C Cegan Location: Sarasota, FL 34243 ... vice, client relations, educational development, staff management, and dispute resolution EMPLOYMENT HISTORY Cambridge Integrated Services (5/2007 – 5/2008) Tampa, Florida (813/628-8811) Supervised multi-state lost-time and medical adjusters for nationwide clients. Performed claim audits, provided one-on-one customer service, evaluated employee performance with plans of action, and ensured compliance with Best Practices. ________________ ________________ ________________ ________________ ________ FCCI Insurance Group (2/1991 – 3/2006) Sarasota, Florida (800/226-3224) Claims Supervisor (2/1991 – 8/1995) Supervised lost-time adjusters, analyzed exposure and reserves, litigation man ...
97 hits
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I Mcfatridge Location: New Port Richey, FL 34652 ... s to attain goals. ExperienceHealth Plan Services Tampa, FL May 2009 - October 2009Small group Underwriter* This is a temporary job underwriting small group applications and providing "pre-screening" decisions for a third party administrator of multiple insurance lines. * Excellent attendance record. UniCare Insurance, subsidiary of WellPoint Insurance/Anthem Blue Cross Blue Shield Chicago, ILIndividual Underwriter January 3, 2008 - February 13, 2009 * Evaluate and research existing policies to determine if there was misrepresentatio n at the time of original underwriting via review of medical records.* Excellent attendance record.IBU, ...
95 hits
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T Williams Location: Hollywood, FL 33021 ... erse backgrounds to make sound business decisions based on analyses of short-and long-term business needs. Able to take a large conceptual problem or project, break it into components, establish plans and a critical path, achieve incremental goals and deliver project on time and at or below budget. PROFESSIONAL EXPERIENCE Coventry Health Care Sunrise, FL Provider Systems Information Administrator (2007-Current) Prominent liaison between Provider Operations and Claims department providing technical configuration of all provider contracts including fee schedules and capitation arrangements. Ensure accurate claim processing and provider reimbursement through assessmen ...
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P Hightower Location: Jacksonville, FL 32218 ... mers/provid ers · Post credits to the appropriate claims system · Contact providers, subscribers, and facilities to ensure correct application of funds · Enter claim information into the PeopleSoft Billing tool · Handle refund letters that have been returned by the post office · Verify addresses for accuracy by utilizing various research tools · Updating these accounts with corrected information and notifying other departments of these changes. · Transfer accounts that should not be in collections to their appropriate location for processing. DATA ENTRY CLERK/CSR Martin Gottlieb & Associates, Jacksonville, FL 3/2008-11/2008 · Enter demographic information from h ...
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V Huff Location: Safety Harbor, FL 34695 ... strengths in communications; negotiations; protection of corporate interests; and the facilitation of the global mission. Establish Risk Management department at two companies. Prepared and issued a Risk Management manual to support the strategic goals of the enterprise. Knowledge of the marine; property and liability; captives; and benefit insurances. Strong enterprise risk management background with solid problem solving skills to formulate value-added results for the Insurance Program.PROFESSI ONAL EXPERIENCELEHIGH -CASHIERS, LLC, Dunedin, FL 2008 - PresentMarketing Analyst (Consultant)Cond uct credit analysis, market rese ...
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R Scott Location: Safetyharbor, FL 34695 ... case management or account manager as it relates to all lines of insurance, such as: auto, commercial PIP, worked with workers comp adjusters as it relates to the total evaluation and the resolution of the totality of the claim and as it relates to negotiations and settlements for BI claims. I am also interested working in any Litigation Department such as DEPO and EUO reviews. I am also interested with working in the Healthcare Claims environment as a Senior Claims Examiner, Provider Contracting Consultant, or Representative. I would like to work in the Dispute, Resolutions, Re-evaluation department in the Healthcare payer industry. Summary of Qualifications More then 7 years experience r ...
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K Liang Location: New Smyrna Beach, FL 32169 ... ch, FloridaLoss Control Specialist - 10/2005 to current*Perform commercial loss control surveys in the Central Florida RegionSUMMIT CONSULTING INC. Fort Lauderdale, FloridaPremium Auditor - 1/2004 - 10/2005*Performe d workers compensation audit work in the South Florida RegionEXPRESSWAY S Fort Lauderdale, FloridaSpecializ ed Computer Learning Instructor - 9/2001 - 12/2003*Instruct ed a computerized reading program for primary/secondar y studentsSTATE FARM INSURANCE Fort Lauderdale, Florida - 3/1988-3/1996Hum an Resources Representative - 2/1994-96*Recrui ted and hired employees for the South Florida RegionClaim Representative - 3/1992-94*Respon sible for all types of personal injury and p ...
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K Lang Location: Jacksonville, FL 32259 ... Thorough knowledge of Workers Compensation law; policies rules, rates, classifications, audits, and their relationship to regulatory requirements for state, federal and NCCI compliance procedures. Concepts / Principals of risk management and there relationship to prevention, loss control, safety, underwriting and costs. Experienced with Microsoft Office and Excel software used for writing comprehensive and concise reports for company management and for transmitting to the Department of Insurance. Marketing expertise includes Commercial and Personal Lines Property and Casualty Insurance. PROFESSIONAL EXPERIENCE The Florida Insurance School ...
83 hits
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M Steinhaeuser Location: Fort Myers, FL 33901 ... rman. Maintains insurance license and has completed real estate classes. Also experience in operating MS Office and various specialized computer programs regarding finance and insurance, top sales professional with strong interpersonal skills. EMPLOYERS:Nennin ger & Sons,LLC DBA: CC-Group: 1/09 - 12/09Cape Coral, FLPOSITION: Office ClerkDuties: Scheduling appointments, answer telephones, computer operation, filing, customer serviceWachovia Bank: 8/06 - 8/07Cape Coral, FLPOSITION: Bank TellerDuties: Money handling, computer operations, customer serviceLee Memorial Health Systems (Lee Memorial Hospital): 3/05 - 9/07Ft. Myers, FLPOSITION: Patient Companion/Assist antDuties: Obser ...
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S Esteswaugh Location: Valrico, FL 33594 ... ject and process management, performance management, problem solving, mentoring, training and facilitation, public speaking. Core values include: integrity, value oriented, energetic, motivated and detail oriented. Highly efficient in all communication forms. Resourceful and innovative, skilled in conflict resolution. Develops and maintains productive working relationships with individuals at all levels and from diverse backgrounds.PROF ESSIONAL ACCOMPLISHMENTSD eveloped and Managed the Provider Relations Program: Project lead for the development of the Provider Relations Program and Real Time payment process to ensure timely payments. Met with physicians and hospital personnel to assist in ...
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