P Humphries Location: Washington, DC 20001 ... ustomer service skills. Experience: Proficient in researching, adjusting and processing fee schedules for determinationof allowable benefits.Provide customers with benefit informationMaint ain accounts payable, receivable, attendance records, and proposal preparation.Able to deliver and communicate with customers respectfully and professionally to de-liver product of services.Knowled geable of the Health Insurance Portability and Accountability Act of 1996(HIPPA) Privacy Rule. Accomplishments: Maintained production goal throughout tenure with various companies.Retrie ved $1.5 million from past due accounts Selected numerous times to help determine Claims Departm ...
97 hits
2.
G Williamsbland Location: Washington, DC 20019 ... mage inspection; and skills in property damage estimation. SPECIAL SKILLS & TRAINING Claims Estimation Software Applications & Database Systems Marshall & Swift MSb; Boehk; Xactimate; Simsol; Oleander Training Trained specialist in water damage claims: Mold Identification, Wet/Dry Rot and Deterioration Completed Servpro and ServiceMaster Training o Trained to identify appropriate mitigation strategy for loss due to fire or water o Training provided by two of the largest fire and water remediation companies on the East Coast Vale Technical Institute in Pennsylvania: Structural Estimating Vale Technical Institute of Texas: Advance Structural Estimating Ability ...
95 hits
3.
C Rabb Location: Austin, DC 78733 ... Understanding of basic anatomy and medical terminology Extensive Medical claims background Good communication skills Processed CHIP claims and Medicaid claims EMPLOYMENT April 1997-Oct. 2005 Assistant Repricing Supervisor/Repri cer, USA Managed Care Organization, INC Assist in any areas of the repricing department Ensure the daily flow of work within the department to meet 24-48 hour claim processing deadlines Act as liaison to various internal departments to insure proper handling of claims Train new and existing employees Assist in research and resolving provider inquiries and complai ...
93 hits
4.
M Russell Location: Renton, DC 98058 ... s. Microsoft Word, Publisher, Outlook, and Power Point computer software program experience. Current Independent Adjusterˇ¦s licenses in Washington and Oregon. PROFESSIONAL EXPERIENCE: September 20, 2005 to present - AMERICAN CLAIMS MANAGEMENT, Federal Way, WA Branch Claims Supervisor „« Duties include managing up to seven personal lines adjusters and up to two claims assistants. „« Overseeing and handling day to day office operations. „« Assigning claims, file audits, interviewing prospective employees, training new employees, handling complaint calls and commissioner complaints. „« Continue to be involved in handling Special Investigations claims including attendin ...
91 hits
5.
A Turner Location: Washington, DC 20019 ... tion and management, determination of opportunistic and fraud claim payment disposition, theft loss /fraud organizational training, law enforcement and U.S. federal and state agency interfacing, policy and procedure compliance management. Additional skills include superior client service and communication abilities, negotiation and mediation talent, complaint reconciliation and innovative case and human resource management. EXPERIENCE Boat America Corporation, Alexandria, VA - 10/1997 thru 2005 Boat/ US Marine Ins. Claim Dept Theft Coordinator reporting directly to Claims V.P., 2/ 2000-6/2005 Co. Theft /Fraud Training Coord., Developed Dept Theft Guidelines/ Claims Manual ...
89 hits
6.
D Harris Location: Washington, DC 20019 ... int, Excel, Icd-9 Coding, WordPerfect 5.1/6.1, Filing/Editing, Typing (40+ wpm), Medical Claims, Telephone Skills, and Customer Service Skills. Education: Sanz Vocational School/ Medical Assistant Specialty completion Date: 10/02 (Certificate ) Spingarn Sr. High, Completion Date: 06/00 (Diploma Certificate) Employment Skills: Third Party Liability Claims Examiner The Department of Homeland of Security/U.S Coast Guard 10/2007 –present Confer with the Litigation Counsel for the US Coast Guard in the reconciliation of health care claims for the military service members. Research information and discuss claims with attorneys. Contact Tricare and various insurance companies to receive the c ...
87 hits
7.
N Simon Location: Seattle, DC 98103 ... in the auto liability field. Strong ability to communicate and train new procedures. PROFESSIONAL EXPERIENCE Progressive Insurance CompanySeptember 1997 - Present Branch Claims Manager Supervise a staff of team leaders and claim representatives who handle claims involving complex investigations and unrepresented bodily injury claims. Ensure consistent application of claims policy and corporate standards through file audits, quality assurance reviews, and performance management. Manage the implementation of new procedures and processes within the branch to ensure adherence to claims best practices. Responsible for gathering and analyzing branch results and creating action plans to i ...
85 hits
8.
A Aning Location: Washington, DC 20016 ... E Clerk2000 - 2002 Advantage Human ResourcesBethesd a, MD Data processing duties on research projects Created packets for mailings General office support Warehouse Clerk1997 - 1999 American Speech Language/Patholo gy AssociationRockv ille, MD Verified all requisition and delivery documentation Maintained control of product inventory Prepared product orders for shipment Claims Examiner1987 - 1995 Claims Administration CorporationRockv ille, MD Responsible for processing, reviewing, and making determinations regarding medical insurance claims Coordinated benefits for clients with Medicare and Medicaid coverage and reconciled benefit payments Gained knowledge of medic ...
83 hits
9.
K Ulvenes Location: Seattle, DC 98126 ... efits and claims experience as well as interest in event and project coordination and desire to interact with people in a professional yet positive atmosphere. PROFESSIONAL EXPERIENCE KING COUNTY – Seattle, WA September 2006 to present Employee Giving Program – Campaign Executive Recruited over 300 volunteer coordinators to reach 14,000 King County employees for the Annual Charitable Campaign. Processed weekly charitable payroll deductions for seven county departments. Conducted employee motivational orientations. Coordinated nonprofits representatives to speak at special events and tabling fairs. Distributed campaign materials and supplies to over 40 locations throughout the co ...
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