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Online Resumes with "Claims data"
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
Claims Professional - 20 Years of Experience - California & Arizona
Analytical problem solver with a Bachelor of Science in Business Administration-Finance and Insurance and a strong history of success in Litigation Resolution, Property Damage Claims, Data Acquisition and Analysis. * Expertise in collecting and analyzing technically complex data to support cost-effective and fair settlements and determine benefits. * Demonstrated expertise and experience executing claims calculations, adher...
Tags for this Online Resume: Arbitration, Compliance, Management, Presentation Skills, Settlements, Litigation, Analytical Skills, Insurance, customer service, investigator, Analytical, Decision-making, Customer-focused
Medical Claims Processor
Team player, fast learner, open to learn new things, HIPPA compliant,reliable,and detailed oriented.
Ideal Companies: The companies that I would love to work for is a sucessful, stable and a growing company.
Tags for this Online Resume: Healthcare Medical Billing, Clerical, Adminitration, Receptionist
Clinical Research - 15 Years of Experience - Near 77345
Professional Summary: A highly skilled professional having experience in managing projects delivering Health Economics and Outcomes Research (HEOR) modeling and analytic solutions. Worked as a Director of Project Management responsible for conducting epidemiological studies and clinical trials on cancer outcomes for pharmaceutical customers. Conducted research and analyzed scientific literature related to pharmaceutical iss...
Tags for this Online Resume: Statistical Analysis, Research, Management, Programming, Risk Assessment, Support, Technical Requirements, Account Management, Immunology, Pharmaceutical
Legal Support Worker - 5 Years of Experience - Near 77002
Highly experienced professional bringing improved business performance to Corporate Legal Departments and Law Firms, in support of global investigations, litigation, and review matters with a focus on Energy, Insurance and most recently Education sectors. Specialized in customer focused Litigation Support, eDiscovery and Information Governance. Proven source of knowledge and experience in organizations generating cost savin...
Tags for this Online Resume: Ad hoc reporting, Compliance, eDiscovery, Management, Project Management, Arbitration, Civil Litigation, Consulting, Email, HR
Claims Examiner
Imported Performed daily data queries and prepared reports on daily, weekly, monthly, and quarterly basis. Used advanced Access database and Excel functions to generate spreadsheets and pivot tables. Compiled and generated spreadsheets capturing key data (from PeopleSoft, COGNOS, Exony, and Verint) elated to company's all department dashboards (calls and claims data). Provided different departments Associates feedback repor...
Tags for this Online Resume: Cognos, Data Queries, Management, PeopleSoft, Data Entry, Intranet
Operations Manager, Controller
CAREER HIGHLIGHTS * 9 years of successful consecutive experience as a Controller for a prominent insurance company. * Consistently recognized by senior management for broad-based accounting expertise ranging from treasury controls and audit support to underwriting department accounting support. * Track record of achievements, including directing a team in the design and implementation of a centralized policy management syst...
Tags for this Online Resume: Insurance, Accounting, Accounts Payable, Audit, Benefits, Compensation, Cost Accounting, Employee Relations, Financial, Financial Controls
Data Analyst
* 6+ years of total IT experience with Technical proficiency in Project Management, Network Systems Engineering, Data Warehousing and Business Intelligence * Skilled in Business Requirements Analysis, Application Design, Data Modeling & Development with strong ability to translate business requirements into technical requirements for the Implementation of data warehousing and business systems * Expertise in leading and e...
Ideal Companies: IBM, Microsoft, Oracle, ExxonMobile
Tags for this Online Resume: Oracle, SQL* PLUS, SQL*LOADER, Business Objects, Erwin, Toad, SQL, PL/SQL, VB, Perl, MS SQL Server, T-SQL, Unix, Linux, Informatica Power Center 8.x/7.x, DB2, ETL Tools, X|D|HTML, ASP.NET, Dreamweaver
Data Mining Specialist - 20 Years of Experience - Near 48111
Summary * Mr. Mark Ireland is a skilled statistician with experience in predictive modeling, Advanced Analytics, and custom creation of mathematical and statistical models. * Developed reports and constructed statistical models using SAS that analyzed hospital and professional claims data. * Developed state-of-the-art statistical models to measure utilization for the identification of audit candidates for further deep-dive ...
Tags for this Online Resume: SAS, Management, Data Analysis, Data Mining, Data Warehouse, Quality, Quality Assurance, statistics, Data science, machine learning, Healthcare Informatics, Predictive Modeling
Pharmacy Technician - 20 Years of Experience - Near 95821
To broaden my career in the Medical field arena since my educational background is in Pharmacy and Pre-Nursing. Any and all the experience in a Hospital facility will help facilitate my experience and knowledge. I'm bilingual and can speak and write both English and Spanish. I look forward to the challenge and am very capable of fulfilling you position. I bring to your company my positive outlook and great costumer service ...
Tags for this Online Resume: Administrative Tasks, Insurance, Accounting, Billing, CCS, Nursing, Typing, Customer Service, Packaging, Clarify
Compensation Specialist - 15 Years of Experience - Near 33611
SUMMARY Compensation and Benefits professional with multi-industry experience in compensation and benefits planning, design, and delivery. My passion is creating effective total rewards programs in collaboration with management to attract, retain and motivate top talent to meet business goals. These programs have been as varied as salary structure redesign, incentive payouts based on reaching team, division or company goals...
Ideal Companies: Ms.
Tags for this Online Resume: Pricing, Compensation, Benefits, Cancer, Forecasting, Management, Account Manager, Financial, Financial Services, Human Resources
Data Mining Specialist - 0 Years of Experience
Master's degree in Information Technology in Data Analytics graduate with Econometrics background and one-and-a-half-year professional experience as Claim Data Analyst role. Having experienced in Data Analysis, Visualization, Mining. Proven ability to apply Machine Learning, Regression Analysis, Sentiment Analysis, Text Analysis, Clustering, Association Rules, Classification, Forecasting and Optimization-by utilizing Pytho...
Tags for this Online Resume: Applications, Clustering, Coding, Data Analysis, Econometrics, Forecasting, Information Technology, Java Programming Language, Management, Microsoft
