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Online Resumes with "claim operations"
Claims Examiner - 20 Years of Experience - Near 01821
Profile Operations professional who has demonstrated the ability to lead diverse teams of employees to new levels of success in a variety of highly competitive industries and fast-paced environments. Strong business qualifications with an impressive track record of more than 25 years of hands-on experience in strategic planning, business development, customer service and claims operations management.
Tags for this Online Resume: Inventory, Inventory management, Leadership, Management, Claims Adjuster, Documentation, Litigation, Insurance, Computer Aided Software Engineering, Construction, insurance, customer service, investigator
Quality Assurance Director - 20 Years of Experience - Near 60440
Summary of Experience An exceptional operations professional with more than 20 years in a healthcare setting. Established and implemented regulatory policies and procedures, quality services and revenue management metrics. Responsible for all provider claims reimbursements, satisfaction and provider contract negotiation functions and oversight. Experienced in payment software, quality audits and technical problems associate...
Tags for this Online Resume: Services, Financials, Management, Behavioral Health, Business Operations, Project Management, Project Manager, director operations, Provider Network, Claims Operation, Healthcare
Chief Operations Officer
SUMMARY OF QUALIFICATIONS Extremely dedicated and detail-oriented professional with an extensive record of improving operations in the trucking industry to achieve unprecedented cost-efficiency utilizing proven expertise in the following areas: Areas of Expertise * Cargo Loss Prevention * Cargo Theft Prevention * Crisis Management * Risk Management * Team Building & Training * DOT Compliance * OSHA Compliance * Safety Compl...
Ideal Companies: Consultant
Tags for this Online Resume: Compensation, Distribution, Occupational Safety and Health Act, OSHA, Compliance, Safety Equipment, Training, Security, Microsoft Internet Explorer, Pharmaceutical Industry
Claims Manager 12 years experience- Iowa & Oklahoma
Professional Summary Over 40+ years in results-oriented Multi-Line Claims Manager/Supervisor in commercial and personal lines insurance claims. Including performance management, policies/procedures, and streamlined claims operations.
Tags for this Online Resume: CAT, Litigation, Insurance, Insurance Claims, Management, Loss Control Specialist, investigator, Senior claims investigator, Senior Field Adjuster, Claims Supervisor
Customer Service Manager
Tags for this Online Resume: Management, Procurement, R&R Report Writer, Appraisals, Assessments, Capacity Planning, Forecasting, Planning, Process Improvement, Team Lead
Administrative Assistant
Ideal Companies: Sciegen pharmaceuticals inc
Tags for this Online Resume: Management, Procurement, R&R Report Writer, Appraisals, Assessments, Capacity Planning, Forecasting, Planning, Process Improvement, Team Lead
President - 0 Years of Experience - Near 21804
SUMMARY OF QUALIFICATIONS Extremely dedicated and detail-oriented professional with an extensive record of improving operations in the trucking industry to achieve unprecedented cost-efficiency utilizing proven expertise in the following areas: Areas of Expertise * Cargo Loss Prevention * Cargo Theft Prevention * Crisis Management * Risk Management * Team Building & Training * DOT Compliance * OSHA Compliance * Safety Compl...
Tags for this Online Resume: Compensation, Distribution, Occupational Safety and Health Act, OSHA, Compliance, Safety Equipment, Training, Security, Microsoft Internet Explorer, Pharmaceutical Industry, management, manager, Consultant, Transporation Managment, Violation, Logistics Managment, Quality Assurance, Transportation Consultant, Violation Consultant, Quality Assurance Consultant, Logistics Consultant
Claims Adjuster
Ideal Companies: insurance carriers, Insurance Agents, Insurance TPAs
Tags for this Online Resume: Insurance, Claims Adjuster, EDP, Advertising
Claims Adjuster
Tags for this Online Resume: Insurance, Claims Adjuster, EDP, Advertising
Auditor - 4 Years of Experience - Near 85022
Profile Analytical and skilled Mortgage and Real Estate professional with solid and progressive career with leading organizations including Bank of America and USAA. * Adept at creating strategies that preserve revenue, grow sales results and achieve total client satisfaction. * Deep expertise at managing residential/commercial properties including maintenance and repairs, along with budget development and oversight. * Eff...
Ideal Companies: auditor, daytona focus,
Tags for this Online Resume: Appraisals, Assessments, Asset Management, Management, Sales, Utilities, Real Estate, Insurance, Insurance Application, P&C
Chief Operations Officer
Tags for this Online Resume: Project Management, Senior Project Manager, Accounting, Business Development, Call Center, CIO, Infrastructure, Interactive Voice Response, Process Improvement, Security
Payment Integrity / Payment Review Manager, Over 19 years in healthcare adminstration a team motivator and corportate collaborator.
Accomplished professional offers extensive experience in organizational leadership and operations within the healthcare insurance industry, demonstrating particular strengths in clinical and pharmaceutical claims, customer service, business processes, project lead, and medical review. Proven management and leadership skills in developing cross-functional teams via HR processes, training, supervision, and successfully leadin...
Ideal Companies: Pharma Company, Health Insurance Company
Tags for this Online Resume: Healthcare, Insurance, Payer, Reimbursement, HIPPA, CLAIMS, Coding, Reimbursement Policies, Medical Review Policies, SOP, Facets, Clinical Review, Customer Service, Salesforce, Tableau
