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Online Resumes with "Claims Resolution"



Program Manager - 20 Years of Experience - Near 08054

Work in an environment where I can perform to the fullest of my capabilities, in vast experience areas such as: commercial and federal, domestic and international, project and contract management, construction management, EPC contract management, document controls, change management, claims resolution, quality assurance/control, procurement, project development, preparation of bid packages, contractor pre-qualification, con...

Tags for this Online Resume: Quality Assurance, Scheduling, Project Management, Claims Resolution, Project Controls, Construction Management, Quality Control, Safety, Team Builder, Great Cpmunicaton Skills, Self Starting, Integrity, Reliable

Claims Adjuster - 20 Years of Experience - Near 55422

SUMMARY OF QUALIFICATIONS * Investigated cause of loss and subrogation potential for hundreds of worker's compensation, liability and property losses. - Developed defense strategy for clients and carried it out through written discovery, depositions, motion practice, and employing proper experts. - Worked with numerous injured employees and employers, with assistance of outside experts, to find creative solutions for a back...

Tags for this Online Resume: Compensation, Insurance, Defense, Financial, Information Technology, Litigation, Management, Medical, Program in General Insurance, Risk Management, insurance, investigator

Claims Examiner - Over 20 Years of Experience - Near 30005

Managed large claim issues in these 3 Regional Offices for specific contract clients on national level for multi-line coverages. Reported complex and highly technical claims to carriers, clients, insureds and self-insureds with evaluation, reserve analysis, recommendations and action plans for conclusion. Conducted and scheduled file audits and acted as mentor to local adjusters. Coordinated with corporate managers, brokers...

Tags for this Online Resume: Settlements, Compensation, Product Liability, Appraisals, Claims Adjuster, Cms, Insurance, Litigation, Trend Analysis, insurance

Human Resources Administrator - 20 Years of Experience - Near 92883

Seeking a responsible position which would effectively utilize my knowledge and skills within the same professional background but also open to a career change where my background can make a positive difference. I believe the most valuable resource is your employees. If you deliver excellence and treat your employees well, they in turn will do an excellent job for the company. Experience and Summary of Qualifications * Prof...

Tags for this Online Resume: Benefits, Compensation, Distribution, Employee Relations, Human Resources, Management, Payroll, Secretarial, Services, Attention to Detail, human resources, hr, employee relations, benefits, recruiting, customer service, staffing, payroll

Claims Adjuster - 11 Years of Experience - Near 90814

Motivated and dedicated claims professional with nine years of automobile and two years of general/pollution/professional liability experience. I strive to obtain claim resolution that satisfies my employer. I have worked at standard and non-standard carriers and have been too achieve claims resolution for any claim made. I have achieved settlements at every level using my vast negotiation experience. I have successfully co...

Tags for this Online Resume: Litigation, Assessments, Claims Adjuster, Legal, Settlements

Billing/Coding Specialist - 20 Years of Experience - Near 48075

To leverage my experience, processing member data and medical claims in the managed care industry. Expertise in performing timely reviews of new and current procedures and policies for accuracy. Proficient at developing policies and procedures for clerical and financial claims processing areas.

Tags for this Online Resume: Audit, Benefits, Claim Processing, Cms, Configure, Customer Service, Medicare A &B, Medicare C&D, Managed care, Quality Assurance, Trainer, Claims resolution, HMO, PPO, Medical Terminology, Team Building

Claims Examiner - 10 Years of Experience - Near 07095

Tags for this Online Resume: Settlements, Litigation, Video, Management, Claims Adjuster, Customer Service, Insurance, Insurance Claims, insurance

HR Generalist/Manager

Career Summary: I am a bilingual Spanish Human Resource professional with more than 5 years of hands on experience. I am a member of the Society for Human Resource Management (SHRM). My proficiency extends to a vast knowledge of the MS Office suite, HRIS systems such as, ADP ezLabor Manager, ADP Run, ADP Workforce Now, Paychex, Prestige Administrators, ESS 32BJ Employer portal, and Lawson. I have knowledge of union contract...

Tags for this Online Resume: Policies and Procedures, Compensation, Human Resources Information System, Benefits, Management, HR, Human Resources, Payroll, Audit, customer service, worker's comp, FMLA, claims processing and claims resolution, disability, Benefit Administration

Claims Adjuster

AREAS OF EXPERTISE Estimating/Bidding Claim Resolution Investigative Techniques Commercial Roofing Negotiation Analytical Skills Residential Roofing Mediation Research Construction Methods Documentation Interpersonal Communication SUMMARY OF QUALIFICATIONS * Claims resolution: Investigate claims, assign adjusters, request police reports, record statements, requisition payments. * Interpret coverage, investigate, analyze, ev...

Tags for this Online Resume: Claims Adjuster, Accounts Payable, Analytical Skills, Complaints, Construction, Documentation, Estimations, Evaluate, IBM AS/400, Legal

Claims Adjuster - 18 Years of Experience - Near 76132

AREAS OF EXPERTISE Estimating/Bidding Claim Resolution Investigative Techniques Commercial Roofing Negotiation Analytical Skills Residential Roofing Mediation Research Construction Methods Documentation Interpersonal Communication SUMMARY OF QUALIFICATIONS * Claims resolution: Investigate claims, assign adjusters, request police reports, record statements, requisition payments. * Interpret coverage, investigate, analyze, ev...

Tags for this Online Resume: Claims Adjuster, Accounts Payable, Analytical Skills, Complaints, Construction, Documentation, Estimations, Evaluate, IBM AS/400, Legal

Claims Investigator - 0 Years of Experience

Summary of Qualifications A talented and ambitious, coachable and committed retired Law Enforcement Officer with customer service skills, strong technical background skills that possesses self-discipline, and the ability to work with minimum supervision playing key roles throughout the company structure, salesmanship ensuring quality solutions to meet corporate objectives. Possesses a good team spirit, is deadline-oriented ...

Tags for this Online Resume: Billing, Fraud, Insurance, Insurance Claims, Account Manager, Compliance, Planning, Policies and Procedures, Policy Development, Process Improvement, consultant

Insurance Appraiser - 20 Years of Experience - Near 03110-5804

Seeking employment in the insurance industry with aspirations of becoming management

Tags for this Online Resume: Documentation, Evaluate, Protocol, Audit, Cost Control, Scheduling, Economics, Insurance, insurance, investigator, customer service