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 ...
97 hits
2.
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 ...
95 hits
3.
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 ...
93 hits
4.
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 ...
91 hits
5.
L Russell Location: Wilmington, DE 19804 ... g for both Written and Verbal Communication with Customers & Agents (Internal & External), Interpersonal Skills Training (Myers-Briggs), Privacy Training and Anti-Money Laundering Classes. Expert Knowledge of Annuity, Whole Life, Endowment, Term Life death claims and Hospital Indemnity health claim processing. I also have expert knowledge of Annuity and Life maturity claim processing which include the calculating and processing of settle options under the policies/contrac ts. Handling and the clearing of suspense accounts. I also have experience with a Repetitive Payment System. This required adding new cases, updating old cases, handling the processing of payments, clearing suspense a ...
89 hits
6.
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 ...
87 hits
7.
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 ...
85 hits
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L Degreif Location: Newark, DE 19711 ... ent to investigate, handle, negotiate workers’ compensation claims for a variety of customers at all levels of exposure; work within a team environment to meet or exceed office and personal goals; handle Maryland, District of Columbia and Virginia jurisdictions. 3/2004 – 1/2006GAB Robins North America Claims Specialist II Work within a multi-jurisdicti onal claims environment to investigate, handle, negotiate workers’ compensation claims for a variety of customers at all levels of exposure; work within a team environment to meet or exceed office and personal goals; handle Maryland, District of Columbia Pennsylvania and Delaware jurisdictions. 11/2002 – 3/2004 ...
83 hits
9.
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 ...
81 hits
10.
H June Location: New Castle, DE 19720 ... first and third party injury and damage claims including medical claims, auto, liability and property claims. Serviced large national and regional accounts in the areas of Claims, Loss Control and Risk Management Services. Experienced in analyzing policy provisions and exclusions in order to decide eligible coverage and benefits. Managing files in litigation including direction of counsel and attending depositions and trials. Licensed adjuster in the states of Delaware, Connecticut, Florida, Texas and Alabama. Experienced in field work. Adjuster on the first response Catastrophe Team. Supervision and Training of Claims Analyst and Support Team. Employment: August 2004 to January 2006, I han ...
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