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Online Resumes with "Claims Processing "



Chief Executive Officer - 20 Years of Experience - Near 75093

Accomplishments (2008-2010) * Experience in evacuation and substation of Power & Infrastructure, Information Technology Services. * Proven capabilities in leading global & local teams, managing large budgets, leading and managing sales to execution of highly complex global services contracts and commitments. Key Results * Managing portfolios of infrastructure projects throughout the power sector. * Developed strategies & ex...

Tags for this Online Resume: N?mecký jazyk, Marketing Management, Project Management, Project Manager, Sales, Account Management, Banking Industry, Budgeting, Business Process Re-engineering, Business Requirements

Featured Profile

Training & Development Manager - 20 Years of Experience - Iowa

Accomplished certified project management professional with close to 20 years of experience in consulting project/program planning implementation and execution. Adept at utilizing senior level project management skills across a variety of platforms including: financial healthcare insurance and technology. Exceptional leader/manager/strategist with experience managing diverse teams in a matrixed and virtual environment. Demo...

Ideal Companies: Microsoft, US Bank, Facebook, Google

Tags for this Online Resume: PMP, Process Improvement, Integrate, Leadership, Performance Improvement, Strategic Management, Organizational Change Management, management, education, professional, executive, consulting, project management, business operations, research methodology, program management, negotiation and mediation, risk planning and mitigation, conflict resolution, instructional design, HR and Personnel Management, Driving for Results, Collaboration, Accounting and Finance, Relationship Management, Information Technology, Facilitation and Presentation, Complex, Large Scale Projects, manager, Agile Methodology, Operations Management

Senior Vice President - 20 Years of Experience - Near 77379

initiatives in the healthcare industry. Intuitive leader with acute business skills and expertise in healthcare programs and market penetration. Extensive experience in managing all client and vendor/partner rela- tions and skilled in developing equipping and empowering teams of staff in a multi-line health plan of over 300,000 members. Experienced in Customer Service/Call Center and Claim Operations manage- ment of high vo...

Tags for this Online Resume: Compliance, Behavioral Health, Configure, Management, Receivables, Claim Processing, Cobra, Planning, Policies and Procedures, Strategic Planning, management, strategic planning, staff management, production management, staff training and development

Administrative Assistant - 7 Years of Experience - Near 95993

Profile Exceptionally committed to my work as well as a self-motivator who is task orientated and most of all, a team player looking for the opportunity to achieve a successful permanent career.

Tags for this Online Resume: Insurance, Insurance Claims, Call Center, Citrix, Claim Processing, Communication Skills, Customer Service, Data Entry, Administration, Deposits

Claims Examiner - 16 Years of Experience - Near 34613

QUALIFICATIONS I have been both Inside desk Adjusting/ File Reviewing (desk adjuster) and investigating insurance losses and Examining claims (CAT, daily & fraud-related) for app. 17 years and have a broad exposure to catastrophe & disputed losses (litigation also). I am BI-Lingual GA, have my passport, and licensed as a 2-15, 5-20 and 4-40 & General Commercial Adjuster (Citizens). Also licensed as an adjuster in app 20 sta...

Tags for this Online Resume: CAT, Settlements, Medical, Real Estate, Accounting, Audit, Fraud, Litigation, Insurance, insurance

Registered Nurse - 20 Years of Experience - Near 65262

SUMMARY: RN with 20 plus years of experience in case, disease and utilization management, medical record review, claims processing, quality, appeals and grievances. Successful contract and care management platform and program implementations. Vast knowledge and experience of complex disease management. Able to manage large member caseloads and prioritize large volume of member activities. Great communicator when presenting ...

Tags for this Online Resume: Business Requirements, Data Analysis, Product Design, Services, Assessments, Billing, Computer Aided Software Engineering, Management, Medical, Medical Records, registered nurse, healthcare, care, rn, nurse, care manager, case manager, quality, utilization management, management, appeals, claims

Administrative Assistant - 12 Years of Experience - Near 17701

PROFILE : Highly committed to the Human Services profession with an emphasis on administrative skills and a wide variety of customer service experience. Exceptional people skills, counseling, mentoring supervising and leadership skills, fine-tuned through instruction that reinforces innate abilities. VALORIE TAYLOR taylor@comcast.net 322 - 0567

Tags for this Online Resume: Administrative Skills, Claim Processing, Customer Service, Data Entry, Evaluate, Leadership, Management, Marketing Management, Microsoft, Microsoft Excel, administrative, administrative assistant, customer service, receptionist

Sales Representative - 20 Years of Experience - Near 07751

Professional Summary Experienced business professional fully versed in all phases of the Auto Industry who is ready to work with your management and sales teams to drive core business results through exemplary performance.

Tags for this Online Resume: Inventory, Internet, Claim Processing, Email, Sales, Management, sales, outside sales, account executive, account manager, technical sales, auto sales, sales, management, outside sales,account manager, technical sales,

Claims Adjuster

SUMMARY Dynamic insurance professional bringing 27 years in the field of insurance with an emphasis on large loss homeowners claims. Positive attitude and exceptional problem solving skills. Insurance adjuster excelling at working with individuals from diverse cultural and socioeconomic backgrounds. Personable and resolution-focused. I am looking for an opportunity that utilizes my extensive customer service driven backgrou...

Tags for this Online Resume: Customer Service, P&C, Insurance, Management, Problem Solving, Problem Solving Skills, Resource Management, investigator, Claims, Adjuster, Customer service

Budget Analyst - 11 Years of Experience - Near 63114

Professional Summary: A proven professional with multi-faceted experiences as a Mainframe Programmer Analyst performing in the areas of finance applications, banking merger communication mailing, warehouse product location and pick lists, medical claims processing, brokerage industry customer statements, aerospace home office A/P, A/R, Invoicing and Journals. Skills Summary: COBOL, Syncsort, Quickjob, IDMS, DML/O, IEBGENER,...

Tags for this Online Resume: Cobol Programming Language, Job Control Language, Transmissions, Documentation, LIBRARIAN, Support, Utilities, CICS, Culprit (Idms Ap Dev Tool), Full life cycle

Software Engineer

PROFILE Worked as an Automation Architect for 5 years developing frameworks to automate applications Experience of working on projects with implementation of SDLC, STLC and agile methodologies

Tags for this Online Resume: Adobe Acrobat, Automation, Claim Processing, FACETS, Framework, Integrate, Integration Testing, Microsoft .Net

Claims Adjuster - 18 Years of Experience - Near 77584

Profile Enterprising professional with 15+ years of experience executing medical insurance claims functions. Possesses expertise in insurance, health policy complaints, compliance, and regulations. Employs excellent supervisory skills and builds high-functioning teams through development of targeted training programs. Self-governing and organized, works well in a remote, work-from-home, environment. Core Strengths: Test Pla...

Tags for this Online Resume: Complaints, Fraud, Policies and Procedures, Documentation, Management, Claim Processing, Data Quality, Protocol, Quality, Quality Assurance, insurance