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Online Resumes with "Denial Letters"
Property Claims Examiner, 7 years experience in Florida, Quality Control Supervisor, claims examiner and field adjuster
I have been working as a Quality Claims Supervisor and previous to this an inside claims examiner on a team, a field adjuster and completed Citizens MCM training. I also worked on contract with FIGA examining Homewise Preferred and Magnolia Insurance Company claims. I am seeking opportunities in a claims examiner position. I have well rounded field adjusting experience, including full adjustment, in both daily and catastr...
Administrative Assistant, 111, MHN Medical Affairs Department
Experienced Administrative Professional highly skilled to support Senior Management; Schedule urgent meetings, projects and medical reviews throughout the day, with proven ability to manage crisis calls and/or situations; Ensure the smooth day-to-day operations of the office; Manage Lotus Notes calendar for Medical Directors in different locations; Complete denial letter templates for multiple offices; BS degree in Business...
Registered Nurse
My career objective is to pursue a career in Emergency Management/Disaster Recovery or Housing with the Federal Government.
Ideal Companies: HUD, City of New Orleans, State of Louisiana, Federal Government
Medical or Health Services Manager - 20 Years of Experience - Near 33881
To obtain a Health Services Manager position within a health services environment that will utilize my communication, medical, abilities, and business administrative skills.
Ideal Companies: Professional environments.
Tags for this Online Resume: Practice Administrator, Managed Care, Medical Office Manager , Admissions Director, Business Office Manager
Registered Nurse - 10 Years of Experience - Near 85132
I have been a nurse since 1999. I worked as an LPN from 1999 until 2009 when I graduated from the University of Phoenix with my BSN. I was a part of the first graduating class of the LPN to BSN bridge at the University of Phoenix. In the clinical setting I have worked in the long-term care, sub-acute and medical-surgical settings. I began my career in managed care at TriWest Healthcare Alliance as a prior authorization nur...
Tags for this Online Resume: Phoenix, Prior Authorization, Utilization Review, Managed Care, Case Mgmt, MS Office, Medicare, Medicaid
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
Customer Service Supervisor - 8 Years of Experience - Near 94534
Summary Of Qualifications Claims Team Supervisor with strong extensive experience in claims processing. I handled 30-35 examiner in a team. Responsible for Claims Processing, managing Medicare/Medicaid and Commercial insurances, capitation HMO, PPO. Responsible for non-cover claim to support staff for issuance of appropriate denial letters and/or referral to HMO. Responsible for following up on commercial and managed care c...
Tags for this Online Resume: Budgetary, Complaints, Policies and Procedures, ADA, Ada Programming Language, Team Player, Facilitator, HR, Human Resources, Management, call center
Billing/Coding Specialist - 15 Years of Experience
Tags for this Online Resume: Complaints, Benefit Plans, Benefits, Insurance, Quality Assurance, Test, Microsoft Access, Microsoft Excel, Microsoft Outlook, Microsoft Word
