 | Resume: Life/Disability Claims Manager/Supervisor
Oklahoma City, OK US
Accomplished and results-driven Claims Department Manager with + years of extensive experience and management expertise in life insurance claims, disability, and individual health. Able to coordinate multiple problems and meet deadlines even under extreme pressure while implementing established standards and procedures. Maintained an ability to contribute as a team player and interface with professionals on all levels. Expert in identifying troublesome areas and implementing corrective | | | | |
| Resume: medical malpractice general liability
Prairie Village, KS US
Objective: A position as a claims specialist applying my keen insight of +years managing liability claims in several different states and saving money on defense costs and claims. Professional Medical Skills:Administered caseload of mostly litigated claims for St. Paul Fire and MarineInterviewed physicians and nurses, appointed defense counsel, supervised directing and decision makingNegotiated directly with plaintiffs | | | | |
| Resume: Medical Claims Specialist
Dallas, TX US
Supervisor: Sonny AlabastroClaims AdjusterAugust, June, Reviewed and settled claims to determine that payments were made in accordance with company practices and procedures. Reported overpayments, underpayments and other claim deficiencies. Authorized voids and reissued payments. Processed provider edits, researched and corrected pricing discrepancies, notified agencies of claim status via written correspondence.Blue Cross Blue Shield of | | | | |
| Resume: Claims Examiner
Lansdowne, PA US
OBJECTIVE To obtain a position as a Medical Claims Examiner where my skills in facets medical processing, member billing research and analysis skills will be utilized.EXPERIENCE / /Health Partners Philadelphia, PA Claims ExaminerProcess all claim typeAssist with departmental projectsAssist my team members with claim issuesAssist with other departments when needed/ /Keystone Mercy | | | | |
| Resume: Medical Claims Specialist
Marion, AR US
WORK EXPERIENCEInsurance Claims Examiner - PresentDirect Adjusting Company | InsuranceResponsibilities:Completing claims investigationEvaluating and negotiating property damage and bodily injury claimsWorking with internal and external vendors to resolve claimsMaintaining quality customer serviceExhibiting effective problem solving techniquesWorking with medical providers to gather injury | | | | |
| Resume: Any administrative or customer service job
San Diego, CA US
files, including complex claims.Initiate and conduct investigation in a timely manner.Attend depositions and hearings as often as workload allows. Maintain diary system for case review and documents file to reflect the status and work being preformed on the file.Compute and set reserves within company guidelines with authority level of $,.(/ /) Republic IndemnityPosition held: WC Claims ExaminerCalculate and assign timely and appropriate reserves | | | | |
| Resume: Claims Adjuster/Examiner
Pittsburg, CA US
Claims Representative ()Responsible for managing a Future Medical caseload of over claims.Maintained daily diary for medical management and possible resolution of claims. Adjusted future medical claims through medical follow-ups, file review, reserves and closures to reduce age pending cost.Proficient in new EAMS process for submittal to the WCAB for settlement of claims in all phases including Compromise and Release and Stipulations with Request for | | | | |
| Resume: Medical Billing Clerk
Arlington, TX US
EXPERIENCE:/ /Professional Medical ServicesFort Worth, TXClaims/Billing RepBegan as a temp, went permanent, then they lost the accountCalled insurance co for claim statusNoted accounts in the hospital systemSent patient letters/ordered medical recordsAnswered return calls from patients/insurance coSent appeal letters to the insurance co/ /Pro LabFort Worth, TXPayment | | | | |
| Resume: Medical Billing Specialist
Dallas, TX US
OBJECTIVE A challenging and responsible position where my experience as a Claims Examiner for recipients and provider liaison can be utilized in support of company goals. EXPERIENCE: / / Perot systems Dallas , TX Claims Analyst/Processor | | | | |
| Resume: Claims examiner 111
Experience Tenet Health, Anaheim, CAAugust - December Billing Rep-Customer CareReviewed Patients accounts-over-payments to calculate possible refund for Tenet Health Class Action. As of January , Hired as Customer Care-bill Representative. duties consisted of receiving - inbound calls varing from Patients, Insurance companies, Providers, Attorneys regarding account inquiries. Billed insurances, workmens comp,Medi-medi, Medicad. Hippa compliant | | | | |
| Resume: Medical Claims Specialist
Chicago, IL US
Career ObjectiveI am seeking a career in the health insurance industry with responsibilities that allows me to utilize my experiences and also have the opportunity for future advancement.Areas of Expertise/Specialized Training- Training in ICD-, CPT, HCPC, medical terminology, medical billing and coding.- Knowledge of Microsoft Word, Excel and other Microsoft Office applications with the ability to learn new and complex computer system applications in | | | | |
| Resume: Group Health Adjsuter/Examiner
ObjectiveSeeking a position in health care/insurance industry in areas of coding and billing utilizing my group health insurance experience. Experience-PresentPerot SystemsPlano, TXField Services AdministratorDecreased front end edits volume from , to , on WGS system.Resolved and decreased pricing issues using the Facet, and Networx applications to send corrected claims to examiners for processing and submitting for payment Decreased | | | | |
| Resume: Claims Adjuster
Riverview, FL US
Obejective:To obtain a position that would utilize my experience as either a insurance claims respresentative.Work Experience:November - January Drove parts delivery truck for Carquest of Plant City. Delivered parts to automobile dealerships, repair shops,and mechanical parts to farms in the Plant City and Tampa Bay area.April - July Sr. Claims Representativest Acceptance InsuranceTampa, FlHandled | | | | |
| Resume: Medical Claims Specialist
Lancaster, TX US
Objective Medical Claims Auditor/Examiner allowing for parlays of demonstrated organization, customer service, communication, and project management skills proven by years of experience in the Medical/Dental Claims Auditing/Examiner industry.Profile Motivated, personable business professional with a successful -year track record of Medical/Dental Claims Auditor/Examiner experience. Talent for quickly mastering technology V recently completed Microsoft Office Suite certificate | | | | |
| Resume: Medical Claims Specialist
Fort Worth, TX US
OBJECTIVEA position in a results-oriented company that seeks an ambitious and career conscious person where acquired skills and education will be utilized towards continued growth and advancement.SUMMARY OF QUALIFICATIONSForward-thinking, innovative professional with demonstrated expertise in the following broad-based competencies:SubrogationCrystal Report Writing/SQLSystem | | | | |
| Resume: Sr. Workers Compensation/Sr. No Fault Adjuster
Lincoln Park, NJ US
CAREER SUMMARY Senior Workers Compensation Representative Temporary Assignment, Xchanging, Whippany, NJAdjudicated lost-time cases for NY Handled aged claims to move towards closureProcessed litigation and settlement of claims Senior Workers Compensation Representative - Gallagher Bassett Services, Parsippany, New Jersey Handled lost-time claims for predominantly New | | | | |
| Resume: Medical Claims Specialist
Denver, CO US
CLAIMS MANAGEMENT PROFESSIONALClaims Authorization Healthcare Referrals Personal Injury protection Claims Examiner and Workers Compensation Claims ExaminerMeticulous and resourceful, with demonstrated ability to handle concurrent duties in auto, workers compensation, healthcare and industries and commendation for organizational skill, efficiency, and thoroughness. Acknowledged for excellence and accuracy in high-volume claims examination services, Medical Records, Assembly and | | | | |
| Resume: Manager, office work
Raleigh, NC US
Summary Experienced merchandiser and manager with years in the retail business field. Exhibit strong business management skills accompanied by profound interpersonal traits that are demanded in the retail marketplace. Solely responsible for merchandise ordering, accounting, advertising, inventory control, visual displays and resource management for two retail store locations.Work Experience Manager, Butterfields, Etc., Crabtree & Cary Towne Center - | | | | |
| Resume: Medical Claims Specialist
Apopka, FL US
Education: University College of Dr. Rafael Belloso Chacin Maracaibo, Venezuela Bachelors Degree in Business Administration.Skills:Fluent in Spanish (Read, Write and Speak), Computer Literate and use of Microsoft Programs and various in house programs.Objective:To bring my years of insurance experience and claims handling to an organization that will utilize my strengths to contribute to the ongoing success of the company and offers growth and | | | | |
| Resume: Medical Claims Specialist
Lawrenceville, GA US
OBJECTIVEA position to utilize strong organizational, planning and coaching and follow through skills to contribute to corporate growth and achievement of business objectives. QUALIFICATION SUMMARYI am a highly organized team player with the ability to prioritize and multi-task. A proactive and self- motivated individual committed to meeting task deadlines. I have an exceptional work ethic and strive to perform my duties with detail, | | | | |
| Resume: Medical Claims Specialist
Lawrenceville, GA US
OBJECTIVEA position to utilize strong organizational, planning and coaching and follow through skills to contribute to corporate growth and achievement of business objectives. QUALIFICATION SUMMARYI am a highly organized team player with the ability to prioritize and multi-task. A proactive and self- motivated individual committed to meeting task deadlines. I have an exceptional work ethic and strive to perform my duties with detail, accuracy and under little to no | | | | |
| Resume: Claims Examiner
Fort Worth, TX US
SUMMARY OF SKILLS QUALIFICATIONWCCA, WCCP and California Self-Insured CertificatesExtensive Knowledge of Workers Compensation Case Law Years of Experience in the Insurance Field Years of Medical- Legal Documentation Processing & Administration ExperienceTeam Player with Excellent Communication & Computer Skills- Resolution Team: Closing Files, Lien Negotiation; and Claim LitigationEXPERIENCE:- Nova Pro Risk Solutions (Ward | | | | |
| Resume: Staff /Management Accountant/Auditor
Woodstock, GA US
CHARLES F. SIMON, CFE, AIE, AIRCOBJECTIVETo pursue a staff or management level accounting/auditing position that will utilize my supervisory experience, problem solving, analytical, and communications skills.EDUCATIONKENNESAW STATE UNIVERSITY Kennesaw, GeorgiaBachelor of Business Administration in Accounting June, , Major GPA: .PROFESSIONAL EXPERIENCEAUDIT/ ACCOUNTING EXPERIENCEExamination | | | | |
| Resume: Property Claim Specialist
Stockbridge, GA US
CLAIMS PROFESSIONAL PROPERTY AND CASUALTY SUMMARY OF QUALIFICATIONS:A professional with over years of extensive experience with handling homeowner and auto claims. Have also been responsible for analyzing the financial settlement of claims through evaluation and negotiation while maintaining the cost/profit ratio of the company. Experienced and knowledgeable in areas of customer service, interpersonal communications both oral and written with experience in | | | | |
| Resume: Data Entry Clerk
Macon, MD US
ObjectiveTo obtain a position with a company that offers professional growth and where I would be proud to work.Qualifications years of employment experience. years with the Social Security Administration as a data entry clerk and claims examiner. additional years as a data entry specialist. years in a medical billing office, years as a medical coder. Education years of school yr college - human | | | | |
| |
