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Online Resumes with "Claims Systems"



Featured Profile

Sr. Project & Program Manager / Application Development and Infrastructure

I am interested in a project management position where I can increase my leadership abilities through regularly encountering and solving problems, managing budgets and meeting targets.

Ideal Companies: No particular preference would like to be within 30 miles of Windor, CT

Tags for this Online Resume: Project Manager, Infrastructure, SDLC Management, PMO, Forecasting, Kanban, Agile, SharePoint, Rally, Budget, Risk Evaluation, Project and Program Management, Resource Planning

Financial Manager - 8 Years of Experience - Near 75078

Career Summary Banking and Loan Administrator with prior management experience, proven ability to support the activities of financial institution with mortgage service release processes, set-up, maintenance, and data completion of closing files and collateral. I have handled key responsibility in the completion of hundreds of lien releases in amounts over $250,000.00. Recognized as a performance leader in providing a range ...

Tags for this Online Resume: Applications, Financial, Spreadsheet, Deposits, Account Manager, Bankruptcy, Credit Information, Customer Accounts, Microsoft Excel, Microsoft PowerPoint

Medical Records Technician - 10 Years of Experience - Near 60652

Professional Summary Experienced professional offers the following key strengths: 10 years plus experience in diverse settings. Thorough knowledge of Current Procedure Terminology (CPT), ICD-10 Coding, Revenue codes, and UB92 and 1500 Medial claim forms. The industry and technology trends as applied to patient account management Medicare, Worker compensation, Blue Cross, and Commercial Insurance billing and collections. Pro...

Tags for this Online Resume: Benefits, Management, Medical, Accounting, Audit, Compensation, Distribution, Financial, Financial Industry, Financials

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

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

Quality Coordinator - 5 Years of Experience - Near 33896

SUMMARY OF QUALIFICATIONS * Professional and highly motivated individual, with years of experience in the Healthcare and Customer Service fields. * 5+ years' experience in healthcare * Experience with CPR+ claims system * Extensive experience within a specialty pharmacy call center setting * Able to handle multiple priorities while maintaining excellent communication skills, strong attention to detail, and high standards of...

Tags for this Online Resume: Insurance, Referrals, Attention to Detail, Call Center, Communication Skills, Customer Service, Excellent Communication Skills, Health Care Industry, Medical, Medical Records, care, pt, healthcare

Claims Investigator - 20 Years of Experience - Near 07981

I am a fully qualified and experienced insurance property claims adjuster with excellent verbal and written communications skills, outstanding people skills, and a strong work ethic who is seeking a key property claims position in either primary insurance or reinsurance. With a record of accomplishments throughout my career, I am experienced in both the field and desk adjusting. I have a thorough understanding of Microsoft ...

Tags for this Online Resume: Underwriting, Communications, Operating Systems, Microsoft Windows, Microsoft Word, customer service, health benefits broker, benefits consultant, group health benefits, group benefits associate

Business Analyst - 9 Years of Experience - Near 53704

Results oriented, team player with organizational efficiency using skills in SAP ECC, OTM, and BI Reporting. Logistics, Procurement, and Accounts Payable experience. Business Process Improvement & Customer focused. To secure a position as a valued member of your team that leverages my achievements, skills, and energy for achieving project and/or company goals. RELEVANT EXPERIENCES Cashier Team Member- Menards- Madison, WI A...

Tags for this Online Resume: Microsoft Visio, Oracle, SAP, SharePoint, Sharepoint Technologies, Support, Training, VISIO, sql, html, software

Financial Analyst - 20 Years of Experience - Near 07666

CORP. * Crum & Forster is a leading national property & casualty insurance company with a large, diversified specialty platform. Associate Actuary / Special (Large) Accounts (SA) Actuarial Pricing Manager - Commercial Lines Lead Pricing Actuary for Commercial Lines Large Account Division. Pricing Accounts Priced Primary prospective covers for all accounts individually, and, as needed, Umbrella, Excess and FAC layers. Simula...

Tags for this Online Resume: Insurance, Consulting, Financial, Financial Services, Property and Casualty Insurance, Quantify, Reinsurance, Services, Actuarial, Management, group health benefits

Quality Assurance Specialist - 9 Years of Experience - Near 85308

SUMMARY: * 9.5 Years of experience in various aspects of Software Testing Life Cycle (STLC), review & analysis of Business Requirements, Functional Specifications, and Detailed Design of the application as well as formulation of Test Plan based on the Design Document and User Requirement Document. * Experience in Preparation of Test Strategy, Test Plan, Test Estimation, RTM, Test Summary, Test Scripts & Defect Reporting. * ...

Tags for this Online Resume: Metrics, Test, Test Plan, Triage, Documentation, Management, Requirements Analysis, Agile, Budgeting, Business Requirements, Guidewire Claim Center, Selenium

Business-to-Business Marketer

Summary Mr. Dastvar has over 29+ years of Excellence in Business Development, Client Execution, and Account Management in the technology, capital markets, Financial, healthcare, insurance, commercial and government sectors. He has developed pipeline, capture plan and strategic partnerships to drive the revenue at a corporate PAT level. He has lead targeting, growing, and developing existing and prospective client relationsh...

Ideal Companies: CSRA, Leidos

Tags for this Online Resume: Infrastructure, Management, Banking Industry, Business Development, Capital markets, SEC, Securities and Exchange Commission (SEC), Program Manager, Proposal Development, Recruiting

Claims Adjuster - 20 Years of Experience - Near 08520

Key Qualifications - * Proven track record of assessing benefit claims and healthcare options, including extensive knowledge of Medicare and government regulations. * Adept at developing and maintaining detailed administrative and procedural processes that significantly reduce expenses, improve accuracy and efficiency, and achieve organizational objectives. * Highly focused and results-oriented in supporting complex, deadli...

Ideal Companies: Blue Cross Blue Shield of New Jersey, Aetna Insurance Company, Horizon Blue Cross

Tags for this Online Resume: Benefits, Billing, Compensation, Complaints, Fraud, Health Insurance, Insurance, Managed Care, Anesthesia, Behavioral Health, insurance, sales, group benefits associate, marketing, health benefits broker, Health insurance adjuster