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Online Resumes with "claims review"
Claims Adjuster - 10 Years of Experience - Near 85755
Summary of Qualifications * Claims Manager for a Fortune 500 company * Hired and trained employees * Handle Claims in the United States and Canada * Involved in quarterly claims review * Reported to the Risk Manager * Implemented Budget * Handled litigation and Arbitration * Liability, general liability, product defect, work comp reviews and subrogation
Tags for this Online Resume: Insurance, Retail, Social Media, Compensation, Workers Compensation, Audit, Budgeting, Claims Adjuster, Litigation, Management
Billing/Coding Specialist - 20 Years of Experience - Near 10465
Summary of Qualifications -AAPC Member Certified Professional Coder since 2006. -Certified with ICD-10 Medical Coder Certification 2015 -20+ years of experience as a Medical Biller/Medical Coder -Certificate in Medical Terminology, Medical Claim Coding and knowledgeable of the anatomy -Responsible for overseeing troubleshooting problems while reviewing weekly billing. -Able to handle and prioritize multi-task functions simu...
Tags for this Online Resume: Medical, Benefits, Billing, Coding, Documentation, General Surgery, IDX, Insurance, Management, Medical Records, healthcare
Insurance Sales Agent
Profile An innovative, high performance insurance specialist with over 15 successful years of experience combined with exceptional project management, contract administration, and communication skills. Versatile and adept at investigative techniques and program operations. Core competencies include: * Insurance * Leadership/Management * Sales * Medicare * Program Oversight * Medicaid * Marketing * Research & Analysis * Clai...
Tags for this Online Resume: Insurance, Communication Skills, Compliance, Leadership, Management, Marketing Management, Medicare, Project Management, Research, Reviews
Insurance Sales Agent - 19 Years of Experience - Near 44110
Profile An innovative, high performance insurance specialist with over 15 successful years of experience combined with exceptional project management, contract administration, and communication skills. Versatile and adept at investigative techniques and program operations. Core competencies include: * Insurance * Leadership/Management * Sales * Medicare * Program Oversight * Medicaid * Marketing * Research & Analysis * Clai...
Ideal Companies: American National insurance company, American National insurance company, American National insurance company
Tags for this Online Resume: Insurance, Communication Skills, Compliance, Leadership, Management, Marketing Management, Medicare, Project Management, Research, Reviews
Customer Service Representative
Tags for this Online Resume: Medical, Quality, Quality Assurance, Quality Control, Cms, Data Entry, Compensation, Billing, Call Center, Cardiopulmonary resuscitation (CPR)
Administrative Assistant
Tags for this Online Resume: Medical, Quality, Quality Assurance, Quality Control, Cms, Data Entry, Compensation, Billing, Call Center, Cardiopulmonary resuscitation (CPR)
Quality Assurance Director - 20 Years of Experience - Near 11791-4309
Tags for this Online Resume: Quality, Quality Assurance, Medicare, ERISA, Compliance, Managed Care, Data Analysis, Documentation, Management, ROI
Ricardo Church Claims Manager, San Diego
Accomplished Liability Claims Director with experience in financial analysis, planning, and claims management; Leverages experience and relationship-building skills to manage teams of adjusters to effectively navigate pressing client and company issues; an analytical professional who learns quickly, develops expertise, and produces immediate contributions in systems, analysis, and financial operations; demonstrated expertis...
Ideal Companies: Qualitas, Corvel, AAA Insurance, Farmers, Wawanesa, State Farm, Anchor General
Tags for this Online Resume: Claim Processing, Insurance, Medical, Medical Terminology, Payroll, Underwriting, Management, Project Management, Project Manager, insurance claims management
BUSINESS ADMINISTRATION / HEALTHCARE ADMINISTRATION PROFESSIONAL
Exceptional record of achievement in the management of healthcare programs and processes. Proven ability to streamline workflow, eliminate backlogs of work, increase efficiency, and enhancing customer satisfaction. Special expertise in in claims processing and administration, policy and procedure review, document control, and reporting. Excel at reviewing procedures and identifying strategies for improvement. Highly adept a...
Ideal Companies: Any City or State companies such as, VA or other city and State Hospitals, MTA, DMV, Social Security Administration, Housing Department, Children Services,
Tags for this Online Resume: COLLECTED SPECIMENS, Legacy, Nursing, Office Administrator, Patient Care, Wound Care, Benefits, Billing, Certified Senior Advisor, Claim Processing, Claims Manager, Great Understanding of Medical Terminology Epidemiology, Multitasking
Accountant - 12 Years of Experience
Perform accounting and financial management while providing analysis and insight to managers on financial standing of accounts, projects, and/or programs. Forecast and ensure proper budget allocation or cash flow for operational needs. * Oversee the management, accounting, and process improvements for assigned programs, projects, or accounts * Review co-workers' activities for accuracy, transparency, and honesty in all fin...
Tags for this Online Resume: Credit Card, Accounting, Forecasting, General Ledger, Payroll, Reconciliations, Accounts Payable, Accounts Receivable, Deposits, Financial
Analytical Leader offering background of 24 years in finance, accounting, IT and operations.
Analytical Leader offering background of 24 years in finance, accounting, IT and operations. Fuses operations management experience and business acumen to reverse inefficiencies, optimize organizational controls, and drive cost savings. Excels in auditing, staff development, and forecasting, bringing core business groups and delivering continuous improvement to enhance cash flow and minimize errors. Generates short – and...
Ideal Companies: Google, Amazon, Fast growning and profitable.
Tags for this Online Resume: Accounting, Budgeting, Distribution, P&L, Variance Analysis, Sourcing, Banking Industry, Purchasing, Retail, Hardware/Systems, Microstrategy, AS400, Navision, Apropos, XBR, Retalix, Volusion, MS Office
Registered Nurse - 20 Years of Experience - Near 23138
Tags for this Online Resume: HR, Human Resources, Management, Nursing, Utilization Management, Integrate, Orthopedics, Pediatrics, Call Center, Referrals
