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Online Resumes with "FRAUD"
Registered Nurse
Professional Summary: I have been employed in long-term care for over 37 years. Positions held include Director of Nursing, Administrator, Regional Clinical Nurse Consultant, Reimbursement Nurse Consultant, Vice-president of Clinical Services and Director of Compliance. I was employed by Kindred Healthcare for over 11 years and then experienced a reduction in work-force. Initially, I held the position of District Director o...
Tags for this Online Resume: Billing, Documentation, Quality, Compliance, Fraud, Management, Policies and Procedures, Therapy, Cms, Coding
Manager
Tags for this Online Resume: Insurance, Account Management, Information Technology, Management, P&L, Business Development, Consolidations, Fraud, Help Desk, Managed Care
Human Resources Manager
Qualifications Summary Highly-motivated, results-oriented visionary and strategic professional with an exceptionally strong track record for bringing innovative and creative ideas to operational challenges particularly effective in employee engagement, organizational change, designing procedures, implementing programs and building infrastructure to reflect and preserve the unique culture of an organization * Systematically ...
Tags for this Online Resume: Child Care, Compliance, Licensing, Performance Evaluations, Program Manager, Benefits, Employee Relations, Fraud, Medicare, Retention
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
Administrative Assistant - 11 Years of Experience - Near 97302
Summary_______________________________________________________________ Accomplished, detail oriented professional with a solid history as an administrative assistant to the Directors of Pharmacy of two hospitals systems in Portland, Or. I am skilled in analyzing government documentation and guidelines, public speaking, teaching, mentoring, as well as claims processing and auditing including fraud, waste, and abuse investiga...
Tags for this Online Resume: Administrative Assistant, Audit, Billing, Cms, Documentation, Fraud, Management, Medicare, Microsoft Excel, Microsoft PowerPoint
Insurance Fraud Investigator
Auditor - 9 Years of Experience - Near 32277
I am a motivated results-oriented professional accountant with experience in government consulting and management. My expertise includes data analysis problem-solving auditing and assurance services fiscal monitoring compliance and management oversight. I am seeking a full-time opportunity where my training and expertise could be leveraged for the organization's growth and development.
Ideal Companies: Government, Private Sector, Banks
Tags for this Online Resume: Management, Services, Audit, Risk Assessment, Analytical Skills, Assessments, Fraud, Internal Controls, Program Management, Research
Network Administrator
Detroit Water & Sewerage Department 10/2015 - 02/2016 40+ HRS. Payroll tester Supervisor: (Name and Phone #) Detroit Water and Sewerage Department (DWSD) is the third largest provider of high-quality drinking water and wastewater treatment services in the United States. Documentation of the Test Plan, testing methodology, Test Cases and Test Scripts, Defect tracking using Quality Center, Test Director and Rational Clear Que...
Tags for this Online Resume: Security, Assessments, Distribution, Fraud, Information Security, Performance Testing, Project Management, Project Manager, Test, Active Directory
Sales Manager
Summary of Qualifications: Extensive background in general management, operations and marketing/sales as a senior executive. Specific experience in strategic/practical planning, business development and operations management in commercial, retail and audit/risk areas. Selected Accomplishments: Increased sales volume by 25% and net profit by 16% in cellular phones sales, now fourth largest cellular phone store in Northeaster...
Tags for this Online Resume: Asynchronous Transfer Mode (ATM), Audit, Banking Industry, Bilingual, Business Development, Cellular, Commercial Loans, Credit Card, Credit Cards, Deposits
Lawyer
Tags for this Online Resume: Fraud, Labor Relations, Licensing, Litigation, Long Term Care, Managed Care, Nursing, Insurance
Excellent insurance sales experience with the constant balance of underwriting (company) and service (client).
My career objective is to obtain financial position within either the Insurance or the Banking industries offering a full-time, direct employee position. I welcome responsibly and have experience managing each market to operate at full staff capacity; a proven record of achieve or exceed business goals.
Ideal Companies: USAA, Amica Insurance, Allstate Insurance, Wells Fargo, UnitedHealth Group, BB&T, Bank o America, & ect...
Tags for this Online Resume: analyze risk, profitability, retention, counseling borrowers, advanced verbal and written communication skills, relationship-building skills, marketing, integrity, manager experience, proven sales experence
Analyst
Tags for this Online Resume: Loss Prevention Analyst, Fraud Investigator
