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Online Resumes with "Claimes"
Customer Service Manager - 20 Years of Experience - Near 21221
SUMMARY OF QUALIFICATIONS * Excellent sourcing, recruiting, and staffing management skills. * Facilitate and resolve complex client issues. * Proficient in strategic operations, staff management, and working environments, thus resulting in greater partner loyalty and employee performance. * Outstanding client relationship building and ongoing client service, thereby providing long-term client relationships. * Efficient in t...
Tags for this Online Resume: Coding, Sales, Alexandria, Life Insurance, Customer Service, customer service, sales, Client service
Auditor - 17 Years of Experience - Near 91945
Career Summary Human Resources and Payroll Professional with over 15 years of experience turning around complex and inefficient payroll departments. Strengths in payroll operations, HR compliance training, investigations, audits, resolving conflict, database management, decision making in a fast-paced demanding professional environment. Highly knowledgeable in APA payroll best practices and payroll tax laws. Dedicated team ...
Tags for this Online Resume: Applications, Cobra, Commissions, Compensation, Computer Aided Software Engineering, Database, Database Administration, Employee Relations, Human Resources Information System, Journal Entries, accounting, audit, tax, excel, accountant
Business Analyst - 12 Years of Experience - Near 31312
SUMMARY * Over 18 years of professional experience related to Account Management, Project Management, Business Analysis, Quality Assurance and Training backed by a positive attitude, high degree of enthusiasm and passion for success * Proficient in Medicaid and MMIS in subject areas of Provider and Provider Enrollment, Member and Member Enrollment, Claims, TPL, Reference, Prior Authorization and Multipayer * Development, cr...
Tags for this Online Resume: Billing, Consulting, Training, Management, Test Plans, Health Insurance Portability And Accountability Act, Benefits, Business Analysis, Design Specification, Quality Assurance, Claims, Medicaid, Provider, Testing, High Level Requirements, Account Management, Project Management
In Between - 20 Years of Experience - Near 43224
Qualifications * Developed capitation payment arrangements * Business Development & Analysis * Financial Modeling and Reporting * Crisis Management * Process Improvement Methodologies * Consensus Building and Teaming * Critical Thinking and Problem Solving * Change Management ~ Technically proficient with Oracle EBS Microsoft Office Suite 365 Member Enrollment Applications EZLink Proprietary administrative systems and appli...
Tags for this Online Resume: Applications, Business Development, Change Management, Financial, Financial Modeling, Financial Services, Inventory, Inventory management, Management, Microsoft, customer service
Family or General Practitioner - 3 Years of Experience - Near 89139
Tags for this Online Resume: Medical, Rehabilitation, Surgical, Instant Messaging, Management, Pain Management, PEDIATRIC, Public Health, ACLS, Automobile Claim Law Specialist
General - 20 Years of Experience - Near 75956
SUMMARY: Licensed Texas All-Lines Adjuster seeking a challenging position in insurance claims Inside File Adjusting Review. I have a background which includes detailed computer skills. I recently took an in-depth Texas All-Lines and Xactimate class room course. I am a hardworking, motivated, and goal-oriented individual. Whether the work is independent or team work, I work very well in either situation. I am confident I wil...
Tags for this Online Resume: Transportation, ADM, Billing, Data Entry, Health Care Industry, Insurance, Insurance Claims, Licensing, Microsoft, Microsoft Excel, human resources, customer service
General - 20 Years of Experience - Near 77477
Tags for this Online Resume: Assessments, Project Management, Project Manager, ANSI, Ansi (Am Natl Stds Inst), Claims Adjuster, EMT
Insurance Claims Manager - 16 Years of Experience - Near 33812
Tags for this Online Resume: Management, Training, Inventory, Insurance, Compensation, Business Development, Change Management, Data Analysis, Microsoft Change Management, Process Improvements, insurance, customer service
Health Technologist - 18 Years of Experience - Near 10001
PROFESSIONAL SUMMARY: Extensive experience working with internal and external clients and users. Medical loss ratio reports, provider score cards, pay for performance, risk analysis of members for intervention, government reporting requirements for the healthcare industry. Reporting to actuarial, sales, marketing, membership, federal and state requirments. Reconciliation and auditing of Medicare Part D claims and eligibilit...
Tags for this Online Resume: IBM, IBM Mainframes, Structured Query Language, Microsoft SQL Server, Oracle, Unix, VSAM, Data Management, Management, Microsoft ASP.Net, SAS, SQL, SQL Server, Tableau, Alteryx, SAS Metadata Server, SAS Data Integration, SAS Visual Analytics, Programmer
Manager - 10 Years of Experience - Near 77355
To contribute to the success of an organization in a challenging position utilizing my proven managerial skills in conjunction with my analytical skills. I offer exceptional versatility and adaptability dedication and drive as a hard-working individual superlative communication and team-building skills and the ability to manage multiple tasks in a pressured environment. 05/16 - 04/17 Napa Auto Parts Jobber Store Support Man...
Tags for this Online Resume: Management, Benefits, Fraud, Insurance, Litigation, Risk Management, Security, Distribution, Forecasting, Microsoft, ase certified, store manager, automotive, auto parts, retail manager, management, manager
Physician Assistant - 10 Years of Experience - Near 33019
Tags for this Online Resume: ICU, PEDIATRIC, Medical, Nursing, Services, ACLS, Assessments, Automobile Claim Law Specialist, Biopsy, BLS
Registered Nurse - 31 Years total experience. 6 years of Level 2 Trauma and 2.5 years of Level 4 Trauma.-Texas
SUMMARY SKILLS
Tags for this Online Resume: ACLS, Advanced Cardiac Life Support, Automobile Claim Law Specialist, BLS, Emergency Room, ER, Nursing, OB/GYN, PALS, Patient Care, registered nurse
