CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "appeals "

Customer Service Representative

HIGHLIGHTS OF QUALIFICATIONS * Well-versed in accounts management, collections, A/R with demonstrated knowledge of various healthcare CRM platforms * Proven ability at grasping the knowledge and value for a product or service eloquent and articulate in effective communication * Resourceful and detail-oriented skilled in quickly engaging others, establishing rapport and developing strong relationships * Creative and analytic...

Tags for this Online Resume: Dental, Account Management, Accounts Receivable, Dentrix, Communication Skills, Customer Relationship Management, Customer Service, Diversity, Drafting, Financial

Lawyer

Summary * Licensed in California and Nevada. * Expertise in complex and high-value cases. * Comprehensive experience and success during all stages of litigation including trials to juries and the bench administrative hearings throughout discovery on appeal and in the alternative dispute resolution process. * Extensive background in applicant and defense workers' compensation representation. * Broad civil litigation experien...

Tags for this Online Resume: Civil Litigation, Workers Compensation, Personal Injury, Jury Trials, Arbitration Mediation, Insurance Defense, San Francisco Bay Area, Supervising, Microsoft Office, Legal Research, Leader, Managing, Writing, Appellate, Negotiation

Case Management Manager - 15 Years of Experience - Near 20603

PROFESSIONAL SUMMARY A successful, highly effective healthcare leader with over 20 years of clinical, and administrative hospital leadership experience. Innovative, and progressive facilitator of successful change through interpersonal, analytical, and team problem solving. Highly skilled, professional, multi-medium communicator. AREAS OF EXPERTISE * Able to successfully lead, train, and organize multiple specialties/discip...

Tags for this Online Resume: Cardiovascular, Nursing, Computer Aided Software Engineering, Management, Emergency Room, ER, Integrate, Medical, ACLS, Automobile Claim Law Specialist, Washington DC,MD, VA

Lawyer - 15 Years of Experience - Near 33411

Areas of Expertise * Litigation * Copyright * Trademark * Insurance * Arbitration * Administrative Practice and Procedure * Appeals *Mediation *Public Speaking

Ideal Companies: litigator, arbitrator, west palm beach focus,

Tags for this Online Resume: Insurance, copyright, trademark, litigation, appeals, Arbitration, Litigation, Integrate

Compliance Manager

Insurance * Managed Corporate and Regulatory Compliance (led to 82% reduction in consumer complaints, reduced appeals 34%, and UM cases were reduced 12%) * Implemented privacy program to minimize risk and ensure confidentially of Protected Health Information (PHI). In two years reduced privacy complaints 66% * Assist in the negotiation of vendor contracts with Operations and Legal (led to 24% reduction of fees) * Implemente...

Tags for this Online Resume: Complaints, ERISA, Multi-line Insurance, Fraud, Waste & Abuse, Policies and Procedures, Cross Functional Management, Enterprise Risk Management, Risk Management, Consulting, Compliance, Privacy, HIPAA, GLBA,, Ethics and Code of Conduct, Chair Compliance Committee, Self Funded Insurance, Appeals and UM Review, profit and loss analysis, metrics and analytics, Leadership

Lawyer - 20 Years of Experience - Near 71957

Summary of qualifications Arkansas Law License: ABN 79108 in good standing STATUS - INACTIVE - Retired June 2014. Summary of Experience & Qualifications ** Thirty-four (34) years experience in the practice of law as of June 30, 2014 (estate planning, state income, sales and miscellaneous tax laws, federal income tax law, criminal, real estate, contracts, probate, small business development, personal injury and tort law) ** ...

Tags for this Online Resume: Insurance, Accounts Payable, Management, Payroll, Real Estate, General Practice, Estate planning, Planning, Annuity, Settlements

Manager

Accomplishments Product Manager for online B2C/B2B startup developing household streaming video configuration tool, addresses 700,000 combinations of services, sources, platforms and home network considerations scope is end to end, all things product. End-to-end Product Manager for industry first Connected Home/Lifestyle initiative by nation's largest independent telecom carrier with 13 million consumers. Scope covered conc...

Tags for this Online Resume: Product Development, Product Management, Product Strategy, Middleware, Denver, Dallas, SOC

Lawyer

Litigation Represented major insurance companies nationwide in all stages of multi-million dollar coverage litigation on claims arising out of: environmental and asbestos contamination construction defects industrial injuries long term exposure to toxic substances motor vehicle/trucking accidents homeowner and premises liability professional malpractice reinsurance and bad faith. * Prosecuted and defended personal injury an...

Tags for this Online Resume: Litigation, Management, Product Liability, Real Estate, Reinsurance, Settlements, Advertising, Drafting, Fraud, Insurance

Customer Service Manager - 14 Years of Experience - Near 85041

HIGHLIGHTS OF QUALIFICATIONS: Accomplished Program Manager / Business Manager and Call Center Management Professional offering over 20 years of successful performance, proven proficiency and accomplishments in: * Senior Benefits Advisement/Consulting - Arizona State Retirement System * Healthcare / (Medicare/Medicaid) Supervisory Experience and general back ground of Appeals & Grievances - US Health Dept. * Project & Busine...

Tags for this Online Resume: Bilingual, Call Center, Customer Service, Training, Cms, Medicare, Insurance, Management, Benefits, ACD

Lawyer - 9 Years of Experience - Near 90014

Tags for this Online Resume: Attorney, Legal, Research, Litigation, Appeals