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Claims Examiner Resumes in California

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1.
M Czachow
Location: Chatsworth , CA 91311
... tus. ! Excellent interpersonal communication skills; relate well with clients, co-workers and people from diverse backgrounds.. ! Knowledgeable in property/casualt y and all other lines of liability insurance, California fair claims practices, compliance with government regulations, claims investigation, risk management, contractual review, risk analysis, coverage design, product marketing, negotiating of terms/conditions /rates, and proposal writing. ! Strong troubleshooting abilities; identify client related problems and implement appropriate sol ...

97 hits
2.
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 ...

95 hits
3.
J Mcintosh
Location: Hesperia, CA 92345
... ___ ________________ ________________ ______ Multi-Line Adjuster Summary of Qualifications Experienced property and casualty field adjuster handling residential and commercial claims from inception to conclusion. Policy coverage review and claim recommendations made with every investigation. Time management and organization is essential. Works to process claims promptly and efficiently. Experienced with CAT claims as well as after hours casualty/ vehicle investigations. ________________ ________________ ________________ ________________ ________ Professional Experience Mutual of Enumclaw ...

93 hits
4.
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 ...

91 hits
5.
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 ...

89 hits
6.
G Grotticelli
Location: Sun Valley, CA 91352
... 6 Motivated Vocational Rehabilitation Counselor / Disability Consultant adept at managing cases in a prompt, thorough, and effective manner. Expert knowledge in return-to-work qualifications and regulations. Experience evaluating and analyzing job market trends and overseeing all stages of disability claims. Strong personal dedication toward making a valuable difference in clients’ lives. Exceptional communicator; fluent in English and Spanish. Professional EXPERIENCE Grotticelli & Associates ~ Los Angeles, CA 2006-Present Vocational Rehabilitation Counselor / Disability Consultant · Provide job analysis, job descriptions, and disability management Return to Work services. Hayashi ...

87 hits
7.
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 ...

85 hits
8.
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 ...

83 hits
9.
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 ...

81 hits
10.
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 ...

79 hits
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