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Online Resumes with "Claims analysis"



Project Manager

SUMMARY: More than twenty-five years business experience in construction project management including estimating of negotiated and competitively bid projects multiple projects to $20 million, single projects to $125,000,000, for both public and private clients in both union and nonunion environments. Extensive background in business startup, business development, staff recruitment and training, project estimating, subcontra...

Tags for this Online Resume: Management, Consulting, Project Management, Project Manager, SAN (Storage Area Network), Business Development, Bentley, C Programming Language, Senior Estimator, Portland Oregon, Southwest Washington

Admissions Director - 4 Years of Experience - Near 33067

Tags for this Online Resume: Medicare Part B & D, Accreditation, Compliance, Health Insurance Portability And Accountability Act, Policies and Procedures, Receivables, Claims Analysis, Call Center, Training, Licensing/ Credentialing, Pharmacy Law

Contract Administrator

A self-motivated and highly experienced Commercial/Contracts Manager with a considerable background in Quantity Surveying. Possesses outstanding negotiating skills with a proven ability to resolve complex disputes and claims. Proficient in bid preparation tendering procurement cost planning and project management with a proven track record of analysing and resolving contractual dispute and claims with available material evi...

Tags for this Online Resume: Project Management, Project Manager, Quality Assurance, Test, Development Activities, Landscaping, Procurement, Architectural, Bridges, Statutory, CONTRACT/MANAGER/SPECIALIST

Paralegal - 20 Years of Experience - Near 23834

Tags for this Online Resume: Delinquent Accounts, Documentation, Accounts Receivable, Litigation, Real Estate, Appraisals, Insurance, Support, Accounting, Audit, Mortgage Closer, Mortgage Processor, Mortgage Compliance, Loan Servicing, Trust and Estate Planning, Title Underwriter, Real Estate Processor, Bankruptcy, REO, Foreclosure, Claims Analysis

Lawyer - 20 Years of Experience - Near 95125

Tags for this Online Resume: Claim Analysis, Communications, Right-to-Use, Test, Patent, Litigation, Licensing, Trademark, Copyright, Intellectual Property, Portfolio Management, Complex Technology

Claims Examiner - 12 Years of Experience - Near 06249

SUMMARY Diverse, Deeply Experienced Professional and PhD Candidate, MBA, MSM, Certified Six Sigma Green Belt, and Certified Lean Six Sigma with broad technical savvy seeks a role commensurate with my work experience and education that maximizes my finance, project management, strategic, and analytical expertise to deliver value-added results and competitive advantage to a growing firm. BUSINESS ACUMEN * Management: Staff Ma...

Tags for this Online Resume: Audit, Financial, Quality, Quality Assurance, Quality Control, Underwriting, Account Management, Account Reconciliation, ACH, Banking Industry

Featured Profile

Project Manager - 14 Years of Experience - Near 01568

SUMMARY Enterprise IT Project Manager with expertise in infrastructure, software engineering, solutions architecture, systems integration and technical operations. Experienced working with PMO and technical resources in a variety of industries including healthcare, insurance claims analysis, records management and commercial ERP / MRP. Proven leadership, team building and interpersonal skills. Extensive background in leadin...

Tags for this Online Resume: Consulting, Documentation, Software, Enterprise Software, Oracle, Project Management, Tolas (App Sw), Architect, Distribution, Enterprise Requirements Planning

Civil Engineer - 20 Years of Experience - Near 98075

Over thirty years of experience in Construction Management and Administration Project Controls/EVMS, Project Planning and Scheduling Contract and Subcontract Administration Budgeting and Cost estimating Claim Analysis and Change order processing Document Control and Field Inspection and Engineering. Major accomplishments include: * Work with Sound Transit Quality Assurance Department to obtain the Certificate of Compliance ...

Tags for this Online Resume: Engineering, Quality Assurance, Test, Forecast, Scheduler, Architectural, Document Control, Filing, Landscaping, Link, project engineer

Business Analyst - 17 Years of Experience - Near 21117

Summary A seasoned professional with years (since 1994) experience in the management and administration of day-to-day operation for the insurance industry and a local non-profit organization. Significant experience in Medicare Part A and B Claims analysis, Recovery Audit Contractor Data Warehouse (RACDW), HIPAA assessments and implementations including impact assessments, gap analysis, requirements documentation, transactio...

Tags for this Online Resume: Health Insurance Portability And Accountability Act, Management, Project Management, Medicare, SDLC, Project Manager, Sybase, ANSI, Ansi (Am Natl Stds Inst), Collection

Licensed Nurse - 20 Years of Experience - Near 34788

QUALIFICATIONS PROFILE Compassionate, patient-focused, and results-driven professional with extensive experience in offering top-quality care and healthcare services, administering medications, as well as processing client's benefits . Adept at providing pertinent information regarding insurance policies, disease state management, and medication protocol issues. Equipped with time management aptitude to keenly organize work...

Tags for this Online Resume: Management, Utilization Management, HIV, Home Care, LPN, Medicare, PEDIATRIC, Transportation, Benefits, Utilization management

Construction Executive 23 Years experience

PROFILE Innovative and results driven leader focused on achieving goals in highly competitive and challenging environments that demand both hands on involvement and summary oversight. Experienced in building partnerships while driving production and expediting critical schedule performance. Excels in team building and communication skills with different companies, industries, or factions required for overall company and pro...

Tags for this Online Resume: Project Management, Senior Project Manager

Construction Trade Worker Manager - 20 Years of Experience - Near 94583

Summary Mr. Harrington has 25-plus years experience estimating and managing commercial, private sector, public works, and federal construction projects. Projects ranged in value (over $70 million), and include retail outlet malls, airport and school modernizations to military aviation fuels facilities. Bill has also been estimate lead on multi-discipline proposal teams for projects exceeding $300 million. * Extensive experi...

Tags for this Online Resume: AIA, Bankruptcy, Business Plan, Construction, Cost Control, Distribution, Drafting, Engineering, Legal, Litigation