D Templeton Location: Atlanta, GA 30331 ... urisdictions including subrogation and litigation. 16 Years Litigated Claims Experience Technical claims handling experience in Property, Auto, Liability, CGL, products liability, professional liability, fidelity and surety bonds, inland marine, manuscript and transportation claims. Computer literate. Familiar with various computer estimating programs, Xactimate, Boekh, Index reporting, PILR, internet/email, Microsoft Office, Excel, and Power point. Working knowledge of Quickbooks, Quicken, and Oracle. Chartered Property and Casualty Underwriter (CPCU), IEA Insurance Instructor for CPCU and AIC coursework.Work ExperienceLaw Offices of Vicky J. Templeton 7/08 - presentPersonal Injury ...
97 hits
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Q Freeman Location: East Point, GA 30344 ... to include the following: *Medical Only Adjuster * Medical Bill Review * Medical Claims Examiner * Property Casualty (3 mos. Experience) Summary of Qualifications Three (3) point contacts on First Report of Injury forms Recovery Specialist Claims Assistant Excellent Customer Service Relations Excellent Software Computer skills Medical Report Analysis Medical Terminology Working knowledge of State Licensing Administrative Assistant Procurement * Accounts Payable/Receivab le Work Comp Bill Review, and Work Comp Fee Schedule HIPPAA Compliant Settlement of property damage losses Work History Crawford & Company, Claims Specialist Rep September 2004 – Present ...
95 hits
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S Miller Location: Lawrenceville, GA 30044 ... gement, third-party administration, claims representation, and client relations. ________________ ________________ ________________ ________ PROFILE •Proven project manager, able to prioritize and complete multiple assignments within strict budgetary/time restrictions and technical/client specifications. •Offer over 15 years of insurance expertise, specializing in multi-line coverage interpretation, liability, property and GL claims. •Designate d troubleshooter, experienced in identifying and resolving diverse account concerns, and providing individualized service to build and maintain a loyal client base in a highly competitive marketplace. •Experienc ed in direc ...
93 hits
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G Floyd Location: Avondale Estates, GA 30002 ... ealth University Richmond, Virginia Bachelor of Science in Business Administration Received in August 2005 East Carolina University Greenville, North Carolina Majored in Business Administration, 1998 Experience: Sentry Insurance Richmond, Virginia December 2005 to September 2006 Auto Claim Representative/A djuster Investigated and settled auto claims for 12 states in a reasonable, equitable manner; took recorded statements, and obtained other pertinent information that helped determine liability in accidents; worked with appraisers to help claimants with their auto repairs, and prepared claims for subrogation through other parties. St Paul TravelersRichmon d, Virginia July 2005 to December ...
91 hits
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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 ...
89 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 ...
87 hits
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G Overstreet Location: Fayetteville, GA 30214 ... nd vendors at the loss site to determine cause and origin of losses and to investigate, evaluate and estimate damages to contents. Negotiated settlements, documented claim activities via laptop computer and followed procedures which yielded high levels of customer satisfaction and cost management. Excellent communication and organizational skills, as well as strong computer skills. Ability to manage relationships in a fast paced environment, while demonstrating persistence and problem solving skills. During my career I served as Administrative Claim Manager for 4 years and managed a 12 person office staff and was r ...
85 hits
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I Graiser Location: Marietta, GA 30062 ... th multiple diagnoses (OCD, ADHD, etc.), and I have made them my main career. At this point, one just graduated magna cum laude in the honor’s program at UGA. And, the other is on the Dean’s List at Georgia Tech. Now, I am anxious to return to a full-time position in order to pay for schools, studies abroad, etc. I feel I have many skills to offer to a quality employer, particularly one in customer support or the insurance/benefi ts industry. But, I am having difficulty in conveying this to people who seem to automatically reject me as a viable candidate because I have been out of the full-time work force for 20 years. During these 20 years, while I have been raising my two special needs chi ...
83 hits
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L Marshall Location: Rex, GA 30273 ... ability as a team player that works with little or no supervision. Excellent communication skills and understanding of requirements for meeting corporate objectives. Professional experience 2006-present CMI/Octagon Risk Services Duluth, GA Team Leader Supervise a team of five adjustors and one administrative employee in a fast paced workers compensation environment. Perform quality reviews on files and make appropriate recommendations to either manage or resolve files. Attend claim reviews with adjustors. Manage a small caseload of catasphropic and litigated files. Provide weekly numbers to manager for reporting purposes. Approve and provide rese ...
81 hits
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S Stephens Location: Smyrna, GA 30082 ... t and medical coding. Demonstrated analytical skills and attention to detail, flexible in performance of job duties and an effective team player. Experience 07/07-11/08 Northwestern Benefit Corp Atlanta,GA Internal Service Rep Responsible for providing dedicated customer service for 2500 employees. Resolved enrollment and termination issues as well as dependent additions Acted as a liaison with insurance carrier to resolve claims issues Provided assistance with the appeals process Answered calls relating to legislation and benefits laws regarding HIPAA, COBRA and FMLA Utilized internal software such as MS Outlook and other Microsoft applications Met all key contacts at least once to build s ...
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