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Online Resumes with "TPA "
Insurance Sales Manager - 0 Years of Experience
Qualifications: Positive motivating team player Excellent interpersonal and leadership skill Strong work ethics Proficient in Health & Welfare compliance Over 20 years' experience in group benefits & client service Bilingual English/Spanish California Insurance License number OB02048 (Life, Accident & Health, Fire & Casualty)
Tags for this Online Resume: Benefits, Customer Service, HR, Human Resources, Insurance, Management, Bilingual, Compliance, employee benefits, benefits consultant, group benefits associate, group health benefits, customer service
Construction Trade Worker Manager - 25 Years of Experience
Summary of Qualifications: * Over 20 years of experience in the construction industry DOD US GOVERNMENT ACTIVE top secur ity clear an ce * Completed projects for waste water treatment plants, nuclear power stations, steam and gas combined cycle generation plants, United States Embassy overseas waste water treatment plants, industrial facilities and infrastructure projects * Accomplished administrator of corporate/project/cl...
Tags for this Online Resume: Project Management, Project Manager, ABS, Amazon Web Services, Distribution, Government, Test, Water Treatment, Welding, nfpa
Insurance Underwriter - 20 Years of Experience - Near 01867
Tags for this Online Resume: Compensation, Underwriter, Workers Compensation, Billing, Services, Budgetary, Customer Service, HR, Human Resources, Inventory
Accountant - 20 Years of Experience - Near 76039
Tags for this Online Resume: Insurance, Accounts Payable, Financial, Financial Statements, Health Insurance, Accruals, Internal Controls, Reconciliations, Account Reconciliation, Accounting
Senior Vice President Payment Transformation, Vice President Managed Care, Network Development, Contracting and Provider Relations - 20+ years Experience, Kansas
I am searching for a progressive organization that is moving from pay for volume to paying for value. I have built a prospective bundled payment program for the ambulatory setting. I've also partnered with Oracle to co-develop a technology platform to automate the payment of prospective and retrospective bundles. I have negotiated bundled payments, shared savings arrangements, bundled payments, FFS, case rates and PCMH ...
Ideal Companies: UHG, Humana, Blue Cross Blue Shield, Lumeris, Adventist Health System
Tags for this Online Resume: contract negotiations, network development, value based contracting, managed care, ACO, clinical integration, Compensation, Prospective Bundles Program, Commercial, MA and Medicaid
Director of Human Resources - 0 Years of Experience
Distinguished HR professional, highly motivated with strong leadership and relationship-building skills including Employee Relations. Enthusiastic leader with strong abilities to work individually and with a team offering extensive background in different jobs environment and Industries. Highly ambitious with background in negotiation, recruitment, conflict resolutions, benefits administration and consulting skills. profes...
Tags for this Online Resume: Complaints, Labor Relations, Management, HR, Human Resources, Recruiting, Benefits, Policies and Procedures, Benefits Administration, Audit
Director
Tags for this Online Resume: Cms, Consulting, Management, Management Solutions, Medicare, Networking, Policies and Procedures, Project Management, Project Manager, Risk Management
Featured Profile
Ricardo Church Claims Manager, San Diego
Accomplished Liability Claims Director with experience in financial analysis, planning, and claims management; Leverages experience and relationship-building skills to manage teams of adjusters to effectively navigate pressing client and company issues; an analytical professional who learns quickly, develops expertise, and produces immediate contributions in systems, analysis, and financial operations; demonstrated expertis...
Ideal Companies: Qualitas, Corvel, AAA Insurance, Farmers, Wawanesa, State Farm, Anchor General
Tags for this Online Resume:
Claim Processing, Insurance, Medical, Medical Terminology, Payroll, Underwriting, Management, Project Management, Project Manager, insurance claims management
Claims Examiner
Ideal Companies: Walmart , best Buy
Tags for this Online Resume:
Accounting, Litigation, Private Client, Settlements, Compensation, EDI, Electronic Data Interchange, Workers Compensation
Featured Profile
Healthcare Executive
Results-oriented leader with proven experience in business development and management of sales, account management and marketing organizations for health care companies.
Ideal Companies: Anthem, CIGNA, Centene, Kaiser, AETNA, MetLife, Pacific Life,
Tags for this Online Resume:
Benefits, Management, Operating Budget, ROI, Business Development, Consulting, Health Care Industry, Enterprise Sales Leadership, Commercial Insurance Products, Medicare and Medicaid Markets, Business Planning, Profit and Loss, Strategic Selling, Account Management, CRM Systems, Employee Benefits Consulting
Claims Investigator - 4 Years of Experience - Near 66212
Tags for this Online Resume:
Reinsurance, Insurance, Audit, Compensation, Billing, Budgeting, Project Management, Project Manager, Quality, Quality Assurance
Ricardo Church Claims Manager, San Diego
Accomplished Liability Claims Director with experience in financial analysis, planning, and claims management; Leverages experience and relationship-building skills to manage teams of adjusters to effectively navigate pressing client and company issues; an analytical professional who learns quickly, develops expertise, and produces immediate contributions in systems, analysis, and financial operations; demonstrated expertis...
Ideal Companies: Qualitas, Corvel, AAA Insurance, Farmers, Wawanesa, State Farm, Anchor General
Tags for this Online Resume: Claim Processing, Insurance, Medical, Medical Terminology, Payroll, Underwriting, Management, Project Management, Project Manager, insurance claims management
Healthcare Executive
Results-oriented leader with proven experience in business development and management of sales, account management and marketing organizations for health care companies.
Ideal Companies: Anthem, CIGNA, Centene, Kaiser, AETNA, MetLife, Pacific Life,
Tags for this Online Resume: Benefits, Management, Operating Budget, ROI, Business Development, Consulting, Health Care Industry, Enterprise Sales Leadership, Commercial Insurance Products, Medicare and Medicaid Markets, Business Planning, Profit and Loss, Strategic Selling, Account Management, CRM Systems, Employee Benefits Consulting
