D Fischer Location: Canton, GA 30115 ... data; detecting trends and patterns and utilizing information gained to make positive decisions. Understanding the "big picture" in any given insurance program. Willing to except the ever-changing scope of fraud techniques, make effective recommendations and insure positive outcomes in spite of negative influences. A firm believer in the TEAM concept as it relates to a work environment.MAJO R ACCOMPLISHMENTSA s a Medicaid Fraud investigator my efforts have produced close to three million dollars worth of overpayment recuperated for the Florida Medicaid program and over 30 provider terminations since August 2003. Furthermore, more than 15 of these providers were referred to our Medicaid Fraud ...
97 hits
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T Wiley Location: Conyers, GA 30013 ... gorously follow up with all parties involved in the claim process as prompt aspossible. -Properly negotiate settlements with Adverse Carrier and Attorneys. Accurately reviewsubrogatio n demand.-Work diligently with Appraisers review document for error on cost to complete the workproduct on the appraisal in a timely manner. Handle and win Arbitration decision onbehalf of the insured. -Recognize Total Loss vehicle in a timely manner. Average Adjuster 12 day .( I average8.9 days.) -Consistently go above and beyond company goals for claims handling time average companygoals 100.00 .(I average 106%. ) Received several customer letter for great service andclaim s handling. -Report fraud cla ...
95 hits
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K Vaughn Location: Stone Mountain, GA 30088 ... ment and helping others. I would like to use my case management skills & my ability to work under the deadlines of high stress environments to help advance myself and my team. EDUCATION: 2006-2008Univers ity of Phoenix Atlanta, Georgia Associates Degree in Criminal Justice 2008-Present University of Phoenix Atlanta, Georgia Currently pursuing Bachelors Degree in Human Services Management WORK EXPERIENCE: Lance, Inc. March 2007-Present Duluth, Georgia Office Manager/Executiv e-Administrative Assistant Calendar management, memos & correspondence, maintain vacation calendar for entire office Helped to manage staff of 109 route drivers, 13 field managers & 3 area manager ...
93 hits
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J Nkondog Location: Snellville, GA 30039 ... Objective To secure a position with a well established organization with a stable environment that will lead to a lasting relationship in the field of Insurance and Risk Management. Education Experience American Institute for CPCU/Insurance Institute of America Associate in Risk Management – October 2008 Associate in Claims – July 2006 Society of Actuaries – Exams Passed Numerical Analysis – Spring 1997 Probability and Statistics – Fall 1995 Calculus and Linear Algebra – Spring 1995 Baruch College – New York, NY Actuarial Science Minor – Certificate of Completion, May 1996 University of Clermont Ferrand – France Bachelor of Scienc ...
91 hits
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R Brown Location: Brunswick, GA 31525 ... RESUMERobert Brown89 Glynn Marsh Circlebrunswick, GA 31525 USATel: 912-506-2745 Email: derrellz@yahoo.c om OBJECTIVE: ADDITIONAL INFORMATION: cell # 912-506-2745 ...
89 hits
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C Gatlin Location: Athens, GA 30606 ... in Risk Management, Chartered Property and Casualty Underwriter (CPCU). EDUCATION UNIVERSITY OF GEORGIA, TERRY COLLEGE OF BUSINESS, Athens, GA 2008-2009 MBA, Concentration: Finance / Risk Management • 3.48 Grade Point Average UNIVERSITY OF GEORGIA, TERRY COLLEGE OF BUSINESS, Athens, GA 1998-2001 BBA, Finance BBA Risk Management & Insurance • 3.71 Grade Point Average Skills: • Producing ad hoc data mining reports in Brio Query, or Microsoft Access, Word, Excel & Power Point • NPV analysis and budgeting • Brio Query Hyperion Essbase • Experienced in business requirements documentation for systems programming. • Underwriting and pricing workers compensation, ...
87 hits
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C Calhoun Location: Woodstock, GA 30188 ... th remarkable business acumen and solid track record of outstanding productivity. Motivated mentor, trainer, and internal POC (Point of Contact) who strives to make a significant contribution to the overall performance and growth of the organization. Expert in translating business requirements into functional solutions, and making technical decisions with specialized knowledge to contribute to the IT structure. Strong oral and written communication practices, and interpersonal and leadership skills make me an exceptional candidate as a long-term Consultant or loyal employee within any industry. SME level expertise:Qualit y Assurance Concepts and Standards, Requirements gathering, SD ...
85 hits
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J Nkondog Location: Snellville, GA 30039 ... Objective To secure a position with a well established organization with a stable environment that will lead to a lasting relationship in the field of Insurance and Risk Management. Education Experience American Institute for CPCU/Insurance Institute of America Associate in Risk Management – October 2008 Associate in Claims – July 2006 Society of Actuaries – Exams Passed Applied Statistics – Spring 1997 Probability and Statistics – Fall 1995 Calculus and Linear Algebra – Spring 1995 Baruch College – New York, NY Actuarial Science Minor – Certificate of Completion, May 1996 University of Clermont Ferrand – France Bachelor of Scienc ...
83 hits
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L Collins Location: Sandy Springs, GA 30350 ... the Comp Advantage Unit · Reviewed loss runs for open claims and trending and presented results to clients · Resolved open claims with adjusters and determined the true value of the claim · Projected and verified Experience Modification Factors · Negotiated with the Carrier to repromulgate the Experience Modification Factors · Analyzed loss runs to determine loss time claims or medical-only and developed loss analyses · Created training programs for clients and staff · Assisted producers with sales calls Marketing Coordinator, RLI Transportation Insurance Company, Atlanta, GA *2005-2006 · Identified, qualified and marketed company products with over 100 prospective agencies · C ...
81 hits
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D Nelson Location: Atlanta, GA 30314 ... ills and programming knowledge. EDUCATION University of Kentucky, Lexington, KY, Bachelors of Science in Mathematics, Computer Science and Statistics minors, May 2001 Aflac Leadership Academy, Fall 2007, Fall 2008, Spring 2009 CERTIFICATIONS Certified Internet Webmaster, January 2002 VITA/TCE Certification: Basic, January 2009 ACTUARIAL EXAMS Exam P/1, May 2006 Exam FM/2, May 2008 VEE Applied Statistics, March 2009 Exam MFE/3F sitting Spring 2009 COMPUTER KNOWLEDGE C++FORTRANJCLSAS RUNIXMainframeTS O/ISPF Microsoft Outlook, Word, Excel, Access, PowerPointBusine ss Objects EXPERIENCE Aflac, Inc, Columbus, GA, 2005-Present Actuarial Assistant, Experience Studies, Pricing/Product Development ...
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