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Online Resumes with "claims administration"
Customer Service Manager
High energy manager with excellent experience and leadership skills, dedication and a willingness to be sure that objectives are met, creative, loyal.
Ideal Companies: FedEx Accredo Blue Cross/Blue Shield
Tags for this Online Resume: Customer Service Manager, Healthcare, Insurance, Account Management
Director of Human Resources - 15 Years of Experience - Near 20736
Highly knowledgeable and progress-driven professional with extensive experience directing/supporting HR operations and particular expertise in compensation/benefits analysis and administration. Outstanding success building departments from the ground up, overseeing rapid domestic and international growth, integrating and aligning corporate objectives with individual goals, and enhancing employee morale. Consistent top perfo...
Ideal Companies: Technology, financial services, human resources consulting
Tags for this Online Resume: Washington DC Metro , Leadership, Mergers , Benefits, HR Transformation, Talent Management, Employee Relations, HR Business Partner, HR Operations, HRIS, Recruiting
Project Manager - 20 Years of Experience - Near 78799
Business Process Management • Product & Project Management • Business Systems Analysis Highly accomplished senior manager with a wide range of experience in technology project management and business process analysis in workers’ compensation insurance systems, property and casualty (P&C) underwriting and claims administration, mortgage banking, mortgage loan servicing, and savings and loan operations. Offer deep ...
Tags for this Online Resume: Austin, TX, Project Management, Business Systems Analyst, Business Process Transformation, Strategic Systems, IT Transformation and Standardization
Claims Adjuster
Summary Result oriented insurance professional with experience in processing, monitoring and adjusting claims. Particular expertise in workers compensation within a multi-state jurisdiction. A keen problem solver who is organized and detail oriented. Recognized for ability to earn trust, respect and build relationships with clients, identify false and non-compliant injuries, and assess and quickly set priorities. Consolidat...
Tags for this Online Resume: Benefits, Compensation, HR, Human Resources, Insurance, Management, Monitoring, Referrals, Scheduling, Security
Billing/Coding Specialist - 9 Years of Experience - Near 45237
Summary: Dependable and professional Medical Claims Administrator with 10+ years experience in processing and coding medical and vision claims, ensuring all required criteria are met before eligible payments or denials are made. Consistently meets targets through significant knowledge of medical and insurance industries and terminologies, while using appropriate and accurate coding. Ready to use skills for high level of cus...
Tags for this Online Resume: Claim Processing, Coding, Customer Service, IBM AS/400, Insurance, Medical, Microsoft, Microsoft Excel, Life Insurance, Microsoft Word
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
Insurance Sales Representative - 20 Years of Experience - Near 34243
Summary of Qualifications * Over 22 years workers' compensation knowledge with extensive supervisory and management experience overseeing the Claims Administrative Team for 6 years, the Policy Services Department for 16 years, the Premium Audit Operations for 8 years and all Operational aspects of the business for 14 years * Records Management Custodian for claims, underwriting and loss control units - 14 years * Human Reso...
Tags for this Online Resume: Applications, Audit, Billing, Insurance, Payroll, Compensation, Underwriting, Coding, Financial, Financial Services
Program Manager - 3 Years of Experience - Near 27284
Professional Summary Seasoned life and health benefits professional with extensive business, compliance, and project management experience spanning the insurance product life-cycle from sales to implementation, service and claim administration, and through discontinuance/terminations. I have a successful record of performance in various Aetna departments including claims, underwriting, law, compliance, fraud, and disability...
Tags for this Online Resume: Insurance, Telemarketing, Compliance, Process Improvements, Request for Proposal, Request for Proposals, Sales, Billing, Health Insurance, Legacy, PROJECT MANAGER, COMPLIANCE, HEALTH INSURANCE
Construction manager
Areas of Expertise & Technical Skills * Project Management * Financial Management * Motivational Leadership * Budget Management * Full Life Cycle Management * Contract Negotiations * Stakeholder Communication * Process Improvements * Cost Estimating * Subcontract Buyout * Conflict Resolution * Claim Administration
Tags for this Online Resume: Business Development, Construction, Contract Negotiations, Financial, Financial Management, Infrastructure, Leadership, Management, Project Management, Recruiting
Admissions Registration Clerk - 19 Years of Experience - Near 30052
SUMMARY OF QUALIFICATIONS * Managed 82 employees * Customer Service driven * Increased yearly revenue from 74% to 93.7% * Increased customer satisfaction from 47% to 97.2% * Reduced turnover rate from 60% to 94% * Organize needs and effectively manages resources * Communicate clearly and concisely * Lead individuals and groups toward desired outcomes * Customer oriented * Direct complex programs and processes * Articulates ...
Tags for this Online Resume: Customer Service, Medical, Microsoft Access, Patient Access, ACD, Automatic Call Distribution, Billing, IDX, Microsoft, Microsoft Internet Explorer
Claims Examiner - 20 Years of Experience - Near 85260
Summary: Strong professional background in the field of insurance. High level of experience in claims management, claims administration, claims investigation, litigation management, negotiations, and claims settlement and processing. Strong business and financial aptitude. Focused and concentrated skills in project management, workflow analysis, product development as well as extensive experience in client development, rela...
Tags for this Online Resume: Imaging, Account Manager, Medicare, Project Management, Project Manager, Distribution, Management, Product Design, Best Practices, Compliance, insurance
Claims Examiner - 16 Years of Experience - Near 15241
Summary of Qualifications Meaningful accomplishments, measurable results and solutions in the areas of Medical Claims Administration, Operations, Audit, Vendor Resources, Budget Management, Acquisition, Training, and Development of Employee Capital in customer service and claims driven organizations.
Tags for this Online Resume: Sr. Level Claims Management, Customer Service, Sales Support, Audit Management, Upper Mid West, North East and Mid Alt States, Billing and Premium, IT system review, Benefits, Insurance
