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Online Resumes with "claims Examiner"



Claims Examiner - 15 Years of Experience - Near 07307

Tags for this Online Resume: Management, Networking, Business Analysis, Business Analyst, Documentation, Front Office, Securities

Claims Examiner

Tags for this Online Resume: Filing, Skip Tracing, Business Plan, Business Development, Internet, Management, Microsoft, Microsoft Excel, Microsoft PowerPoint, Microsoft Windows

Claims Examiner - 11 Years of Experience - Near 46410

To obtain a position within an organization that will utilize my strengths as well as my experiences, which will be best utilized to the benefit of the company in an environment, where the ability to grow and Develop is encouraged and emphasized

Tags for this Online Resume: Benefits, Call Center, Complaints, Scheduler, Scheduling, customer service healthcare, Benefis, Call center, scheduler, payment posting, invoicing

Claims Examiner - 9 Years of Experience - Near 78411

Summary I have been an Insurance Adjuster for over 35 years. I have a Texas Insurance Adjuster multi-line license. I am also speak English and Spanish. I present reports to clients and handle issues and complaints for insureds and claimants. I write and review auto, dwelling and commercial estimates for damages. I also use judgment regarding property damage and engage in negotiations to resolve problems with dwelling and co...

Tags for this Online Resume: OSHA, Risk Manager, SAN (Storage Area Network), Appraisals, Claims Adjuster, Insurance, Settlements, Complaints, English Language, Estimations

Billing/Coding Specialist - 20 Years of Experience - Near 34677

SUMMARY Seeking a position as a Claims Examiner. Skilled in all aspects of evaluating and processing medical, vision, dental, flexible spending accounts and prescription claims with a high degree of accuracy. Possess strong computer skills, especially with Microsoft Word, Excel, and PowerPoint. Strengths are my ability to communicate with various levels of internal and external clients. These abilities are complemented by s...

Tags for this Online Resume: Audit, EDI, Electronic Data Interchange, Medicare, sheets, Claim Processing, Customer Service, Insurance, Nursing, RIMS

Claims Examiner - 18 Years of Experience - Near 48334

Qualifications: My strengths include strong leadership skills, communicating effectively with the public and employees. My daily responsibilities also include claim operations and managing claims in the State of Michigan and our Regional market as well as making use of the knowledge of potential fraudulent activities.

Tags for this Online Resume: Guardian, Guardian (Comm Net Sw), Insurance, Insurance Claims, Billing, Audit, Budget Preparation, Budgeting, Call Center, Filing

Claims Examiner - 1 Years of Experience - Near 75002

Seeking a challenging position in an industry where I can utilize my experience and professional work skills in pursuit of a progressive career.

Tags for this Online Resume: Referrals, Claims Adjuster, Insurance, Insurance Claims, Accounting, Accounting Records, Real Estate, Software, Microsoft, Microsoft Office, Xactimate

Claims Examiner - 20 Years of Experience - Near 75087

PROFILE Claims and Safety leader with diverse experience. * Strong background in multi line claim and risk management, customer relationships, problem solving and regulatory compliance. * Extensive knowledge of multiple state laws in workers' compensation and disability duration reduction. * Skilled in risk management strategies, program implementation, risk profiles, incident trending and predictive analytics.

Tags for this Online Resume: Management, Risk Management, Analytical Skills, Audit, Compensation, Dba (Database Admin), Insurance, Outsourcing

Claims Examiner - 13 Years of Experience - Near 28560

Summary of Qualifications * Excellent Customer Service Skills * Able to learn quickly and work well under pressure * Excellent problem solving skills with a talent for negotiation, thinking outside the box as the same time making sure that things all fall within the guidelines of the specific contract or company policy. * Driven and motivated to excel and succeed within an organization

Tags for this Online Resume: Project Coordinator, Scheduling, Litigation, Accounting, Accounts Payable, Accounts Receivable, Administrative Assistant, Payroll, Claims Adjuster, Management, Poject Coordinator, Creative, Service Driven, Motivated

Claims Examiner

Tags for this Online Resume: Coding ICD-9 and ICD-10 codes, Medicare billed Medicare for 9 different ambulance, fire dept's and rescue squads services, Billing experience in all insurance billing, Insurance yes, Receivables yes, for a 2, million dollar a year ambulance service, Documentation reviewed before billing, Medical worked in hospital and home health many years ago, Medical Records mailed records to lawyers and to state agencys, Planning

Social Science Teacher - 17 Years of Experience - Near 30008

Professional Summary: Seasoned professional with over twenty years experience as an Administrator, Trainer, Teacher, Claims Examiner, and Customer Service Sales Representative, with an "innate" ability to recognize needs and present workable solutions. Selected accomplishments: * Provided Diversity Training for the Bellsouth EEO program in the southern region * Facilitated curriculum for the Criminal Justice Program at Tunx...

Tags for this Online Resume: Policies and Procedures, Benefits, Medical, Medical Records, Customer Service, Filing, Insurance, Coding, Rehabilitation, Support

Claims Examiner - 10 Years of Experience - Near 30052

Summary of Qualifications Twenty-Five years of progressive experience in the health insurance industry. Extensive knowledge of reimbursement methodologies, claims payment analysis, quality assurance. Proven ability to effectively resolve issues through superior customer service techniques and analytical skills. Ability to prioritize and multi-task to achieve productive outcomes. Proficient operations of QCARE and ACARE clai...

Ideal Companies: anthem

Tags for this Online Resume: medicare/medicaid, medical claims, claims adjuster, customer service, hospital, professional, Acceptance Testing, Clarify, COB, Documentation, Health Care Industry, Inventory, Medicare