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Online Resumes with "Complex Claims"
Sr. Commercial Liability Claims Specialist & Supervisor - CT & NY
Sr. Claims Specialist in P&C insurance industry. Experience in multiple liability exposures specializing in all types GL claims as well as professional liability. Interested full time or independent contractor basis in CT or NY areas.
Ideal Companies: Wilson Elser
Tags for this Online Resume: insurance claims, commercial liability, professional liability, excess environmental , construction defect, surplus lines
medical claims recovery, adjustment and auditor
15 Plus Years: As a short- term traveling contractor, I have experience with HMO’s, as well as, PPO Insurance companies. Job descriptions are as follows: Experience in claims processing of Medicaid, Commercial, Professional, PPO, HMO, Third Party, Subrogation And Medicare claims Team Lead for high dollar and complex claims issues as well as customer service responses. Provider Relations Liaison, as well as, being a train...
Claims Adjuster - 15 Years of Experience - Near 85374
Aimée M. Wilson I am a seasoned employee with over 16+ years of experience in the Insurance Industry. I provide a prompt, fair, quality and equitable claim settlement, using fair claims handling practices. Personally, I focus on decreasing cycle times, increasing quality scores, holding the hand of each claim I process and simply providing a positive and stress free claims experience. Experience includes, but is not li...
Tags for this Online Resume: Sr. Adjuster, ACSR, Medical Termonology, Surprise, AZ, Claims
My diverse claims and risk management experiences working for different industries provides added value for any organization interested in hiring someone to evaluate the wide range of issues, and be able to successfully present them to a various people.
Twenty plus years of progressive experience in critical incident management with strong focus in risk assessment, risk transfer, reputational risk, loss prevention, claims management and strategic business planning for US and Non US owned corporations.Experience in managing crises and remediation, establishing procedures to prevent, detect and correct non-compliance and training employees with changes in laws and regulation...
Tags for this Online Resume: Director, VP, Claims Management, Risk Management, Safety
Billing/Coding Specialist - 14 Years of Experience - Near 23059
Career Summary: “I am skilled in all lines of business including HMO, IPP, PPO, Medicare and CMM. Extensive knowledge of Blue2, CIS, ITS, MaxMC, MHS, OSCAR, Philprov, Planmate, SLIQ, INSINQ, CMS and Valutech. Proficient in Microsoft Office software including: Access, Excel, and Word. I have extensive knowledge of Medical Terminology, CPT, HCPCS, ICD-9 and ICD-10 coding. Personal Strengths: Self Motivated Detailed Reliabl...
Tags for this Online Resume: Self Motivated, Detailed, Reliable, Focused, Team Player
Senior Claims Examiner, Raleigh NC
SCLA, Senior Claim Law Associate, desire is to handle complex claims and litigation.
Tags for this Online Resume: multi-line , experienced, knowledgeable, technical , expertise, trained , muti-jurisdictions , strong , tenacious
Claims Adjuster - 20 Years of Experience - Near 901-643-3015
Curlee Alexander, Jr. 5110 Judy Lynn Memphis, TN 38118 901-643-3015 curlalex22@gmail.com SUMMARY OF QUALIFICATIONS Comprehensive knowledge and experience in evaluating and analyzing provisions and exclusions of policies and benefit eligibility. Twenty years plus of exceptional performance in accident investigations, injury settlements and damage assessment appraisals. Proven leadership abilities. Experience in managin...
Tags for this Online Resume: claims, management
Claims Adjuster - 20 Years of Experience - Near 48315
Dear Claims Manager, I possess the experience managing complex claims and litigated matters that you seek. That experience includes the defense of litigation against policyholders, as well as direct litigation against the company. I have a proven track record of active management of litigation and defense counsel. I am a firm believer in the aggressive early resolution of litigation. Throughout my career, I have demonst...
Tags for this Online Resume: negotiator, casualty, litigation, coverage, commercial, TPA, claims
Claims Adjuster - 17 Years of Experience - Near 76052
I would like to work Commercial and or Large loss claims. I really enjoy complex claims as well as policy research. I have experience with all aspects of claims settlement from inside claims handling (fast path) to attorney rep files.
Claims Adjuster/Manager
Tags for this Online Resume: Manager, Complex claims, Large loss, Negotiations, Evaluator, Leader
Claims Adjuster
an opportunity to continue my work in litigation and claims management
Tags for this Online Resume: Litigation. liability, claims, insurance, supervision, complex claims, Management, Workers comp claims
Claims Investigator
Career Summary MORE THAN 30 YEARS AT ASSURANT HEALTH/FORTIS/TIME INSURANCE COMPANY. EMPLOYMENT ENDED DUE TO COMPANY CLOSING. POSITIONS HELD: CODING REVIEW ASSOCIATE/PHYSICIAN AUDIT EXAMINER, HEALTH CORRESPONDENT/APPEAL RESOLUTION SPECIALIST, MEMBER SERVICE REPRESENTATIVE, PROJECT COORDINATOR, CORPORATE COMMUNICATIONS ASSISTANT, BENEFIT ASSISTANT, DATA ENTRY CLERK, AND CLOSE CLAIMS CLERK. Accomplishments and Career Highlight...
Tags for this Online Resume: Benefit Specialist, Appeals Specialist, Quality Assurance, Claims Representative, Project Coordinator, Customer Resolution Specialist, Telecommute, Customer Service, Clinical/Code Review, Claim Investigations, Data Support Specialist, Adjustment Specialist
