L Thomas Location: Middletown, DE 19709 ... tory and compliance. Established skills in problem solving, organization and communication. Worked with management, colleagues, regulators and state departments of insurance to regulate and maintain compliance._____ ________________ ________________ ________________ ________________ ________________ _____WORK HISTORYACE - INA, Philadelphia, PA, Compliance Analyst - Workers Compensation 2005 - 2009Support Product Line Manager by researching compliance issues, tracking projects to meet deadlines, attending meetings. Review state department websites for new regulations and communicate information to our business customers.Busine ss Unit Support by responding to inquires pertaining to rate, ...
97 hits
2.
C Foltz Location: Clayton, DE 19938 ... will prove instrumental to company success. Career Profile Offer twenty-five years’ progressive claim support experience with specific expertise in the investigating, administration and reporting of claims regarding coverage issues, large losses and employee dishonesty. Effectively manage a broad range of claims adjustment and analysis functions, including assigning and directing field adjusters, experts, subrogation counsel and recovery units. In depth expertise in successfully settling claims based on OIA reports, telephone interviews, engineer’s reports and outside counsel recommendations. Adept at blending strong decision-making abilities with outstanding organizational skills ...
95 hits
3.
J Blades Location: Frederica, DE 19946 ... ty, Casualty, and Motor Vehicle. • Certified in full-scale personal/commerc ial claims handling for property, casualty, motor vehicle, product, and general liability. • 16 years of experience with major industry employers gaining state-of-the-art experience in: Claims handling ICD-9/CPT codes Claims management Subrogation (reimbursement) Fraud investigation Coaching/mentori ng Payment Interviewing Field work Surveillance Scene investigations Report writing • Proficient with insurance industry software for claims processing, and database research/data entry for informational research, fraud, cross referencing, background checks, and the National Insurance Crime B ...
93 hits
4.
S Jones Location: Los Angeles, DE 90047 ... 2003 to October, 2008: Senior Claims Representative Maintain and handle all first and third party claims on behalf of The Salvation Army including litigated and non-litigated claims. As a 10 year dedicated adjuster for The Salvation Army, I handled high exposure claims involving bodily injury, property and 1st and 3rd party claims. I also handled personal automobile claims for the client. RSKCo Claims Services Brea, CA 1998 to March, 2003 Senior Claims Representative Maintain and handle all first and third party claims on behalf of The Salvation Army, including litigated and non-litigated claims. Insurance Overload Systems Orange, CA ...
91 hits
5.
P Sinson Location: Wilmington, DE 19802 ... urance companies on claims payment issues for Beth Israel Hospital. STUDENT LOAN PROCESSOR-Lehman Brothers Bank/Campus Door Inc. 06/2007-03/2008 Processed student loan applications and determined approval status based on certain credit criteria and other financial analysis. Familiar with Grants, Scholarships, FAFSA applications and Title IV loans. COORDINATION OF BENEFITS/ PROVIDER RELATIONS ANALYST-Jacobson Solutions 08/2005-03/2007 Resolved Medicare secondary/Medica re replacement claims issues for members at BCBS OF California. Facilitated resolution of provider service issues for HMO, PPO, and POS PLANS at BCBS of Connecticut. SENIOR CLAIMS PROCESSOR/ADJUST ER-Union Labor Life Insuran ...
89 hits
6.
J Scott Location: New Castle, DE 19720 ... Property & Casualty Insurance License obtained in 2000 SKILLS Microsoft Office, Sagitta, (AMS), Agency Management System, Genius, Diamond, Profile, PBRS, Lotus Notes, IDX, SMS, Right fax, Medical Terminology, ICD-9 and CPT-4 codes EMPLOYMENT HISTORY 3/2008 – 11/2008 Ace Insurance USA, Kelly Temp Position Financial Analyst • Locate and attach reinsurance slips to insurance premiums received from non-affiliate countries. • Run monthly query of past due reinsurance premiums due from non-affiliate countries. • Settle and balance reinsurance amounts due from 24-month report. • Mark-off commission, taxes and exchange rate differences. 9/2006 – 9/2007 Commerce Bank Insurance Serv ...
87 hits
7.
E Rivers Location: Wilmington, DE 19810 ... are Philadelphia, PA 2007-Present Deputy Fleet Director Manage the day-to-day operation of a 450 plus car fleet. Responsibilities include but not limited to: · Negotiate with vendors to provide competitive pricing for vehicle preventive maintenance, damage repairs, and automobile liability insurance. · Analyze fleet expense and recommend cost reduction measures. · Manage a 3-person management team that oversees a team of 10 technicians. · Ensure proper staffing and execution of program within budget and schedule constraints · Maintain an on-going program of risk identification and risk mitigation plans Enterprise Rent-A-Car 1999 – 2006 ...
85 hits
8.
J Weaks Location: Townsend, DE 19734 ... usiness Academic, Received Diploma 1974 EMPLOYMENT CLAIMS DEPARTMENT SUPERVISOR (CBH) COMMUNITY BEHAVIORAL HEALTH 1999- Present Responsible for directly overseeing the work of 14 employees (2 Team Leaders, 10 Claims Processors and 2 Mail Clerks). Monitoring the workflow in order to keep the daily backlog of claims within the time limit issued by the State. Training of new staff and keeping current staff updated on new departmental procedures. Evaluating and coaching of staff as needed. Assist Manager and Assistance Manager with provider issues involving payment and denial of claims. Completion of numerous tasks within a time period. Accomplishment: Ethnic training, Cultur ...
83 hits
9.
K Asare Location: Newark, DE 19702 ... and service industry. Strengths include motivating, forecasting, and having a comprehensive knowledge of the sales and service processes. Major accomplishments include placing in the top 25% in sales revenue for every company I’ve worked for, having a low customer service/sales complaint ratio compared to company averages, and voluntarily assuming lead roles to help foster positive relationships with customers, underwriters, fellow agents, and brokers. Motivation Creative Sales Techniques Pricing Policies Strategy Development Marketing Implementation National Collaboration Relationship Management Account Retention Professional Experience AIG Mar ...
81 hits
10.
T White Location: Dover, DE 19901 ... and verbal communication skills, with an eye for detail Extremely productive in a high volume, high stress, environment Proficient in the use of Microsoft Word, Excel, PowerPoint Highly productive in the use of Office 2000 Professional Self starter with a “can do” attitude EMPLOYMENT HISTORY: 08/2008 – Present Wells Fargo Financial - Inbound Sales Specialist 2 Chester, PA -Handled a number of assigned client accounts/prospec ts -Generated additional revenues through optimizing business opportunities with existing clients/sales force and/or new clients, ensuring client/sales satisfaction -Performed needs analyses with current and prospective customers throughout the ...
Saved Resumes
