineering, Team Lead, Microsoft Windows, Management, Corrective Actions, Customer Service, Email, Microsoft Office, Operating Systems, Application Management, Problem Management SWAT, Vendor Management, Help Desk Management, Business process management, VMWARE, Project Design, Project Management, Right Fax, Change Management, Patch Management, Taking Charge, WIndows Server, Application Manager, Enterprise Support, Business Anyalist, Team Leader, Help Desk Manager, HP Servers

Claims Adjuster - 7 Years of Experience - Near 30044

Qualifications Profile Exceptional claims adjustment professional with over 20 years of expertise in the insurance industry, wishing to utilize years of experience in a role further expanding skills. * Possess a background working successfully with litigation, damage appraisals, coverage determinations, automobile claims, and insurance policies, as well as personal, casualty, and property losses. * Adept at negotiating and ...

Tags for this Online Resume: Insurance, Intranet, Litigation, Litigation Support, Management, Medical, Microsoft, Microsoft Excel, Microsoft Windows, Microsoft Word, Claims, claims adjuster

Billing/Coding Specialist - 20 Years of Experience - Near 28105

Tags for this Online Resume: Billing, Cash Flow, Managed Care, Medicare, Receivables, Security, Rehabilitation, Claim Processing

Featured Profile

Quality Manager - 7 Years of Experience - Near 30076

Skills Summary: I have a broad vision that allows me to succeed in areas of improvement that others seem to overlook. I am a manager with years of production and quality experience, and I have operated my own business in the past. I have a working knowledge of how a business is ran from the purchasing of raw materials to the production processes. Furthermore, I understand the need to meet the customer's ship dates and to be...

Tags for this Online Resume: Corrective Actions Preventive Actions, Lean Six Sigma, Quality Assurance, Compliance Management, Test, Claims Management, Process Improvements, Quality Management, Cost Savings, Roswell

Insurance Underwriter/Claims Attorney - 12 Years of Experience - Near 75225

Insurance Associate Attorney Direct handling of insurance coverage, commercial defense litigation and appellate work nationwide for clients and for insurers based in the US, Bermuda, UK, and Ireland with an undefeated record. Extensive research and analysis of coverage involving CGL, E&O, first-party property and Bermuda coverage issues. Trade representative to the CPCU Society and Regional Associate Representative for Nort...

Tags for this Online Resume: Chartered Property Casualty Underwriter, Consumer Goods, Consumer Products, Drafting, Insurance, Litigation, Transportation, Underwriting, Management, Market Research

Business Analyst - 20 Years of Experience - Near 91710

Summary of Qualifications * Over 20 years of experience in Healthcare, Informatics Analysis and Report Developing * Strong analytical and organizational skills and ability to identify and implement process improvement strategies with positive business results * Microsoft SQL Server, SSRS, SSIS * Tableau 9 Essential training * SAP Business Objects training * Certified EZ-CAP Database Administrator * Certified Crystal Report ...

Tags for this Online Resume: Report Developer, Informatics Analyst, Claims, Developer, Documentation, Medical, Utilization Management, Database, Crystal Report, Business Intelligence

Claims Investigator

Tags for this Online Resume: Insurance Agent, Medical, Services, Management, Phlebotomy

Pharmacist - 19 Years of Experience - Near 98503

Professional Summary: Successful Pharmacy Director with 20+ years of experience in Large and small Hospitals. Implement inventory control and cost control to ensure operations remain within projected budget. Maximize bottom line through staff management, inventory management and clinical initiatives.

Tags for this Online Resume: Retail, Inventory, Inventory Control, Surgical, Critical Care, ACLS, Automobile Claim Law Specialist, BLS, Oncology, Order Entry

Sales Representative - 18 Years of Experience - Near 03038

E-mail: Maintain sales, inventory, budgets, and personnel using a daily reporting system from a company-wide database. Increased sales on Dell and Compaq computers by educating customers on the systems basics. Set up Internet on computer display to show the unlimited access of the systems. Initiated customer telephone support to diagnose hardware/software issues. If problem could not be resolved over the phone, on-site help...

Tags for this Online Resume: Aflac, Sales Associate, Benefits coordinator, Claims, billing, Microsoft excel, Inventory, Microsoft Word, Networking