K Rogers Location: Athol, MA 01331 ... in Connecticut* Experience adjusting claims in NY, NJ, PA, MA, CT, NH, VA, and DC* Working knowledge of Windows XP, Microsoft Word, Microsoft Outlook, Microsoft Excel & other office programs* Proficient in data entry, telephone communications, verbal and written communications and filing* Good organizational skills, detail oriented, self-motivated/s elf-starter & work well independently and with othersWORK HISTORYAssist. Claims Consultant - William Gallagher Associates 2009 - 2010* Assist Claims Consultants in setting up claims for clients* Obtain status of claims * Act as a liaison between clients and other parties to a claim to facilitate communication and assist in the claims pr ...
97 hits
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K Gallagher Location: Plymouth, MA 02360 ... essly coordinating business, medical, and reporting processes for various healthcare and insurance organizations. Results centered professional with a record of excellence in workflow streamlining, resource optimization, billing/account functions and compliance. Seasoned in process consolidation/au tomation, patient account verification/pro cessing, resource management, and effective cost control in the healthcare industry. Vendor PPO Pricing Medical Claim Processing & Approving Healthcare / Physician BillingHIPPA Compliance Resource Management Relationship Building Team Development Reporting Business Re-Engineering Strategic Business Planning Resource OptimizationPROF ESSIONAL EX ...
95 hits
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R Stanton Location: Westport, MA 02790 ... cticut, and Rhode Island AIC designation Averaged 97% customer service and 95% technical handling at Hertz Claim Management Professional Experience: 06/2005- 09/2008: Hertz Claim Management, Braintree MA Bodily Injury Adjuster: Multi state automobile bodily injury, property damage, and general liability claims handling.. SIU handling directed by the SIU manager. 10/2004-06/2005: Autopart International, Sharon MA Claims Adjuster: Set up system for and handled self insured auto and property damage claims. Also handled complaint calls and maintenance tracking. 06/2001-09/2004: Hertz Claim Management, Braintree MA Property Damage Adjuster: Multi state automobile and general liabi ...
93 hits
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D Ware Location: Millbury, MA 01527 ... seAnd highly effective communication skills. Additional competencies:•Pr oficient in documenting and maintaining electronic files•Excellent communication and customer service skills, flexible, professional, responsible and a team player.•Enjoy using negotiation, arbitration and mediation skills on all types of property and casualty, workers compensation and litigated claims.•Speciali zes in Personal Injury Protection claims. Takes pride in reviewing and understanding medical reports and records.Experien ce HighlightsHealth & L ife Insurance•Compar e Medicare Health Beneficiaries’ plans with plans offered in their area to save them money and/or enhance their plans•Proficient i ...
91 hits
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J Green Location: Lynn, MA 01902 ... dustry with a stable organization that will utilize my experience and expertise to further company growth and profits. SUMMARY OF QUALIFICATIONS Articulate, diplomatic, and persuasive; establish rapport and credibility with people at all levels Outstanding skills in planning; forecasting for profits; and reduction of controllable expenses Established training skills; a record of identifying and developing successful performers Strategic thinker with a record of convincing team members to support goals and objectives Successful approach to problem identification, assessment, resolution, and crisis management PROFESSIONAL EXPERIENCE 9/03-RESOLUTE MANAGEMENTCambri dge, MA 10/08A ...
89 hits
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K Carvalho Location: Ludlow, MA 01056 ... documentation and time service parameters. Interpreting and administering contracts for midsized to national policyholders Facilitating return-to-work efforts and/or establishing action plans for future claim management Effectively manage 75 to 100 cases Utilizing specialty resources including clinical, vocational and/or rehabilitative staff to achieve optimal outcomes for claims direction Interacting with external customers including, but not limited to claimants, attorneys, clients and physicians to gather information and make decision on LTD claims Settle claims as appropriate Thorough knowledge of insurance coverage, contracts, & claims handlingEvaluate claims for potential fraudPla ...
87 hits
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C Carrara Location: Cambridge, MA 02139 ... ncrease productivity by over 50% and reduce recovery time and costs annually Excellent interpersonal and communication skills. Work well independently and as a team playerACCOMPLISH MENTS: Reduced backlog of time sensitive cases, resulting in increased settlement, recovery, and reduced expenses Improved reporting and diary management techniques, which increased productivityAugm ented company recovery by nearly 50%, from $5million to $7.2 million annually As senior specialist nominated to represent company in arbitration, increased favorable awarddecisions, and maintained company informed in latest rules and procedures As senior specialist nominated to be company representative for paperless ...
85 hits
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G Cranney Location: Auburn, MA 01501 ... uster Handle mostly high exposure bodily injury, under/uninsured claims. Identifiy coverage issues and completed coverage investigations. Prepare files for litigation as necessary. Work with Defense Counsel to resolve litigated claims. January 2007-September 2007 Commerce Insurance Webster, MA SIU Adjuster Identified and investigated potentially fraudulent claims and policy issues Directed investigations using outside vendors Worked closely with Defense Counsel handling litigated claims. Responsible for numerous “provider project” files Drafted multiple 93A responses and denial letters February 2005- January 2007 Commerce Insurance ...
83 hits
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J Comfort Location: Upton, MA 01568 ... in gathering information resulting in corporate security •Data collected effected change in corporate policy •Trained in Skip-Tracing Latti & Anderson, LLC, Boston, MA 1988-2008 SIGNIFICANT ACCOMPLISHMENTS • Implemented a strategy of searching and scanning various data bases including my own personal contacts at various medical institutions, law enforcement branches, etc... •Implemented a risk analysis strategic plan which I developed over two decades to determine which cases I believed to have the highest financial return to the firm. •Conducted the discovery, investigation, photography, statement taking and evidence gathering necessary to build a successful case for bo ...
81 hits
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R Griffin Location: Springfield, MA 01119 ... on, adjudication, training, and management, is vigorously seeking an opportunity that will leverage my reputation for thorough knowledge of insurance products while utilizing my skill sets and talents which has successfully been proven to finds ways to get quicker results with higher quality and less cost.EDUCATIONBa chelor of Science in Business Management, Tuskegee University, Tuskegee, AL QUALIFICATIONSAn alytical and Problem SolverUnderwriti ng AcumenNegotiatio n & Bargaining Advantage Proven LeaderBusiness Partner CollaborationStr ong Interpersonal RelationshipsBus iness ConsultationStra tegic Planning & ImplementationPR OFESSIONAL EXPERIENCECIGNA CORPORATION - Bloomfield, CT ...
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