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Online Resumes with "TPA "
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 - 20 Years of Experience - Near 76114
Qualifications Extensive experience in nearly every aspect of the insurance industry, including managed care in a variety of settings from HMO's and TPA's to providers and workflow software vendors. Strong practical foundation in creating and improving processes and procedures to meet audit and regulatory requirements, as well as improve the work environment. Proven success in writing RFP's, bid proposals, project managemen...
Tags for this Online Resume: Insurance, Management, Documentation, Retention, Software, ACH, Billing, Customer Relationship Management, Product Development, Project Coordinator
Claims Examiner - Over 20 Years of Experience - Near 30005
Managed large claim issues in these 3 Regional Offices for specific contract clients on national level for multi-line coverages. Reported complex and highly technical claims to carriers, clients, insureds and self-insureds with evaluation, reserve analysis, recommendations and action plans for conclusion. Conducted and scheduled file audits and acted as mentor to local adjusters. Coordinated with corporate managers, brokers...
Tags for this Online Resume: Settlements, Compensation, Product Liability, Appraisals, Claims Adjuster, Cms, Insurance, Litigation, Trend Analysis, insurance
Human Resources Manager - 9 Years of Experience - Near 85282
Experienced with employment law and benefits Skilled in cultivating positive relationships with clients and colleagues particularly adept in communicating with clarity and diplomacy to individuals from diverse cultural and organizational backgrounds. An organized, detail oriented and conscientious self-starter able to stratagize and prioritize effectively to accomplish multiple tasks and stay calm under pressure Absence Lea...
Tags for this Online Resume: Recruiter, Accounting, Advertising, Benefits, Budgeting, Business Development, Coaching, Compensation, Compliance, Documentation, business partner
MGU - Director of Operations for 3 years, TPA - VP Marketing & Reporting Services
QUALIFICATIONS: As Director of Operations, responsible for overseeing the daily operation, at the direction of the President. Additional responsibilities included interviewing potential candidates, hire, human resources support, payroll reporting, enrollment, and benefits. As VP of Marketing & Reporting Services, I reporting to carriers and clients monthly, completed client monthly, quarterly, and/or annual reviews.
Tags for this Online Resume: Cobra, Evaluate, Quality Assurance, Test, Benefits, Human Resources, Payroll, Research, Managed Care, Stop Loss, TPA, MGU, Operations, Auditor, Stop Loss,, Self funding
Experienced multi-line claims adjuster
Results oriented professional with demonstrated assets, including analytical, quantitative, interpersonal, Computer, negotiation and innovative problem solving skills seeking claims administration position with leading insurance or reinsurance company. Candidate possesses 20+ years of experience in the claims administration, risk management, financial analysis, client service and operations. Skilled in management of peopl...
Ideal Companies: Chubb, American International Group, Sompo International
Tags for this Online Resume: Audit, Program Manager, Management, Insurance, Litigation, insurance, investigator, negotiation, client service, TPA Oversight,, Analysis, Computer, sales, employee benefits, health benefits broker, Coverage
Director of Quality
CAREER SUMMARY A proactive director with extensive multi-industry experience installing safety, claims and environmental programs for companies with regional and national operations bases. Known for developing cohesive, relevant strategies to control cost-of-risk across firms with fluid, entrepreneurial environments. An excellent organizer and communicator with extensive experience in upstream oil/gas [SEMS II (API 75)], li...
Tags for this Online Resume: Amazon Elastic MapReduce, API, Application Program Interface, ARM, Associate in Risk Management, AST, Benefits, Chip Scale Packaging (CSP), Compensation, Construction
Claims Adjuster - 20 Years of Experience - Near 03844
and Worked independently to skillfully manage TPA office for the New England Region. Responsible for handling Professional and General Liability claims involving heavy exposure and complex issues. Evaluation of liability, negligence, causation, and damages. Identified and noticed third party liability candidates. Prepared full captioned reports with opinions as to the disposition of a claim. Conducted telephone and personal...
Tags for this Online Resume: Settlements, Long Term Care, Medical, Medical Records, Statistics, Audit, Insurance, Litigation, Consulting, Sun
Human Resources Administrator
SUMMARY Human Resources Benefits professional with multi-company knowledge focused on Defined Benefit/Contribution, Deferred Compensation, Health & Welfare Plans, Payroll and Labor Relations with multiple Union (s). Strategist and facilitator with strong organizational, written and interpersonal skills who is able to motivate and lead a team through collaboration, process engineering and drive the company to achieve goals a...
Tags for this Online Resume: Benefits, HR, Human Resources, Systems Administrator, Acquisitions, Budgeting, Cms, Cobra, Compensation, Compliance, benefits
Insurance Sales Representative
A Houston native who began his insurance career with Prudential then on to Fireman's Fund as small group specialist. Moved to West Texas and began working with a national TPA and startup of a legal reserve life insurance company specializing in health insurance for small group medical plans that were offered in 35 states. Moved to Dallas as the Senior Vice President for the TPA. The TPA was purchased by a national firm and ...
Ideal Companies: Self, Teladoc, USI
Tags for this Online Resume: Benefits, Health Insurance, Insurance, Life Insurance, Social Media
Construction Laborer
http://goffcommunications.com/ Tower mods, decomms, new-builds, upgrades, audits, integrations, and maintenance. Responsible for all aspects of project completion, including timely and accurate close-out package submissions, exceptional quality of work, effective crew management, inventory control and accountability, abiding by allocated project hours and budget constraints, the enforcement of safety guidelines without exce...
Tags for this Online Resume: Management, Medical, CIS (Ibm Customr Info Sys), Information Technology, Sales, Software, Technical Sales, Visual Basic, BASIC Programming Language, C++ Programming Language
Claims Examiner - 20 Years of Experience - Near 30087
To continue my career with an organization that will capitalize on my Claims handling, Project Management, Claims Analysis, Training and Supervision skills to benefit our mutual growth and success.
Tags for this Online Resume: Audit, Insurance, Management, Arbitration, Litigation
