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Online Resumes with "claims administration"



director

Managed Care operations professional with a 19-year track record of productivity improvements in claims, customer service, quality and finance. Continual high ratings in people management, project management, analytics and creative problem solving.

Ideal Companies: Blue Cross and Blue Shield, United, Aetna, CareFirst,

Tags for this Online Resume: management, operations, projects

Featured Profile

Director Risk Management or In-House Counsel - 17 Years Experience - San Diego, Las Vegas, Los Angeles

I am a Senior Risk and Insurance who holds a Law Degree and has 23 years experience in Risk and Insurance Management and the provision of legal services to University of California locations at UCLA, UCSC, UCSF and the Lawrence Berkeley Laboratory,Tremco Incorporated, and the Ohio State University Medical Center. I have a broad knowledge of self-insured and insured claims administration and third party claims administrator...

Senior claims adjustor, 12 years experience. Sacramento

To secure a position in the Sacramento area Workers' Compensation industry

Tags for this Online Resume: legal, claims administrator, analyst

Featured Profile

Business Analyst, Vancouver, WA

Dealing with clients to identify computing needs and appropriate solutions.

Ideal Companies: ADP Dealer Services, Jenkon, Inc., Columbia Ultimate

Tags for this Online Resume: ARP, Visio, Pick, SQL Server, Programmer, Analyst, SB, RPG, Python, DataBasic, Word, Excel, UML, Pascal, PGPencryption

Liability Claims Management - 20+ years experience Supervising liability claims (including litigated files). Claims Negotiator - evaluation of high-value, complex and litigated liability injury claims.

With my extensive experience, I anticipate moving up into a Claims Administration position to help my employer improve their financial administration and budgeting.

Tags for this Online Resume: Claim comliance & cost avoidance, Proficient CDI knowledge, ExperiencedTeam leader, Good Customer service skills , Excellent training skills, Pre-litigated claims strategies, Claim compliance & cost avoidance, Proficient in CDI procedures/knowledge

Featured Profile

Senior Benenfits Manager - 5 years experience

Human Resources Director with 5+ years experience in designing compensation packages inclusive of salary/bonus plus benefit selection, employee relations, performance review, writing policy and procedures, updating employee handbooks for compliance with state and federal labor standards, record maintenance, staffing and training program development, and conflict resolution.

Ideal Companies: Humana, Home Depot, Lowes, Pet Smart, Target Corp, Chilis, Wells Fargo

Tags for this Online Resume: Healthcare, Hospitality, Customer service, Financial

Internal Auditor Healthcare Claims Administration - SSAE16

I would like to remain in the healthcare industry for the remainder of my career.

Tags for this Online Resume: Healthcare, Auditor, QA, Claims, Benefits, SSAE16

Featured Profile

Physician executive with MBA, persuasive and accomplished, used to working under pressure with high visibility

Motivated, personable medical professional with an MBA and a powerful track record of academic and business successes ranging from starting companies to serving in highly-visible and executive roles in multi-million dollar, publicly traded corporations. Highly popular and effective team player. Able to connect with almost anyone quickly. Accustomed to developing solutions, often under time constraints. As a physician wi...

Ideal Companies: IIBM Watson Health, Denver, Colorado area-based healthcare institutions, as well as (perhaps) medical IT companies, such as Cerner, McKesson, and Epic.

Tags for this Online Resume: Physician, clinical, leadership, IT, information technology, electronic health record, electronic medical record, CMIO, chief medical information officer, medicine, healthcare, healthcare IT, healthcare information technology, medical informatics, business, business development, management

Senior Claims Administrator

I am a Senior Claims Administrator who has 5 years experience in personal injury cases and claims.

Director of Human Resources - 15 Years of Experience - Near 23452

An effective team player and strategic HR Business Partner with 16 years HR expertise and a high level of energy and enthusiasm to work through multiple business priorities, employee issues and work related challenges to achieve positive results. Possess exceptional communication, interpersonal, negotiation and conflict management skills along with the ability to influence behavior and facilitate win-win outcomes. Success...

Tags for this Online Resume: Benefits & Claims Administration, Employee Relations & Grievance, Performance Management & Career Development, Certified Senior Human Resources Professional (SPHR), HR Policy Design, Talent Management, Recruitment & On-boarding, HR Technology (HRIS), Organizational Design & Development (OD&D), Process Re-engineering & Change Management, HR Outsourcing, Exit Processing, Succession Planning

Featured Profile

Compliance Officer - 10 Years of Experience - Near 20866

Ensure compliance and promote the best interest of the company and its employees to the best of my ability.

Ideal Companies: AARP, United Health, World Health Organization

Tags for this Online Resume: communications, health admin, claims, Medicare, Medicaid, Managed Care, Systems, C, MS Project

Featured Profile

Health Plan Manager 20+ years exp. Near 93536

I am seeking a senior position in the health and welfare benefits industry focusing on operational management and process improvements.

Ideal Companies: Anthem, United Health Care, Health & Welfare Plans. Possible human resource companies

Tags for this Online Resume: claims processing, Health Care Reform knowledge, Affordable Care Act, CPT, ICD9-10, Health Plan Benfits Administration, Team Building, leadership, Vendor Contract