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Claims Analyst Resumes in California

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1.
W Harris
Location: Huntington Beach, CA 92646
... ience, strong leadership andinterpersonal skills to yourorganization . Professional Profile Success-driven professional with extensive decision-making experience that is required ina demanding corporate work environment. Resourceful and creative problem-solver Possess effective mediating and negotiating skills required to resolve adversesituation s.Real life industry experience with "hands on" knowledge of vehicles both vintage andcontemporary. Professional Experience: 22 Years continuous employment with Enterprise Rent-A-Car 12/2006 - 6/2009 (lay off) Loss Control Specialist, Enterprise Rent-A-Car of Los AngelesManaged a file load for one half of the Southern California Commercial Tr ...

97 hits
2.
J Negrete
Location: Fullerton, CA 92832
... roject Management and Research & Strategic Planning, I am confident that my passion and degree of skills along with my experience will enable me to make a difference with your organization. Employment History Farmers Insurance Group, Arcadia, CA 11/01/09-Present Customer Service RepresentativeDi rect responsibility for following-up on agency leads to solicit and induce; recommending different types of coverage and limitsPreliminar y negotiations; including providing quotes, payment options, applicable discounts, etc.Responsible for entering into a contract of insurance; signing a ...

95 hits
3.
L Kelm
Location: Fresno, CA 93726
... dgeable in Coordination of Benefits, Third Party Liability, HIPAA privacy, Pre-existing conditions, and Medical TerminologyCPT, HCPC & ICD-9 codingTen Key and Alphanumeric Data Entry/claims adjudicationAbil ity to make rational judgment decisions regarding complex claim situations Work well independently as well as part of a team environmentWORK HISTORYOctober 2007-Present, Delta Health SystemsClaims Reprocessor/Cust omer ServicePoint of contact/Claims representative for ICSVEBA Calculation and determination of network discounts and allowances using network access (Blue Cross, Interplan, Multiplan, CFMC).Handling of new Group accounts (ICSVEBA, SCF Arizona, RUSD) Responsible to resolve ...

93 hits
4.
L Robinson
Location: Stockton, CA 95206
... ical and detail- oriented. Highly organized and efficient. Extremely productive in a high-volume, high-stress,envi ronment. Self-starter with a positive and motivational attitude.Work ExperienceClean Rite's Cleaning Service January 2008-CurrentOwne rStockton, CA As company owner duties consist of advertising , marketing and soliciting clients inorder to secure customer accounts. Maintained cleanliness and beauty of client facilitiesaccord ing to specific client contract expectations also met and exceeded all customerspecific ations . Janitorial duties performed include but not limited to sweeping, mopping,waxing and ...

91 hits
5.
L Jordan
Location: Suisun City, CA 94585
... r providers, groups, vendors, and patients. Experience with all types of software programs regarding Collections, Billing (UB04, UB92 & 1 500), Administrative, Accounting, Software Training, follow-up, charge entry adjustments, data entry, and cash posting. Skilled in working with Cubs, Suncoast, PACE, IReSS, ChartMaxx, eBoutique, Citrix, NFR (National Field Representative), Ivans, Medi.Com/WebPort al, Flordia Shared, SSI, DSG, Cirius, Ibex, Medicity, HealthLogic, MediSoft, Premis, Peoplesoft, QuickBooks, Solomon, Odyssey, emdeon, Medical Manager, MediFinance, Lastword, ACE, Pbar, MediTech, Amysis, Webmats, Circius, Premis, SMS, SAP, MS4, MAS90, MAS500, AS400, IDX, MDX, Isuite ...

89 hits
6.
C Velicescu
Location: Los Angeles, CA 90036
... ----- ---------------- ---------------- --------------WO RK COMP CLAIM'S ANALYST/COORDINA TOR with 10+ yrs experience, and a formal Legal & Medical education, achieves superior results in clearing-up and closing overlooked claims, case & loss review/analysis, employee safety training and additional related duties, all within a high workload environment.____ ________________ ________________ ________________ ________________ _________------- ---------------- ---------------- ---------------- ---------------- ---------------- ---------------- ---------------- ----------QUALIF ICATIONS' SUMMARY: - Solid experience in all phases of case management, injury prevention, and client relation ...

87 hits
7.
C Cessna
Location: Placentia, CA 92870
... he insurance industry, and 18 years of claims experience, I have had the opportunity to develop clear analytical and conceptual thinking. I have also developed excellent claims judgment, troubleshooting skills, and strong negotiating and problem solving expertise. My experience has given me the ability to handle multiple priorities simultaneously without compromising quality or missing deadlines. Professional experience 05/2006 to 08/2008 Specialty Risk Services Brea, CA Account Specialist for Lowe's HIW, GL/AOL. Performed investigation of General Liability claims, homeowner's property damage claims, and vehicular accidents. Determined liability and negotiated favorable settlement of ...

85 hits
8.
R Nolan
Location: San Ramon, CA 94582
... rophe team member, property claims and Auto Body shop manager and owner. My accumulated experiences are key to insuring best business practices in our industry. While at Allstate, I was trained in estimating damage to autos, motor homes, boats, big rigs and heavy equipment. I was an interim instructor for Allstate and trained new employees at Allstate Insurance Tech Cor at their National Headquarters in Palatine, Illinois. I possess diverse technical (insurance/body shop) and supervisory skills. I am a motivated, personable business professional with excellent communication skills and always provide a high level of customer service throughout the claims process. I thrive in ...

83 hits
9.
V Cooper
Location: Fresno, CA 93711
... rance and cost control.Self motivated and focused: comfortable working independently or as part of a team.Adept at communicating effectively with clients, vendors, and staff.Excellent coaching and motivation skills.PROFESSIO NAL EXPERIENCE:Texas Windstorm Insurance Association Austin, TX 12/2008- present Zurich North America Schaumburg, IL 08/2008-11/2008P roperty & Liability Supervisor/Exami ner, (Inside) CAT and daily Claims AdjusterSupervis e field and independent adjusters, ensuring superior delivery of claims service. Examine estimate files for accuracy, resolve disputed claims. Handle and settle commercial and homeowner claims on the Catastrophe Team for Hurri ...

81 hits
10.
J Happ
Location: Redwood City , CA 94061
... round with skills in customer relations, staffing, operations and analytical problem solving Well-disciplined and focused in planning, scheduling and implementation. Accustomed to complex, detailed documentation and reporting to meet regulatory compliance. Effective organization and utilization of available resources to complete projects and achieve goals. Experience in interpreting and applying policies, procedures and regulations. Professionalism in verbal and written business communications. EDUCATION: Bachelor of Arts Degree in Economics - San Jose State University - Graduated 1988 EMPLOYMENT: Claim Representative General Adjuster - Koning & Associates Independent Insurance Adjus ...

79 hits
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