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Online Resumes with "complex claims "



High Achieving Claims Processor

High performance numbers when it comes to processing Health insurance claims. Very creative and loyal.

Ideal Companies: Healthcare Insurance companies

Tags for this Online Resume: Claims Processor

Auditor

 Audit Medical Claims, including errors from claims pricing, adjudication, adjustments, and bill issues. Conduct periodic post audit of claims to alleviate any incorrect decisions. Maintain a record of audit results Submit errors back to the proper source. Review, research, and resolve complex claims processing issues. Conduct audits of high dollar claims, staff, auditors, regulatory compliance audits, PDR audits and sp...

Tags for this Online Resume: IDX/MACESS, CODE AUDIT/TOUCH WORK, IBM AS/400, OAOHS,MC400, EZ/CAP, EPIC, EDI, Office Ally

General Liability Litigation Adjuster, Lakeland, Florida

My objective is to continue to grow as a claims adjuster, learning to handle more challenging and complex claims. Additionally, as I have 8 years in the insurance industry, I am interested in transitioning into either the underwriting or sales fields of insurance.

Tags for this Online Resume: Litigation management, General Liability, Products Liability

Claims Adjuster

Tags for this Online Resume: complex claim adjuster, claim director, claim consultant, commercial insurance , coverage specialist, attorney

Complex Claims Specialists, Portland, OR

Looking to work with progressive company with opportunity for advancement

Director of Risk Management

Strategic manager, Developed and created a resort wide program

Ideal Companies: ARAMARK, GES, Las Vegas Metro Police

Tags for this Online Resume: Director Risk Management, Director Human Resources, Safety

Featured Profile

Claims Director

Manage team of adjusters handling multi line claims of a complex nature, or, if management unavailable, directly handle complex claims

President

To continue my risk management career in the construction defect industry providing risk management/evaluation solutions for large complex claims while working for large insurance companies and in-house counsel. (Travelers, Zurich)

Tags for this Online Resume: Construction, Defect and Analysis, Risk Management, Operations , Insurance companies, Certified

Manager of General Liability Claims as a home office manager and large loss member

Overall management of a general liability claims unit. Unit could be for construction book of business or more involved high end exposures.

Ideal Companies: Travelers, Esurance, Amerisure

Tags for this Online Resume: Investigation, Analysis, Trainer, Manager, Liability, Construction

Featured Profile

Claim Director

Innovative, resourceful and results-driven Senior Claims Director with hands-on experience in litigation, team management, training, operations, and budgetary compliance. Delivers outstanding customer service and nurtures key relationships. Designs strategies and innovative procedures to effectively lead, educate and develop staff. Demonstrates outstanding skills within a wide variety of property casualty insurance areas. D...

Tags for this Online Resume: Litigation, Litigation Managment , Property Casualty , Coverage , Negotiator, Customer Service Excellence, Complex Claim

Featured Profile

I am independent, reliable, customer service oriented and diverse worker ‘who can handle working in a fast pace environment. I am currently looking for a full-time position with a stable growing company utilizing the skills that I have acquired and lea

 Experienced Insurance Claims Specialist, well versed in handling complex claims with and understanding the claims process.  Analytical and highly reliable with significant background in conducting analyses, evaluating risks, and performing other functions related to the provision of insurance coverage.  Proactive and collaborative team player with strong interpersonal and communication skills, effective in working wi...

Ideal Companies: Insurance Companies

Tags for this Online Resume: Claims Guidelines, Determing Coverage, Analizing claims, Investigation Claims, Determing Liability, Monitoring Bodily Injuries, Evaluating Claims and Negotiation and Settlement of Claims