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Claims Analyst Resumes in Maryland

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1.
B Redmond
Location: Fort Washington, MD 20744
... relationship between National Non-Profit Veterans Organization and IT Firm.Worked closely with Membership Director, CFO and Strategic Planning Officer. Developed working familiarity with Netforum Enterprise and Eweb web hosting program. Researched, analyzed and interpreted policies and procedures.Resea rched, analyzed and corrected query parameters and improved accuracy in reporting of managerial/finan cial reports.Worked client through upgrade and process changes.Improved turnaround time on IT projects. Consulted with staff, developed business requirements and functional specifications statements. Supervised internal database and external web interface changes requested by client.Managed u ...

97 hits
2.
R Livingston
Location: Taneytown, MD 21787
... ARYAction-or iented risk management leader who draws upon an extensive business experience to help organizations improve the performance and productivity of their systems, processes, and workforce. Key Manager providing direction and oversight of a Third Party Administrator (TPA), identifying performance gaps, designing and implementing solutions at the individual, team, and organizational level. Direct experience with Commercial Risk Management, investigations, site inspections and property surveys, evaluation of claims, settlements, coverage analysis, loss control and reserve management. Expert problem solver with leadership, consultative, and relationship building expertise. Proven succes ...

95 hits
3.
R Holmes
Location: Havre De Grace, MD 21078
... l/territo ry sales management, leading and motivating top-performing teams to surpass corporate goals as well as client expectations. Possesses proven abilities in increasing sales, revenue, and the client base as well as driving rapid territory development/expa nsion. Applies strong interpersonal and communication skills to deliver high-impact presentations and conduct persuasive negotiations. Works effectively from a home office or with staff in a business environment. Exhibits exceptional problem solving and decision making abilities. Excellent client relationship development skills and management. Additional areas of expertise include: Operations/Branc h Management Product Dev ...

93 hits
4.
C Simpson
Location: Upper Marlboro, MD 20772
... ip, system user security setup and up dates, hospital billing audits, strategic reconfiguration of resources, project management, customer relations, process improvement, cost reduction, and staff development. Current in HIPAA regulations, EAP plans, Erisa guidelines, HCRA and DCRA accounts as well as EEO policies and procedures. ACCOMPLISHMENTS Assisting with the reorganization of the Smithsonian Institutions HR Benefits Department Member of HIPAA compliance team, Adventist HealthCare and Watson Wyatt World Wide Developed Adventist HealthCare's employer/provide r business strategy, which included outsourcing their TPA service. Restructured Adventist HealthCare’ ;s Third Party ...

91 hits
5.
L Wyman
Location: Laurel, MD 20724
... excellent oral and written communication skills. Strong negotiating and selling skills developed to sell settlements to policyholders and claimants. Multiline adjuster for many years for Aetna, Nationwide and GEICO. Commercial liability and property, Workmen's Compensation, Homeowners Property and Auto Damages. Strong capabilities as a team player, yet able to operate independently while maintaining a superb quality of work. Managed and trained adjusters in a small unit. Set up training programs to help the newly hired to succeed. Excellent at quickly learning new skills needed to handle tasks at hand . EXPERIENCE Lindsay Ford 2007-2008 Body Shop Estimator Completed estimates ...

89 hits
6.
J Hash
Location: Bowie, MD 20715
... position with the Out of State unit. Because MAIF is a state agency only MD residents qualify for coverage. My job as an OOS adjuster was to identify those policyholders who were misrepresenting themselves as MD residents and void their policies back to inception. Based on reserving I save the company an average of $250,000.00 a year. If coverage was determined to be valid I would have to handle all aspects of the claim, including litigation in the foreign jurisdiction. Commercial Casualty Claims Adjuster for the Maryland Automobile Insurance Fund: March 2005 until July 2006 I was assigned to the Commercial Casualty Unit soon after completing my one year training as a General Casualty ...

87 hits
7.
C Schroll
Location: Pasadena, MD 21122
... n resource specialists to present Aflac to businesses, present and sell policies to employees and individuals, and assist clients in providing them with service on their policies. Having moved into management I also am recruiting, training, and managing other Aflac agents to assist them with learning different aspects of the business and helping them to be able to work independently as quickly as possible. With Aflac I work with and aid other associates in their work as well as working on my own with little to no supervision. Department of Legislative Services December 2006 through April 2007 Annapolis, MD Page At the Department of Legislative Services my main responsibilities were a ...

85 hits
8.
M Bender
Location: Derwood, MD 20855
... hird party adjusting companies. Adjusted personal and commercial lines claims for auto and general liability, and property claims. Appraisal of cars and light trucks. Learned to work with various computer formats for each company. Learned to work with insurance policies and customer service instructions for various companies. Set reserves, indexed bodily injury claims, and settled claims for up to $250,000.00. Monitored activity of claims in litigation. Subrogation on files, including court appearances and working with State's Attorney. The contract with the Montgomery County Self-Insurance Program went from one company to another two times and I changed companies two times to ...

83 hits
9.
S Messick
Location: Ocean City, MD 21842
... Transport, Inc. to Present HR Benefits Manager Reorganized dysfunctional benefits department and instituted superior customer service within one year; Realigned benefits and rates to be more competitive as well as providing monthly seminars on wellness, benefits and 401(k) and financial tips. Responsible for administration of employee benefits including medical and Rx, dental, vision, EAP, Life and AD&D, STD, LTD, FSA, FMLA, LOA and 401(k) plans and the annual renewal of those plans. Analyzes data such as monthly and annual claims reports, large claim reports, and trends. Develops, recommends and installs new or modified benefit policies. Advises and counsels management and empl ...

81 hits
10.
R Hunt
Location: Clinton, MD 20735
... ims Examiner, Ranstad/EDS, and 1989 – 1993 Computer Science Corporation (NFIP) Determined/verif ied coverage on claims and coordinated solutions of policy coverage, researched prior claim history, analyzed multiple loss situations for possible duplicate payments, examined facts, challenged questionable items and identified possible fraud, negotiated settlements as needed. Prepared appropriate documentation for claims settlement or denial; ensured proper file documentation and maintains a chronological log in each file on each action concerning claims adjudication. 2002 – 2003: Project Management Support, EPSI/HUD Served as a focal point concerning long-term administrative projects ...

79 hits
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