S Elliott Location: Houston, TX 77339 ... nefit analysis for key industry stakeholders such as Green Tree Administrators, Acordia (Anthem), Claims Services Resources Group, Insurance Overload Staffing, Meritain Health, and United Health Group. • Uniquely qualified in organizational/s ystems auditing and Re-engineering: successfully integrated complex computer technologies and systems solutions that streamlined and improved internal control procedures and increased productivity • Led the team that inherited a 2,000 employee Life Group in stride - without increasing the size of the support staff and is on pace to deliver approx. $500,000 in additional annual revenues• Spearheaded a systems conversion project that delivered e ...
95 hits
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H Teichelman Jr Location: Taylor, TX 76574 ... TO BUSINESS OWNEREMPLOYMENT HISTORY:MAR. 1983 TO FEB 2004 OWNERTEICHELMAN INSURANCE AGENCY TAYLOR, TEXAS 76574SOLD AND SERVICED ALL LINES OF INSURANCE TO THE GENERAL PUBLICAUG 1977 TO MAR 1983 AUDIT SUPERVISORFARMER S INSURANCE GROUPMERCED, CALIFORNIASECTIO N DID AUDITS OF THE REGIONAL OFFICE AND THE ENTIRE NORTHERN CALIFORNIA AGENCY FORCEADDITIONAL INFORMATION:MILI TARY EXPERIENCEJUL 1962 TO JUL 1966 WAS HONORABLE DISCHARGED FROM THE AIR FORC ...
93 hits
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K Kee Location: Georgetown, TX 78626 ... and claims operations management, claims audit, analysis, investigation, subrogation, litigation, reserve development, excess reporting, medical cost containment, training, staff development, and regulatory compliance. Administrative experience includes budgeting, benchmarking, trending, forecasting, capital planning, cost control, internal and external compliance, personnel management and training, sales and marketing. Enterprising leader who works with the resources available to create solutions, maximize results and operate within budget. Understands the importance of quality service, stakeholder-clie nt relationships and communication. Confident, competitive decision maker that demonstra ...
91 hits
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H Mansel Location: Irving, TX 75061 ... ment of and implementation of business strategies, improving and reducing cost, reducing disability days, and motivating employees so that value added results are achieved. Experience includes: Supervision Non-Subscriber Claims Management, Mediation, Trial Monitoring, Settlement Negotiations Systems Analysis, Design, Testing and Training CENTRAL KIA, IRVING, TX JUNE 2008 –CURRENT Sales Consultant Responsible for the demonstration and sale of new and used vehicles. The sale is concluded upon the delivery of the vehicle. Sales often exceeding the majority of the veteran sales staff. Maintained a 93.1 survey satisfaction score from all customers sold to date. Greeting all potentia ...
89 hits
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B Lamberson Location: Austin, TX 78727 ... ting with stakeholders to achieve organizational excellence and improve internal and external operations. Analyze business services, internal systems, programs, procedures & processes. Develop and execute strategic initiatives and operations. Conduct financial, performance and compliance audits for public, private and non-profit sectors. Maintain effective, positive working relationships to promote goal oriented success. Lead, train and supervise staff. EDUCATIONCERTIFI ED FRAUD EXAMINER - 2008PARK COLLEGE, AUSTIN, TEXASB.S., Mgt. Business Administration & Mgt. Human Resources, 1995- Future plans include graduate studies in Public Policy & Specialty Certifications AFFILIAT ...
87 hits
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C Larson Location: Plano, TX 75075 ... lifications Extremely productive as an individual and a detail oriented team worker. Extensive knowledge of medical forms and coding. Consistently promoted for thorough and improved performance. Experience United HealthCare, Plano, TX (Telecommuting) Team Lead, 09/2007 – present Responsible for the management of 6 contracting analyst and 3 contract auditors for Medicare contracts loaded into the COSMOS application. Monitor errors made in loading and audits, assuring correct procedures are followed and QA measures are met. Reporting, documenting and present results to upper management for team goals and accomplishments. Responsible for accurate planning of Paid Time Of ...
85 hits
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M Lynd Location: Wylie, TX 75098 ... tion, insurance finance, underwriting, claims process, reserving, issues identification, organization and communication. Additional skills include the ability to work successfully with independent counsel, work as a liaison between the company and the customer, reducing claims, understanding fraud, motivation, mentoring, training client companies and leadership. A professional who uses diplomacy and tact and demonstrates integrity and honesty. PROFESSIONAL EXPERIENCE BROADSPIRE SERVICES, INC. Concord, CA 2000 - Present Senior Claims Specialist I presently manage the financial, legal and medical aspects of Worker's Compensation claims. Other duties include mentoring of examiner trainees and ...
83 hits
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B Blake Location: Richmond , TX 77407 ... ty Control Auditor experience, Proficient with ICD-9 and CPT codes, PPO processing, Individual and Group coverage, Medicare and Medicare Supplement, Dental Claims processing, PC literate in Word Perfect, Windows 3.1 and Windows Excel. Qualities: Team Leader, Detail Oriented, Quality Work Et ...
81 hits
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M Sandridge Location: Garland, TX 75042 ... blem solver and self-motivated. Ability to implement and maintain current procedures and processes. Detail oriented, producing accurate payments, billings and payment corrections far above required company standards. Driven to complete all tasks prior to given deadlines. Trained others to implement several system upgrades and new government regulations to comply with industry standards. Work Experience GM Southwest - Frisco TX May, 2007 - March, 2009 Claims Examiner/Assista nt to Marketing Director Research colleges and independent school districts to locate new business. Submit bids to schools that request. Claims Examiner Process student accident claims. Processed all accident injury c ...
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