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Online Resumes with "Grievances Appeals"



Grievances and Appeals Manager

CEO

The Thomas Edison of HR

Excellent leader with 15+ years in HR environments and 10+ in operations, MBA-Great compliment to each other.

Ideal Companies: OPEN

Tags for this Online Resume: Human Resources, Operations, Chief, vice president, Director, Program Management

Results Driven Human Capital and Organization Management

To obtain a position in the Human Resources field where I am able to use my knowledge, skills, and abilities in a diverse work group where I can help an organization meet/exceed goals.

Ideal Companies: Iron Mountain, Georgia Pacific, State Government, Federal Government, City Government, Kaiser Permanente, Coca-Cola Enterprises, Coca-Cola, Archives America, Colleges, Universities

Tags for this Online Resume: training, classification, safety, records management, organizational development, HRIS, benefits, compensation

Professional Health Insurance & Claims Adjuster

My ideal job in Health insurance is to achieve solid sales growth, and acquire new clients while maintaining current clients. As a claims adjuster I'm seeking opportunity to utilize my current experience with a company that is growing to provide me the opportunity to advance my skills.

Ideal Companies: I would like to work with any company that I can utilize my professional skills whether it's health insurance or claims adjuster that will offer stability and growth.

Tags for this Online Resume: claims adjuster, health insurance sales, worker comp, Property, Casualty, Interqual Criteria, IC-9, Xactimate, citizen certification

Medical Plan Administrator, Patient Advocate, Appeals and Grievance coordinator

To most fully utilize the following skills: Expertise with group medical and dental plans, group term life insurance, accidental death and dismemberment plans and flexible spending account (FSA) plans; Expertise navigating and utilizing Summary Plan Descriptions and Plan Documents; Oral presentation and trainer skills; Data entry auditor; Highly organized, analytical, thorough and extremely detail conscious

Tags for this Online Resume: medical plan administrator, patient advocate, trainer, grievance and appeals, auditor, health and welfare, health and welfare group plans

Managed Health Care Analyst

With an extensive 14 year background in Managed Health Care and a Certification in Project Management, I am seeking a position that will allow me the opportunity utilize my knowledge and experience as an Insurance Analyst.

Tags for this Online Resume: Health , Health Insurance, Managed Health Care, Disability Insurance, Grievance and Appeals, Health Insurance Claims, Health Care Analyst

Featured Profile

Excellent Customer Relations

Of particular note for you and the members of your team as you consider this placement are my strong communication skills both written and verbal, flexible problem solving ability and endless resourcefulness.

Ideal Companies: real estate, property management, human resources

Tags for this Online Resume: property management, real estate, customer service, leasing

Grievance and Appeals Coordinator - 20 Years of Experience - Near 91504

Interested in seeking a challenging and rewarding position as an Appeals & Grievance Coordinator, Compliance Liaison/Coordinator or a Provider Relations Coordinator, where my customer service and analytical skills can be utilized to enhance the service levels of the organization.

Tags for this Online Resume: Los Angeles, Microsoft Office, Excellent Verbal Communication Skills, Excelleqnt Presentation Skills, Exceptional Writing Skills, Detail Oriented

Claims Examiner - 20 Years of Experience - Near 11356

Seeking a corporation that holds growth, advancement, along with longevity to allow utilizing the knowledge gained throughout the business industry. Experience upholding business professionalism with a strong in-depth background with the healthcare industry. This particular professionalism taught me experiences learned to apply within any industry.

Tags for this Online Resume: Analyst, Investigator, Research, Lecturer, Medical Instructor, Communication Skills, Health Care Industry, Health Insurance, Insurance, Medicare, Administrative Assistant, Billing, Claim Processing, Coding

Medical Office Manager - 8 Years of Experience - Near 33069

Detail-oriented, dedicated and energetic professional with 10+ years of successful experience. Committed in maintaining a reputation based on customer service, quality, and effective leadership. Currently seeking a position where I can effectively utilize my skills, abilities, and expertise as follows: * Team Lead/Oriented * Supervise/Mentoring * Medicare/Medicaid * Team building/Coaching * Operations Management * Strategic...

Tags for this Online Resume: Complaints, Customer Service, Negotiation Skills, Retention, Team Lead, Call Center, Microsoft, Microsoft Access, Microsoft Excel, Microsoft Office

Manager

Experienced with Health Maintenance Organization complaint, grievance and appeal processes. Implemented Workforce management technology for call center staffing. Developed and designed monthly reports that depicted key Customer Service and Mail Center Indicators for Senior Management and the Board of Directors at MDNY Healthcare. Worked with the IT department to design and develop an in-house system to track customer calls ...

Tags for this Online Resume: Purchasing, Quality, Quality Assurance, Staffing, Staffing & Recruitment, Strategic Planning, Test, TQM (Total Quality Management), Workforce Management, Written Communication Skills