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Online Resumes with "Claims Experience"



Healthcare Insurance experience--over 20 years

I have been in the insurance healthcare industry for the past 20 years starting as an analyst and ending as a clinical appeal specialist. I have since gone back to school and obtain my Masters in health informatics. My interests is to change my career and take the path as a health business analyst. My claims experience will be an asset for companies that are moving forward with the integration of the EMR or EHR systems. In...

Claims Adjuster - 15 Years of Experience - Near 85374

Aimée M. Wilson I am a seasoned employee with over 16+ years of experience in the Insurance Industry. I provide a prompt, fair, quality and equitable claim settlement, using fair claims handling practices. Personally, I focus on decreasing cycle times, increasing quality scores, holding the hand of each claim I process and simply providing a positive and stress free claims experience. Experience includes, but is not li...

Tags for this Online Resume: Sr. Adjuster, ACSR, Medical Termonology, Surprise, AZ, Claims

Bodily Injury Claim Representative Legal Case Manager 20 years claims experience

I am seeking gainful employment in the field of insurance or legal case manager, personal injury. I am excited to join a team of enthusiastic, detail oriented professionals. I began my insurance career in 1994 and I have nearly 20 years claims experience. I passed the California License Exam in April 2013 and I embarked upon my legal education in 2014.

Tags for this Online Resume: Irvine, Thousand Oaks, bodily injury, auto, representative, adjuster

Claims Examiner - 10 Years of Experience - Near 85268

I have over 10 years of Long Term Disability Claims experience, am highly motivated and I want to advance in my career. I feel my past experience has prepared me for this position and this would be an appropriate next step in my career.

Tags for this Online Resume: Claims Analysis, Case Management, Critical Thinking, Problem Solving, Prioritize Workload, Organization, Attention to Detail, Highly Motivated, Quick Learner

Insurance Claims Adjuster - 16 Years of Experience - Near 33015

I am interested in working for a professional organization where I can enhance my skills and experience. I have 16 years of claims experience and can be the successful candidates to add to your company. I consider myself to be a bright, professional, motivated individual who has excellent communication skills and passionate about the work I do. I thrive on growth, learning, and my favorite lesson learned is that "there are...

Tags for this Online Resume: Customer Service Oriented, Activle Listener, Jugment and decision Maker, Team Player, Negotiation, Complex Problem Solving, Critical Thinker

Medical or Health Services Manager - 20 Years of Experience - Near 27606

Andy Fontalbert has 20+ years of health care experience: 15+ years of consulting, fraud and abuse projects, provider and member portal projects, Project Management of Private Health Exchange, multiple management positions for Medicaid projects, 20+ years claims experience, 15+ years Project Management, 20+ years Prescription Benefits Management, 20+ years complex policy and procedures within health care, multiple system imp...

Tags for this Online Resume: Raleigh, NC, Manager, Project Manager, Medicaid, Prescription Benefits, Technology, MMIS, CMS Certification

Insurance Manager with Risk Management and Casualty Claims Experience relocating to Harrisburg PA

Tags for this Online Resume: Harrisburg PA, Claims, Agency Management, Risk Management Consulting

Attorney with 17 years of experience with management and insurance claims

Looking for a stable company that could benefit from my managerial and claims experience.

Tags for this Online Resume: insurance, claims, management, attorney, columbus, marketing, Litigation, Inventory, Insurance, Complaints, Customer Service, BAR, Corel, Management

Litigation Attorney

QUALIFICATION SUMMARY 29+ years of law firm experience including Practice Area Management, as well as Civil and Criminal Jury Trial Experience from investigation through jury verdict. * Practice area management including setting litigation plans, assessing and implementing new performance standards within a practice area team of both lawyer and non-lawyer staff. Creation of new practice benchmarks for the entire team to all...

Tags for this Online Resume: Management, Project Manager, Evaluate, Legal, Litigation, Communication skills

Billing/Coding Specialist - 20 Years of Experience - Near 75040

Familiarity with HMO/PPO insurance. Medicare & Managed Care claims experience. Interpret Managed Care terms and contract language. Exceptional analytical skills and problem solver. Excellent communications skills-both written and verbal. Proficient data entry and typing skills. (50 WPM min.) Proficient in the use of general office equipment (copier, fax, scanners, and computers). MS Word, Excel, Open Office, Windows, RM5 Sy...

Tags for this Online Resume: Budgeting, Health Insurance, Insurance, Oracle, Delinquent Accounts, Managed Care, Quantify, Management, Medicare, Home Health

Quality Assurance Specialist - 5 Years of Experience - Near 11435

SUMMARY * 6 plus years of experience in Manual of Web, Client Server applications. * Expertise in writing Test Plans, Test Scenarios, Test cases, executing Test cases and logging Defects found. * Experience with Test Case Management using HP Quality Center/ALM. * Strong understanding of SDLC phases and models. Good Knowledge in Software Testing Life Cycle and Defect Life Cycle. * Worked on Agile and waterfall methodologies....

Tags for this Online Resume: EDI, Electronic Data Interchange, Health Insurance Portability And Accountability Act, Extensible Markup Language (XML), HP, Oracle, Test, Test Plan, Microsoft Windows, Test Cases

Software Engineer - 15 Years of Experience - Near 92679

Profile Experience as Director of Product and Program Management streamlining processes and motivating teams * Experience as Sr. Product Manager for Compliance driving Electronic Billing, ICD-10 and State Reporting initiatives * Experience in Workers Compensation Claims * Experience with EDI, XML or ANSI X 12 837 Transactions 13+ years in Product Delivery with managerial experience directing Business Analysis and Software E...

Tags for this Online Resume: Sr Program Management, Sr Product Management, Sr project manager, Agile, Workers Compensation, Irvine, Mission viejo