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Online Resumes with "Claims Investigation"



Claims Investigator - 15 Years of Experience

Featured Profile

Claims Investigator - 20 Years of Experience

Position applying for: Upper Management / Fraud Investigator Seeking a position in upper management to apply my 21 years of experience in investigations and overseeing several departments.

Tags for this Online Resume: Licensing, MICS, Payroll, Internal Controls, Security, Compliance, Policies and Procedures, Management

Success With a Purpose

I have a burning desire to succeed, that cannot be appeased by working a job. I must be fulfilled by a career that provides a challenge and a purpose, among other things. I do not define success by building personal wealth. To me it means achieving goals as group, sharing achievements with others, and making a positive impact. I believe that open and honest communication can solve all problems and are drivers of success. I ...

Ideal Companies: Dell Computer, Vanderbilt University

Tags for this Online Resume: Insurance

Claims Investigator

Tags for this Online Resume: Complaints, Distribution, Insurance, Life Insurance, Estate planning, Planning, Underwriting, Guardian

Claims Investigator

Claims Investigator - 5 Years of Experience - Near 75013

Tags for this Online Resume: Management, Bilingual, Professional Communication, Project Management, Workbench, Account Manager, CFO, Financial, Guardian, Guardian (Comm Net Sw)

Claims Investigator

Investigator, 31 years

Objective Statement: To serve in a position, which best utilizes my extensive experience, abilities, and communication skills.

Claims and Sales

Top-performing professional supports daily operations and personnel activities. Performs and prioritizes multiple tasks within projected timelines. Recognized as a resourceful team player also capable of working independently. Highly-adaptable and learns new procedures processes and technologies quickly. Possesses unparalleled integrity initiative resourcefulness consistency and diligence in achieving business objectives an...

Tags for this Online Resume: Medical, Medical Records, Audit, Scheduling, Benefits, Compensation, Sales, Bilingual, Billing, Coding

Featured Profile

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

Claims Investigator

Career Summary MORE THAN 30 YEARS AT ASSURANT HEALTH/FORTIS/TIME INSURANCE COMPANY. EMPLOYMENT ENDED DUE TO COMPANY CLOSING. POSITIONS HELD: CODING REVIEW ASSOCIATE/PHYSICIAN AUDIT EXAMINER, HEALTH CORRESPONDENT/APPEAL RESOLUTION SPECIALIST, MEMBER SERVICE REPRESENTATIVE, PROJECT COORDINATOR, CORPORATE COMMUNICATIONS ASSISTANT, BENEFIT ASSISTANT, DATA ENTRY CLERK, AND CLOSE CLAIMS CLERK. Accomplishments and Career Highlight...

Tags for this Online Resume: Benefit Specialist, Appeals Specialist, Quality Assurance, Claims Representative, Project Coordinator, Customer Resolution Specialist, Telecommute, Customer Service, Clinical/Code Review, Claim Investigations, Data Support Specialist, Adjustment Specialist