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Claims Examiner 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.
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 ...

93 hits
4.
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 ...

91 hits
5.
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 ...

89 hits
6.
D Floyd
Location: Parkville, MD 21234
... ve skills. Proficient in Microsoft Word, Excel and PowerPoint. EDUCATION 6/08 Masters of Business Administration, University of Phoenix, Atlanta, Georgia11/04 Paralegal Certificate, Center for Legal Studies, University of Georgia, Gwinnett Center5/85 Bachelor of Arts, Speech Pathology, San Jose State University San Jose, California EMPLOYMENT 02/08-11/09 Builders Insurance, Atlanta, GA Technical Underwriting Assistant Administrative support to underwriters and agents for general liability and commercial ...

87 hits
7.
P Griffin
Location: Baltimore, MD 21237
... .A Business Management, Shaw University, Raleigh NC. 1979 GAB Casualty School, Denver, CO. 1979 Commercial Union Coverage School, Boston, MA. In-House training specialized areas including: Commercial and Marine Property seminars. 1980-2006 Training seminars in property insurance and casualty. 2008 Received certificate in customer service training at business interface located in Baltimore MD. EMPLOYMENT 2004-2006 Claim Specialist, Lincoln General Insurance § Responsible for the investigation and adjustment of complex truckers liability claims, as well as large general liability claims. 2001-2004 ...

85 hits
8.
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 ...

83 hits
9.
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 ...

81 hits
10.
M Puffinburger
Location: Edgewood, MD 21040
... agement and would like to use all of my previous work ethics to further myself in a positive business where I will always continue to achieve new knowledge and growth.Qualifica tions2001 to 2004 FREE STATE ADJUSTERS - INSURANCE ADJUSTERWorked as a contract employee at the Maryland Transit Administration (MTA) with a title of Team Leader/Specialis t investigating the facts surrounding all accidents/incide nts for all revenue vehicles and stops or stations. Set reserves, made medical payments and handled files to settlement or defense litigation. Approved payment negotiations for 14 Adjusters. Set up new losses and gave instruction on all new losses as to what investigation was needed for ...

79 hits
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