As a pro-active manager of credit risk, I successfully manage the #1 publicly listed container leasing company’s global customer portfolio. With years of experience, I have been instrumental in loss mitigation and the recoup of multiple multi-million dollar insurance claim recoveries. As a result of my efforts, a near-100% cash vs. sales collections record has been recorded on a monthly basis, along with a noteworthy redu...
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Risk Management, Capital Expenditure, Financial Analysis, Loss mitigation, Accounts Receiveable, Bankruptcy recovery
15 Plus Years: As a short- term traveling contractor, I have experience with HMO’s, as well as, PPO Insurance companies. Job descriptions are as follows: Experience in claims processing of Medicaid, Commercial, Professional, PPO, HMO, Third Party, Subrogation
And Medicare claims
Team Lead for high dollar and complex claims issues as well as customer service
responses. Provider Relations Liaison, as well as, being a train...
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claims, netwrok support, provider configuration, benefits configuration, claims recovery
Analytical problem solver with a Bachelor of Science in Business Administration-Finance and Insurance and a strong history of success in Litigation Resolution, Property Damage Claims, Data Acquisition and Analysis. * Expertise in collecting and analyzing technically complex data to support cost-effective and fair settlements and determine benefits. * Demonstrated expertise and experience executing claims calculations, adher...
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Arbitration, Compliance, Management, Presentation Skills, Settlements, Litigation, Analytical Skills, Insurance, customer service, investigator, Analytical, Decision-making, Customer-focused
Familiarity with source control concepts (checking in code, branching, checking out) * Experience writing scripts for automation processes. * Experience with mainframe applications * Experience with IBM technology suites * Experience with SQL, JAVA, Phython and C# programming languages. * Successfully implemented and deployed (systems upgrades, code changes, claim adjudication, application changes) releases across all 5 (IL...
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Management, Support, Quality, Services, Training, Analytical Skills, Customer Service, Research, PeopleSoft, Computer Aided Software Engineering
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Accounting, Billing, Team Player, Account Management, Audit, Corrective Actions, Documentation, Management, Microsoft Excel, Quality Assurance
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Management, Billing, Insurance, Satellite, Data Mining, Dialysis, Documentation, Journal Entries, Mining, Nursing
A Baccalaureate degreed professional with strong customer skills, problem solving capabilities, communication expertise and an energetic, professional demeanor. Expertise in ERISA law, DOL regulations, PPACA, ERISA court case rulings, ERISA appeals, state statute research, settlement negotiation, contract review, insurance billing, claims adjudication, the use of computers, and medical office administration make me an asse...
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ERISA, Benefits, Insurance, Settlements, Software, Computer Aided Software Engineering, Problem Solving, Software Development, Software Testing, Appeals, Contract negotiations
