 | Resume: claims examiner
Frisco, TX US
LEKITA R WILLIAMS MYERS AVENUE FRISCO, TEXAS HM:-- Cell: -- ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬ OBJECTIVE To secure an entry-level position with the opportunity to contribute to the efficient operation of a firm and to earn advancement through on-the-job performance. JOB EXPERIENCE Presbyterian Hospital of Plano Patient Access Service Representative /- Present Duties- To ensure accurate support for actives associated with all phases of hospital admitting. Acts | | | | |
| Resume: claims examiner
Sacramento, CA US
CARMELITA ALEXANDER WESTPORTER DR Sacramento, CA Phone: () - I am seeking a challenging position where my experience can be utilized. I have been a customer service trainer and supervisor for the last + years and I love it !! Job Objective: CUSTOMER SERVICE SUPERVISOR TRAINING SPECIALIST CLAIM EXAMINER CUSTOMER SERVICE REPRESENTATIVE Experience: Job Title: Customer Service Supervisor Employer: Superior Vision Services, Rancho Cordova Length: / - / Duties: Supervise | | | | |
| Resume: Claims Examiner
Arizona City, AZ US
PROFILE: Highly motivated individual orientated to a fast paced environment Quick study with a strong work ethic Proven skills in processing claims: emphasis on appeals, adjustments, coordination of benefits, and adjudication Strong computer skills including MS Word, Word Perfect, Docuware, Impact, Rims, and Ezcap Knowledge of medical terminology, CPT and ICD codes, with emphasis on adding modifiers and bundling codes Read, interpret, and apply Summary Plan Descriptions Typing + wpm, | | | | |
| Resume: Claims Examiner
Toronto, ON CA
OBJECTIVE Seeking a challenging claims position utilizing abilities developed through education and experience with the opportunity for professional growth based on performance WORK EXPERIENCE Senior Claims Examiner Chartis Insurance May - present review claim files and evaluate information received and adjudicate according to policy provisions and contractual terms and conditions contact Claimant, | | | | |
| Resume: Medical Billing
Chicago, IL US
Case Summary Twenty-two years of experience in the health care insurance industry. A self-starting, detail oriented individual who works well with others to meet corporate goals. Highly confident, friendly and courteous in customer service skills. Accomplished in all aspects of responsibilities with minimal supervision. Professional Experience AdminaStar Federal/Wellpoint of Chicago,Illinois to Medicare Division Recovery Specialist II Experienced working in recovery of Medicare | | | | |
| Resume: Examiner
Rocklin, CA US
Education University of Phoenix, Rancho Cordova, CA B.S. in Business / E-Business, January Sierra College, Rocklin, CA AA, Liberal Arts, May Completed IEA course CA (Workers Compensation Claims), CA (Workers Compensation Claims Advanced) CA (Medical Coordination of Workers Compensation Claims), and CA (Workers Compensation Rehabilitation) American Educational Institute Workers Compensation Claim Law Specialist Designation, February Completed a Time Management Training | | | | |
| Resume: Health Claims Adjuster
Villa Park, IL US
Yvette Rispens N Princeton A Villa Park Illinois -- I am an energetic, seasoned Health & Catastrophic Major Medical Claims Examiner with extensive training in preparing and paying claims. As a self motivator and team player, I have a proven ability to consistently keep up with mass production quotas and keep quality at its highest. Employment history; Seabury & Smith/Marsh & McLennan Co., Inc. NYSUT Group Years employed - Responsibilities; | | | | |
| Resume: Sales Management
Mount Horeb, WI US
Specific Skills Area: Strong written and oral communication skills - years insurance claims/customer service experience, supervisory experience, computer, data entry and -key proficiency Work Experience Case Examiner/Case Maintenance Specialist Position Type: Direct Hire Employer: CUNA Mutual Group Madison, Wisconsin Dates Employed: -current Description: Collection and investigation of information to include direct contact with medical staff, physicians, clinicians, credit unions, | | | | |
| Resume: Medical/Dental/Life /Disability Claims Examiner
Houston, TX US
I have the ability to read and interpret any insurance policy and understand insurance law, Medicare and Social Security as it applies to claims. Experienced in all types of Medical, Dental, Disability and Life claims processing, auditing and supervision both Group and individual plans. Paper claims pay to computer: AS, other large mainframe type programs, EasyClient claims scan, PC skills: Microsoft Word, Some Excel, LotusNotes and PC Claims Processing. Interested in: Temporary/Travel or | | | | |
| Resume: Claim Examiner
Corinth, MS US
Multi-Line Adjuster Summary years experience in multi-line adjusting. Primary emphasis in commercial property and general liability claims. Knowledgeable with several property estimating systems I have also handled material damage appraising and Workers Compensation claims. Ten years in management and supervision of claims personnel . Experience Dixon Adjusting, Corinth, Ms to Present Multi-line Adjuster Multi-line experience with emphasis on commercial property * Recently handled a | | | | |
| Resume: Claim Adjuster
Philadelphia, PA US
Tanyka Jackson W Cambridge Street Philadelphia,Pa -- or -- Objective: To obtain a position where I can utilize my current skills and knowledge as well incorporate new skills with the opportunity for advancement. Experiences: /-Present Gallagher Bassett Services, Mt. Laurel, NJ Claim Representative-Workers Compensation Responsible for investigation, evaluation, disposition and settlement of less complex claims with moderate supervision. This includes the | | | | |
| Resume: Claims Supervisor
Anaheim Hills, CA US
STACEY HENDERSON E. Santa Ana Canyon Road, Unit Anaheim Hills, CA Tel: .. Fax: .. SUMMARY Claims Supervisor with a background in customer service and administration. Skilled in training others to process a wide variety of automobile and property damage claims as well as pre-certification of medical claims. Well-developed communication and problem-solving skills, able to resolve difficult situations under adverse conditions. Thrives | | | | |
| Resume: Customer Service Representative
Edgewood, MD US
Gold Meadow Way, () - Edgewood, Maryland Charita Mckinney - Langley Provider Group/VA ADMIN. Perry Hall, MD Medical Biller . Outpatient billing for the MD VA Hospital . Work on the Software Vista . Verify patient insurance benefits . Accounts Receivable . Medical Terminology . Workers Compensation - E&E Billing Incorporated Bronx,NY Claims Examiner/AR Representative/Customer Service Representative . Answering inboud calls . | | | | |
| Resume: Benefit Analyst
Lilburn, GA US
Objective A challenging career that will allow me to utilize my medical strengths in analyzing and problem solving, to ensure accurate processing of claims. Qualifications Summary Over years of challenging experience ( in the insurance industry) with areas of expertise in: . Processing claims . Correspondence and Appeals . Auditing for errors . Compliance with industry . Provider relations standards. Professional Experience Cigna Healthcare, Atlanta Ga. /-/ Benefit Analyst III, | | | | |
| Resume: CLAIMS ADJUSTER
Las Vegas, NV US
Joy E. Bishop Royal Melbourne Drive Las Vegas, NV Tel: -- Due to company down sizing and in the interest of exploring with your company, I have enclosed my personal resume for your consideration. It will provide you with specific details relative to my overall background and capabilities for a full time position within your organization. My salary requirements are negotiable. As you will note from the attached resume, I have held positions of responsibility where I met all | | | | |
| Resume: Business Analyst
Antioch, TN US
LaRhonda Braden Napa Point West Antioch, Tn -- (Cell) -- (Home) SUMMARY OF QUALIFICATIONS More than years of experience in the health insurance industry with excellent analytical, communication, organizational, interpersonal, presentation, customer service and problem solving skills with the ability to prioritize and multi-task. Working knowledge of federal and state laws related to group health insurance for small group product line as | | | | |
| Resume: Medical Claims Examiner
Houston, TX US
Experience United Behavorial Health, Houston, TX January - Present Claims Examiner II Primary responsibility; process EAP, POS, mental health and substance abuse claims, while following privacy and state mandate laws Benefit Recovery Specialist, Houston, TX October - May Recovery Specialist Responsible for medical billing, data entry, filing appeals following up on and collecting unpaid or partially paid claims, resolving accounts, and submitting claims appeals. Collections on | | | | |
| Resume: Medical Biller
Willingboro, NJ US
professional seeks position in background and also proficient in medical office procedures. Strengths include efficient processing of medical data and excellent interpersonal and communication skills. EDUCATION: Burlington County College: Willingboro Center, NJ Certificate: Medical Office Careers- October SKILLS: Medical Terminology CPT Coding WordPerfect Insurance Procedures Patient Billing Filing ICD--CM Coding Medical Office Procedures Excel Medical Records Facist System AR /AP | | | | |
| Resume: bill reviewer
Ellenwood, GA US
Objective Experienced medical claim reviewer seeking medical groups and practices that would like to recover lost revenue. Qualifications Summary Extensive and diverse experience in the medical and workers compensation insurance industry with expertise in the following: · Reconciliation Analyst · Claim Consultant · Provider Coordinator · Medical Claim Review · Quality Reviewer · Customer Service Analyst · Workers Compensation Selected Accomplishments · Selected to | | | | |
| Resume: Workers Compensation Claims Examiner
Rosedale, NY US
NYS Department of Health New York, NY Senior Medical Conduct Investigator /-Present Interviewed complainants, physicians, and prepared reports of interviews. Prepared memorandum of investigations, and a synopsis on cases. Requested documentation on cases. Managed a caseload. NYS Insurance Fund New York, NY Workers Compensation Claims Examiner /-/ Responsible for paying compensation awards to claimants and employers. Answered claimants and employers questions concerning their cases. | | | | |
| Resume: Claim Examiner/Adjuster
Long Beach, CA US
SUMMARY Experienced claims and litigation specialist with strong written, oral and computer skills including Microsoft Office Suite, Word and Excel. A conscientious, detail oriented team leader knowledgeable in medical and legal terminology with special knowledge in serious bodily injuries, coverage determination and team leadership SKILLS * + years extensive management of multi-state commercial and personal lines st and rd party claims including complex and class action lawsuits, five | | | | |
| Resume: Claims adjuster/Examiner
Quispamsis, NB CA
RESUME Post-Secondary Education: - Simply Accounting Pro version - Manual Bookkeeping- Level -Academy of Learning - Excel Level - Academy of Learning - Honors - Property Part -Insurance Institute of New Brunswick - CAIB, Class IV Designation - Canadian Accredited Insurance Broker Association - CAIB-IV- Broker Management - CAIB II - Commercial Insurance - CAIB I - Personal Lines Property Insurance - CAIB III - Crime/Liability and Marine Insurance | | | | |
| Resume: Claim Adjuster/Examiner
Calumet Park, IL US
QUALIFICATIONS SUMMARY Professional Claim Examiner with more then years of experience in the insurance industry. years of processing claims for large insurance companies. Recognized for infallible customer service skills and the ability to maintain a % accuracy rate with a % rate, processing claims within a day turnaround period. Efficient with exceptional time management and problem-solving skills. Very strong organizational and analytical skills. Flexible and adaptable to | | | | |
| Resume: Claims Examiner Or Claims Assistant
San Diego, CA US
EXPERIENCE: (/-/) CLAIMS ASSISTANT AIG Claims Services, San Diego, California Advised injured workers on disability benefits. Scheduled AME/QME evaluation. File and serve rehab closure, subpoenaed records, and DEU rating. (/-/) CLAIMS ASSISTANT Cambridge Integrated Services, San Diego, California Assisted claims analyst in case management of the San Diego Unified School District. Advised injured workers on disability benefits. Managed medical only claims. Determined and issued | | | | |
| Resume: Claims Supervisor, Claims Examiner
King of Prussia, PA US
OBJECTIVE A position in Insurance /Risk Management/Teaching PROFESSIONAL PROFILE * years professional experience as a claims investigator and supervisor *Strong organizational skills with attention to detail *Work well in a highly pressured, fast pace environment *Skilled negotiator and trained mediator *Strong leadership skills, rising to the rank of Lt. Colonel in the U.S. Army. * years professional experience as a teacher of insurance at the college level and in private industry. * | | | | |
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