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
2.
W Wilson Location: Acworth, GA 30101 ... the insurance industry, Currently hold Property and Casualty Licenses in Georgia Graduate of the Dale Carnegie Course Awarded for Outstanding Presentation during the Dale Carnegie course Completed various management courses through Home Depot. Attended various insurance claims training seminars. Work of experience The Home Depot USA, Inc., Atlanta, GA Manager - Risk Management Currently responsible for implementing and managing Home Depot’s property claims for the US and Canada. This would include recovery of damages to Home Depot by third parties. Manage all damages caused by fire, natural disaster, and other causes. Manage TPA for recovery of third party damages to Home Depot pro ...
95 hits
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A Herren Location: Lawrenceville, GA 30043 ... have held positions such as: Claims Examiner, Senior Claims Examiner and Auditor.Professi onal Experience* Responsible for processing medical and dental insurance claims* Interpret medical and dental contracts* Interacted with physicians, employers, employees, sales representatives and brokers on a daily basis to provide status updates on approvals, denials and verified benefit information on claims* Submitted monthly audit reports for quality control and cost containment* Handled attorney files and insurance commissioner complaints * Acted as the liaison to the corporate office and their sales representatives by recommending appropriate benefits for ...
93 hits
4.
T Luckie Location: Newnan, GA 30263 ... Auto Damage AppraiserCompute r SkillsADP Estimating Windows XP Quickbooks 2007CCC/Pathways Windows 2000 Summit ManagementMitche ll Estimating Outlook & Word Photo SoftwareEducatio nUnited States Navy, Aviation Electricians Mate, Honorable Discharge ADP Collision Estimating Software Training (16 hrs. Course) 1999CCC Collision Estimating Software Training (16 hrs. Course) 1994Emergency Coordinator and Hazardous Waste Management Compliance Seminar (8 hrs. Course) 1994Georgia Independent Adjusters License ...
91 hits
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H Jameson Location: Marietta, GA 30008 ... nts *Manage Compliance Team *Coordinate Compliance Program * Meet Territorial Goals * Improve Risk Quality *Analyze Inspection Reports* Evaluate Controls * Reduce Territory Loss Ratios * Analyze Training Needs * Develop Training Plans * Conduct In-House Training *Develop Recommendations *Audit Member Companies EXPERIENCE DEEP SOUTH SURPLUS OF GEORGIA ATLANTA, GA Underwriting Manager/ Underwriting Specialist 2004- 2008 Manage five (5) underwriters, supporting four states with a volume of $23 Million. Manage a territory of fifty (50) agents with a volume of $3 million. Develop reporting procedures for revenue data base. Provide technical guidance to Underwriter assistants and ...
89 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 ...
87 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 ...
85 hits
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R Jones Location: Douglasville, GA 30135 ... ars of claims investigation and adjusting experience Previously handled Commercial & Personal Auto, Professional Liability and General Liability claims Field and Fraud Investigation experience RELATED PROFESSIONAL EXPERIENCE Access General Insurance – Atlanta, Georgia MD Adjuster, SIU Special Investigator then BI Adjuster January 2007 to January 2009 I joined Access General Insurance in January 2007 as a material damage adjuster handling collision and property damage claims in the Orange, CA office. In June 2007, I was promoted to SIU Special Investigator and handled fraud investigations throughout the Southern California area. In June 2008, I relocated and was transferred to the At ...
83 hits
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A Smith Jr Location: Powder Springs, GA 30127 ... iding superior service to exceed corporate and customer expectations. Committed team member recognized for professionalism and integrity. Proficient in Microsoft Word, Microsoft Excel, InsuraTek Corporation EZ Audit and Visual Premium Audit software. Clean U-4. Expertise in the following broad based competencies: Premium Auditing and Global Financial Market Research. PROFESSIONAL EXPERIENCE US-Reports, Inc. - March 2007 - Present. Senior Premium Auditor, Loss Control Surveyor · Conducted premium audits on workers compensation, general liability, and garage liability policies in the states of Georgia, Alabama, Florida and Mississippi. The Auditor has completed on average over eighty pr ...
81 hits
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J Barrett Location: Kennesaw, GA 30144 ... 2005 Georgia Southern University, Statesboro, GA Degree: Bachelor of Business Administration Major: Finance (Emphasis in Risk Management) August 1996 – May 2000 North Cobb High School, Kennesaw, GA Work Experience October 2005 - Present AIG Agency Auto – Alpharetta, GA 30004 Supervisor: Cheryl Daniely – Northeast Team Supervisor Responsibilities : Underwriting Assistant • Manage special tasks/projects as assigned by Underwriting Managers • Process Endorsements pertaining to the addition/removal of auto coverage, discounts and canceling of policies • Ensure New York policies with physical damage coverage contain Carco Inspection • ...
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