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Online Resumes with "Third party administrator"
workers compensation claims examiner
High energy professional interpersonal skills loyalty
Ideal Companies: Insurance Company or Third Party administrator
Experienced Healthcare Account Manager 10 Years of Experience - Near 28209
Career Summary Accomplished professional possessing more than ten years of experience in designing, executing marketing plans, providing managed care services and offering innovative and platinum-level health care solutions to organizations. Highly skilled campaign planner and executor collaborating with clients, internal departments and vendors. Articulate communicator, insightful and compelling presenter of patient-tailor...
Ideal Companies: Premise Healthcare, HCA Healthcare, Press Ganey, Pera Health, Kaiser Permanente, Novant Health, McKession, Joerns Healthcare, Carolinas Healthcare
Tags for this Online Resume: Services, Assessments, Management, Manufacturing, ROI, Textiles, Account Manager, Managed Care, healthcare, Team Leader, Wellness Programs, Organizational development, Creative marketing, Account Management, Onsite Employee Health Clinics, Problem Solver, Population Health Management, Employee Retention, Advisor, Consultant
Claims manager/ Investigations manager - Near 85205
Areas of Expertise Claims Management Third Party Administrator Management Auto/Transportation Claims Expertise Claim Reserves Subrogation Errors and Omissions SIU Operations Special Account Management Workers Compensation Claims High Exposure Losses Arbitration Litigation
Tags for this Online Resume: Transportation, Compensation, Referrals, Workers Compensation, Training, Arbitration, investigator, insurance
Insurance Sales Manager
ACCOMPLISHMENTS * 2016 - Obtained 2 - 15 License - Life, Health and Annuities * 2015 - 2016 - Sold/Developed Print Advertising to local businesses for Sun Media Group for their magazines and newspapers. * 2014 - Thought Leader and Published Writer in a Local Magazine. * 2012 - National Publication requested ongoing content and contributions. * 2008 - Established Freelancer for Clipper Magazine. * 2000 - 2008 - Previously ma...
Tags for this Online Resume: Intranet, Management, Marketing Management, Payroll, Product Development, Public Relations, Sales, Sales Support, Support, Underwriting
Vice President - 20 Years of Experience - Near 06484
ACCOMPLISHMENTS Instrumental in turnaround of Westchester Health Care Corporation. Workers' compensation reserves were $45M+ with loss potential of $258M. Created infrastructure for a dedicated Workers' Compensation unit. Developed best practices including a third party administrator and legal team overseeing medical component of claim management. Within 9 months reduced incurred costs by $3M and held stable over subsequent...
Tags for this Online Resume: leadership, change agent, CT, CA, NY,FL, workers'comp expert, HR VP, Risk Control, cost containment, Financial, Labor Relations, Compensation, management, Vice president
Claims Adjuster - 11 Years of Experience - Near 18040
To effectively utilize my training and experience to obtain a position as Customer Service Manager.
Tags for this Online Resume: Insurance, Customer Service, Documentation, ISO, Sales, Fraud, Retail, Claims Adjuster, Lotus, Lotus Notes, Underwriting, Training, Negotiations, Patient assistance
Customer Service Manager - 20 Years of Experience - Near 60605
I am an Operations Professional with extensive experience in customer service, client relations, insourcing, outsourcing, group and consumer health programs and other benefit plans. Solid implementation and continuous improvement experience. Lean Six Sigma Green Belt Certified.
Tags for this Online Resume: Call Center, Lean Six Sigma, Defined Benefits, Process Improvement, Health Care Industry, Benefit Plans, Quality, Business Requirements, AT&T, Benefits, Outsourcing
Supervisor - 15 yeas experience - Orange County
Team-oriented and well-organized individual searching for employment as a supervisor in a department within a larger corporation or as an office manager within a smaller business. Goal focus is to help exceed company objectives and build on company philosophies.
Tags for this Online Resume: Statistics, Accounts Receivable, Receivables, Audit, Call Center, Fraud, Leadership, Management, Reconciliations, Risk Management, management, manager, assistant manager, operations, diverse, priorities, customer service, escalations, development, training, analyzing, statistics, metrics, reporting, performance evaluations, staffing, secure environments, organizational skills, time management, planning, expense reports, benefits, third party administrators, spreadsheets, excel, word processing, Product, sales support, policies and procedures
Administrative Assistant - 20 Years of Experience - Near 19701
Results oriented professional with a high level of adaptability excellent communication customer service and relationship-building skills. Hardworking professional recognized as a solid team player reliable with a positive attitude. Over twenty (20) years of demonstrated self-motivated experience in the capacity of a 'remote - telecommuting' employee for Siemens Health Services. Siemens Health Services division was acquired...
Tags for this Online Resume: Insurance, Medical, Compensation, Consulting, ADA, Ada Programming Language, Competitive Analysis, Compliance, D.O.T., Diversity
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
Lawyer - 30 years of experience
To obtain an executive position in which I can utilize my workers' compensation, risk management and insurance experience to achieve optimal results.
Ideal Companies: none
Tags for this Online Resume: Compensation, Workers Compensation, Insurance, Billing, Complaints, Management, Management Solutions, Risk Management, Litigation, Civil Litigation, Liability, Medical Malpractice, Subrogation, Excess Carrier Litigation, employment discrimination, employee grievances, mediations, settlement, subrogation, third party claims, medical malpractice, third party administrators, excess carriers, school systems, public entities, universities, hospitals, arbitration
