 | Resume: Examiner
Foster City, Ca US
Objective: To further advance my career in the insurance industry as an SIU investigator. Qualifications: · Experience investigating large losses · Years claims handling, multi lines & carrier contact · Outstanding interpersonal skills · Highly effective oral with excellent knowledge of Windows and Microsoft Office · Various temporary assignments handling personal lines · Transportation expert · Field Investigator Claims Representative John Glenn Adjusters and Administrators, Inc. San Jose, | | | | |
| 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: CLAIM EXAMINER
CORAL SPRINGS, FL US
Series Multi-line specialization in Uninsured Motorists, Third Party Claims and Commercial lines of business Excellent organization, communication and interpersonal skills EXPERIENCE – Present Claims Specialist, Progressive Insurance Companies, Lauderdale Lakes, FL Utilize knowledge of insurance laws, Florida statutes, legal process and medical terminology to identify/interpret coverage and liability issues and conduct investigations Mediate and negotiate litigation efforts with Defense | | | | |
| 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, Policyholder, Service Providers. Authorities and other Persons with relevant information | | | | |
| Resume: Claims Examiner
Indianapolis, IN US
Alex J. Harrison Robin Run Apt F Indianapolis, In () - Objective: To obtain a position within the health insurance industry where my wealth of claims knowledge will be utilized to ensure that benefits are being administered correctly. Experience: International Medical Group Indianapolis, IN Claims Analyst / to / • Responsible for reviewing medical records to ensure medical necessity. • Reviewed diagnosis to ensure denial of pre-existing | | | | |
| Resume: claims examiner
Saginaw, TX US
OBJECTIVE To provide a service to employers where they can utilize all of my knowledge and skills. WORK EXPERIENCE H & R BLOCK – Lake Worth /– Present /- / , /-/, / – / Tax Pro, Tax Specialist, Duties: Preparing individual tax returns for clients, answering phones, and answer tax questions Preparing loan paperwork for Instant Money Advanced Loans. PEROT SYSTEMS – Dallas, Texas /– Present / – /, /-/, /-/, /-/ Claims Examiner | | | | |
| 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/medical Collector
Van Nuys, CA US
OBJECTIVE Claims Examiner EXPERIENCE years experience as a Claims Examiner and Medical Collector Oct. – Mar. AETNA U.S. HEALTHCARE/PRUDENTIAL INSURANCE Claims Examiner/Customer Service § Processed % of HMO, POS, Three Tier, PPO medical and hospital claims up to $, within days. § Reviewed claim payment with medical collectors and processed claims according to Division of Financial Responsibility. § Alerted supervisor to problem pattern that cost Aetna thousands in | | | | |
| Resume: Workers Compensation Examiner
Lake Forest, CA US
Objective Utilize claims experience, negotiation skills, organizational abilities, and strong work ethic in order to advance in my career, extend my professional knowledge, and grow with my employer while delivering superior customer service. Employment July – Present Loan Officer, Emerald Home Loan Originated and structured mortgage refinance loans according to individual borrower’s financial needs and qualifications. Technical duties included providing superior customer service to | | | | |
| Resume: medical claim examiner
Yorkville, IL US
Highly-experienced, highly performance-oriented, senior-level medical and Dental insurance claims processor. Seeking challenging opportunity to improve claims processing and accuracy. • Consistently exceed expectations and targets for production, quality, timing, and competency • Experience handling wide range of client servicing needs • Experience with various firms’ operations, administrative processes, and systems • Experience across wide range of processes: Medical and Dental | | | | |
| Resume: adjuster, examiner, manager
Miami Beach, FL US
CAREER OBJECTIVE: To utilize and provide the combination of experience and knowledge within the insurance claim industry.QUALIFICATIONS: ?¡ Analyze and comprehend all lines of insurance coverage/contracts?¡ Proven time management and organization skills?¡ Effective oral and written communication skills?¡ Highly proficient negotiation skills?¡ Litigation management, ADR and mediation experience?¡ Supervisory abilities within a team concept?¡ Computer data systems for intra- and | | | | |
| 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: Property and Casualty Claims Examiner
Sacramento, CA US
EMPLOYMENT Aegis Lending Corporation Mortgage Loan Officer ? Generates and develops business from loan applicants with a variety of financial needs. ? Strong telephone communication skills. ? Customer service ? Fast-paced, team environment. ? Sales Temporary Assignments Worker?s Compensation Claims Examiner ? Gallagher Bassett Insurance Company, Rancho Cordova, CA ? Tristar Insurance Company, Rancho Cordova, CA Kemper Employer Claims Services Workers Compensation Claims Examiner | | | | |
| Resume: Commercial Casualty Claim Examiner
indianapolis, IN US
Daveda Hawkins-Neal Cricket Ridge Indianapolis, IN () - CAREER OBJECTIVE To obtain a claim adjuster’s position in the insurance industry that will maximize the previous experience gained while performing various functions including claim investigations, facts of loss, coverage, determining liability, evaluating and negotiating settlements. EDUCATION Purdue University, Campus at West Lafayette, IN Graduation Date: December, Major: Law & Society/Criminal Justice Minor: | | | | |
| Resume: claims representative, examiner, supervisor
Tempe, AZ US
SUMMARY An Insurance Claim Professional to include extensive experience in leadership, assessing and analyzing general liability risk, along with providing risk management recommendations, resolving complaints, and authorizing investigations and settlements. Recognized for effective leading, flexible team player, effective communication skills across the company, and exceptional organizational skills and analytical skills, as well as being objective. EXPERIENCE: Safeway Insurance, Mesa, AZ | | | | |
| Resume: Workers Compensation Claims Examiner
Culver City, CA US
Shirley London Hollow Corner Road, Culver City, Ca. Cell: /- E-mail: s- Objective: Highly motivated professional workers’ compensation claims examiner with strong management, communicative skills and excellent work ethic seeking employment where my experience will be an asset. Experience: ·Established new claims and took recorded statements. ·Input claims and daily diaries online, as well as responded to e-mails. ·Handled an extreme volume of calls | | | | |
| 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: Casualty Claims Examiner V
Spring Lake, NJ US
Senior Insurance Claims Specialist Protecting insurance company assets through effective claims negotiations and timely settlements Experienced attorney and claims professional with more than years of experience with major insurance companies (CNA, AIG, and Prudential). Successful track record of minimizing payments in high-volume cases through meticulous case research and astute negotiations with attorneys. Proven ability to manage a heavy caseload, develop effective case strategies, and | | | | |
| Resume: Quality Control Analyst, Claims Examiner
Hawthorne, CA US
Experience: All Temporaries Inc. (ATI), La Mirada CA Aug - Present Medical Claims Auditor/ Sr. Claims Examiner Conducted daily audits of Professional & Facility claims Identified Examiner and System errors Researched and resolved identified errors Performed Monthly audits identifying over/underpayments Assigned statistical and financial errors to Examiners Completed Audit Reports EZ Cap/ Macess/ McKesson Claim Check DOFR’s, CPT, RBRVS, DRG, ICD- Coding experience Health Net, Woodland | | | | |
| Resume: Casualty Claims Adjuster/Examiner/Representative
Johnson City, TN US
OBJECTIVE:Obtain a challenging position in a professional environment that will utilize my skills where I will have an opportunity to grow.QUALIFICATIONS:My experience in the insurance industry encompasses several different areas; Auto/First and Third party Property Damage, Bodily Injury, PIP, Subrogation, these lines of insurance have given me the opportunity to utilize my skills in negotiation and multi tasking as well as file maintenance.LICENSES:All lines Florida /Non-residence AL MN | | | | |
| Resume: Customer Service Rep/ Claims Examiner
Southfield, MI US
Claims Processor/Customer Service Representative OBJECTIVE To obtain a challenging, responsible, and rewarding position within your company, utilizing my skills to their fullest extent. EXPERIENCE / - Present Cape Health Plan Southfield, MI Claims Examiner/ Adjuster Denial/Payment Process of Institutional, Professional and facility claims Auditing of Inpatient, Outpatient, and Professional claims Examining DRG and Capitol cost payment for Inpatient stays Examining and adjusting claims to | | | | |
| Resume: claim examiner
Glendale, CA US
HENDY BUDDHY () – E/Mail: SUMMARY: Over sixteen years experience in position of increasing responsibility with rapidly growing organization includes the following: • Extensive customer service and provider communication. • Self motivated, able to set effective priorities and implement decision to achieve immediate and long-term goals and meet operational deadlines. • Computer skills include MS Words, Excel and PowerPoint. • Exceptional Organizational Skills. | | | | |
| Resume: Claims Examiner
Irving, KS US
PROFESSIONAL OBJECTIVE Obtain a creative, challenging, growth oriented position that will assist in furthering my career with your company PROFESSIONAL EXPERIENCE February to November, EDS Administrative Services, LLC Oklahoma City, OK Claims Processor-Handle and dental claims. Assist team lead and supervisor as needed. Process ESRD claims. September to December Agency: Quest Pro Consultants, Dallas, TX (Contract Assignment) Client: The Republic Group, Dallas, TX Multi-Line | | | | |
| Resume: Claims Examiner
Ashburn, VA US
Objective To be an integral part of an overall strong and work/life balanced organization that will allow for continued personal and professional development, where my astute, diplomatic talents for leadership, working with diverse groups, exceptional organization, analytical and problem solving skills can be used in support of the organizations goals. Qualifications • Ability to provide excellent customer service skills and consistently work well with public and diverse groups. • Talented in | | | | |
| 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 | | | | |
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