T Hearns Location: Hillside, NJ 07205 ... on that allows advancement and great incomepotential Work ExperienceDates Employed 6/2007-9/2009 MetLIfe (O.F.E.G.L.I) Jersey City, NJCase Management Specialist - Manage/process death claims for federal government customer unit- Process Living Death Benefit (LBO) and Accidental Death (AD&D) claims and inquiries- Provide customer service for both active/retired federal employees- Develop/maintain a claim processing system for complex claims requiring medicalreviews, internal audits, and legal issues- Active member Employee Advisory Committee (E.A.C.)9/2005-3 /2007 Prudential Livingston, NJ Disability Associate Claims Exam ...
97 hits
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T Rooney Location: Pompton Lakes, NJ 07442 ... ofessional with 16 years of experience investigating and processing automobile insurance claims. Excel in analyzing damages/causes interpreting policies and negotiating payment solutions. Effectively manage multiple high-priority projects and take pride in providing exemplary customer service. KEY SKILLS: Claims Handling and Investigations Claims Reports and Documentation Policy Interpretation Damage Assessment Subrogation PROFESSIONAL EXPERIENCE: State Farm Insurance Company Claims Processor/Subrog ation Processor 7/02 to 6/08 An ...
95 hits
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P Zapf Location: Whippany, NJ 07981 ... bility to establish efficient, cost effective and customer sensitive operations. Extensive experience in negotiation and resolution commercial claims. Computer literate with exceptional oral and written communication skills. PROFESSIONAL EXPERIENCE12/08 - Present GAB Robins Risk Management Services - Parsippany, NJ Claims Manager for New Jersey Branch of national claims adjusting and third party claims administrator- Directed staff of 7 claims examiners and support personnel responsible for general liability, property, products, commercial auto, Business Owners, Multi-Peril insurance claims - Established Claims Committees for review of high exposure cases- Ensure proper reporting and b ...
93 hits
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D Cozzolongo Location: Bloomfield, NJ 07003 ... 1985 -2009 29 YEARS OWNER OPERATORDURING MY TIME AT MIKES AUTO BODY SHOP I HAD 4-7 EMPLOYEES. MY JOB CONSISTED OF SALES, DEALING WITH ALL THE NEW JERSEY INSURANCE COMPANIES, INSIDE ADJUSTERS AND FIELD ADJUSTERS. I WOULD BE AN ASSET TO ANY INSURANCE COMPANY. I HAVE THE EXPERIENCE TO WRITE A FAIR ESTMATE AND NEGOTIATE AUTO CLAIMS.BECAUSE OF MY EXPERIENCE I COULD SAVE YOUR COMPANY A LOT OF MONEY BY WRITING AN ESTMATE WHICH IS ACCEPTABLE TO THE INSURANCE COMPANY,THE CUSTOMER AND THE AUTO BODY SHOP . E-MAIL: THECOZZGROUP@GMA IL.COMCELL: 1-973-980-4864co nceptua ...
91 hits
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C Templeton Location: Lakewood, NJ 08701 ... growth and advancement.Desi red Salary:$32,000-$ 35,000 per year, but negotiable.Descr iption of perfect job:Reviewing and processing claims in a fast paced environment.Oppu rtunity to interact with customers and internal staff to provide excellent service and support.Experien ce:1/2006-Presen t Horizon Blue Cross Blue Shield Wall NJClaims Consultant-Resol ution Team and Investigations/ Appeals Complete Service Requests from various areas. Adjust live claims. Accounts ReceivablesCoins urance, deductible and out of pocket maximums. Heavy case load. Multi taskingin many different areas. ICD-9 coding, CPT-4 coding, DSM-3 Coding, HCPCS coding. Member correspondence as well as communicating w ...
89 hits
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K Rabe Location: Andover, NJ 07821 ... (973) 222-6948 krabe@ptd.net Background Summary: More than fifteen years experience handling litigated property casualty Insurance claims in a timely manner while keeping expenses at an acceptable Level. Adaptable to many computer systems and management styles. PROFESSIONAL EXPERIENCE Property Casualty Claim Representative Responsible for handling all phases of bodily injury property/casualt y claims from both a claims and virtual office environment. Solid and logical approach to gathering information · Negotiated settlements and i ...
87 hits
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P Peranio Location: Wayne, NJ 07470 ... VEHICLES , WRITING SUPPLEMENTS IF NEEDED, ISSUEING CHECKS FOR THE COST OF THE REPAIRS, SENDING ALL MY FILES THROUGH THE COMPUTER TO THE MAINFRAME FOR GEICO. 1992-2005 FINISHING TOUCH AUTO BODY BOONTON, N.J WORKING OWNER OVERSEEING REPAIRS BEING DONE ON PREMISES, DEALING WITH INSURANCE COMPANIES ON REPAIRS OF SOME VEHICLES, WRITING ESTIMATES, DEALING WITH CUSTOMERS, BILLING FOR REPAIRS, LIGHT BODY WORK, TEAR DOWN OF DAMAGED PARTS, PAINT WORK, DETAILING OF VEHICLE FOR DELIVERY, MECHANICAL REPAIRS. References BENJAMIN PERANIO 973-335-2008 JOE DAHER 973-983-9800 KRISSY NICK 973-519-3814 ...
85 hits
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P Webb Location: Plainfield, NJ 07060 ... vice skills. Qualifications: Possesses over 10 years of progressive Customer Service experiences. I am a highly dedicated and motivated individual with an understanding of management, business development and positive client relation in highly competitive, service oriented environments. I demonstrate leadership, team player, time management, problem solving and decision making skills with the ability to multi-task set priorities and organize facilities to maximize results. Skills: Professional Skills- Manager, Medical Billing, Medical Scheduler, Data Entry, Typing 45 words per minute. Software Skills- Microsoft Window 98, 2000 and XP, Microsoft Outlook, Word, Excel PowerPoint, IHCFA, MYFA ...
83 hits
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V Moorer Location: Plainfield, NJ 07062 ... e ability to pinpoint areas for improvement and redesign. PROFESSIONAL SKILLS* Extensive knowledge of Microsoft Office applications, including daily use of Word, Excel and PowerPoint for documentation, communication, and reporting purposes. * Knowledge and Experience with Regulatory Compliance Systems as Sarbanes-Oxley (SOX), Health Insurance Portability and Accountability Act (HIPAA), and Health Claims Authorization, Processing and Payment Act (HCAPPA).* Experience with exporting and querying reports from Crystal Reports, Siebel Analytical Reports and SARs Reports * Experience with NASCO, CARs and QBlue health claim processing systems.* Knowledge of healthcare claim payment ...
81 hits
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T Walsh Location: Park Ridge, NJ 07656 ... hem in person either the same day or within 24 Hours. Explaining the claims process to them and establish a Direct Deal relationship with the claimant. Work with the claimant to determine injuries, treatment, lost wages, and medical expenses. Investigate the facts of the accident by canvassing the accident scene for witnesses, conduct locus investigations, photos of all vehicles, obtain recorded statements and medical authorization forms. Identify fraud indicators and refer suspect files to the SIU department in a timely manner. Request claimants medical records. Decipher injury allegations. Determine if the claimants injuries warrant settlement or denial. Handle litigated files to conclusio ...
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