S Khandpur Location: Deer Park, NY 11729 ... 4-2008 GEI CO Woodbury, NY No Fault Claims Supervisor · Led entire unit of examiners in verification of suspicious claims, who worked closely with Special Investigations Unit resulting in a saving of over $1 million · Supervised No Fault Arbitration unit of 23 examiners. Provided new defenses leading to favorable decisions. · Supervised Technical No Fault unit in proper handling of claims from inception to closure · Developed No Fault litigation training manual for new hires · Taught No Fault regulation to new hires · Supervising No Fault litigation unit of 15 examiners · Responsible in providing recent judicial developments to entire litigation & arbitrat ...
97 hits
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D Testone Location: Brewster, NY 10509 ... WNER OF DATA CLAIM SERVICES. A MEDICAL BENEFITS RECOVERY SERVICE. BREWSTER, NY * ASSIST INDIVIDUALS WITH FILING OF CLAIMS AND APPEAL OF DENIED CLAIMS. * ASSIST INDIVIDUALS WITH FILING OF SOCIAL SECURITY BENEFITS. * NEGOTIATE BENEFIT BUYOUTS * EXPERT WITNESS 1/05 TO 8/06QUADRINO & SCHWARTZ, LLP GARDEN CITY, NY CLAIMS CONSULTANT * KNOWLEDGE OF STD AND LTD POLICIES AND PROCEDURES. * REVIEW AND FORMULATE CLAIMS SUBMISSION AND APPEAL STRATEGIES. * COMMUNICATE WITH CLIENT'S MEDICAL PROVIDERS AND INSURERS. * ASSIST ATTORNEYS WITH FORMAL CLAIMS HANDLING INCLUDING ATTENDING INDEPENDENT MEDICAL EXAMINATIONS AND SETTLEMENT DISCUSSIONS. 5/02 TO 1/05CULTURAL INSURANCE SERVICES INTERNATIONAL STAMFO ...
95 hits
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T Toporek Location: Miller Place, NY 11764 ... ears of successful experience with Allstate Insurance in the Property & Casualty claim business. My recent leadership roles include New York Regional Auto Claim Process Specialist, Claim Project Manager-Next Generation Claim Systems, Western Territory Field Compliance Specialist, Illinois Property Market Claim Manager and Home Office Staff Claim Analyst. I would like to schedule a meeting to discuss my knowledge and experience in the P&C field. Feel free to contact me at 631-512-7051 if you have any questions or would like to meet to discuss this position. Thank you for your time and consideration. Sincerely, Timothy D. Toporek Timothy D. Toporek 355 ...
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D Arcuri Location: Massapequa, NY 11758 ... . Commercial and Personal Lines cases including Pre-Litigation to Trial Stage. These were high and low exposure reserve cases. Experienced in mediation, arbitration and court proceedings including testifying and monitoring. Strong ability in the area of negotiations, evaluations, as well as bulk settlement conferences.Mate rial Damage Adjustment Co., - A Robert Plan Co., Bethpage, NY 1988-2007SR. COURT EXAMINER - Bodily Injury ClaimsSupervised personnel in the handling of major casualty lines suit files, including proper monitoring of trial cases with Defense Counsel to either settlement or verdict. Responsibilities included reserving, evaluation and negotiation of B.I. Commercial a ...
91 hits
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J Skinner Location: Colden, NY 14033 ... service experience. Strong investigative capabilities and well respected within the legal community for technical knowledge and due diligence along with the ability to follow through to resolve issues efficiently. Recognized for high degree of professionalism and dedication to core values that include integrity, confidentiality, and compassion towards others.KEY COMPETENCIESResu lts OrientedDue DiligenceRelatio nship ManagementLegal Research & DocumentationNeg otiation/Mediati onCustomer Service Written & Verbal Communication SkillsCompliance Training & Mentoring PROFESSIONAL EXPERIENCEAix Group -Nova Casualty Company 08/06 to Presen ...
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M Garcia Location: Bronx, NY 10458 ... hands-on practical experience and handling day to day property and QUALIFICATIONS:c asualty insurance for the needs of the corporation. Work effectively on and independent basis as well as part of a team effort to successfully meet company objective. Highly organized with an experience work ethic. Ability to identify and analyze problems and recommend cause effect solutions. Excellent communication skills. EXPERIENCE:2002 - 2008Non-Profit Org. New York, NY Assistant Insurance Manager Processed, Analyzed, insurance issues Constant interaction with agent/broker Accounts Payable 2000 – 2001Prompt Agency New York, NY Secretary Performed temporary general clerical and administrati ...
87 hits
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T Strokosz Location: Staten Island, NY 10314 ... EREXPERIEN CE: GAB Robins N.A., New York 5/04-PresentSENI OR CLAIMS ADJUSTERHandling bodily injury, general liability, property damage and uninsured motorist claims.Presentat ion of cases in Arbitration Forum, Mediation and Small Claim Court.Full handling of Litigation Files.Working knowledge of New York State Regulation 64 and 68Handling all aspects of automobile claims including investigation, SIU referrals, negotiation, settlement, reporting and reserving.Pendin g caseload 300 filesSettlement authority: $ 35,000.Robert Plan, Inc, Bethpage, New York4/02-5/04MUL TI PERIL CLAIM EXAMINERHandling New York, Connecticut and New Hampshire Litigated automobile bodily injury, property d ...
85 hits
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A Daniel Location: Brooklyn, NY 11210 ... c and professional experience to your company, as well as leaving room for growth and development. I am currently employed as a Claims Assistant for an insurance company. My major responsibilities include processing claims, forwarding and receiving information regarding claims, analyzing, researching, and managing requests all while abiding by required regulations in order to expedite claims.Thank you for taking the time to review my resume, and I look forward to becoming an asset to your company.Respectf ully,Ayana DanielEncl: ResumeAyana Daniel3522 Avenue H Brooklyn, NY 11210 * Ph (347)789-1346 * Cell (646)457-7211*Em ail: Adaniel789@yahoo .com Objective: To ...
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R Gordon Location: Copiague, NY 11726 ... cumentation coordinator SupervisorReques ted medical documentation from all providers of services on all legal cases.Verified provider and treatment information on clients.Reviewed all medical reports received for accuracy.Confirm ed all appropriate diagnostic testing and results were performed and received by attorneys.Contac ted clients to arrange appropriate medical care based on injuries received.Verify coverage for clients and any defendants involved in the case. In addition verify injuries sustained in accident.Review police reports and defendants involved in incident. Send appropriate medical information and authorizations to appropriate insurance carriers.Review all requests from at ...
81 hits
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S Zampi Location: Apalachin, NY 13732 ... care physicians and specialists as targets for possible contracting efforts.* Assist Contract Management in selling partnership services to physicians as needed to meet network requirements.* Conduct orientations for new providers and office staff.* Provide ongoing education of providers and office staff.* Identify, analyze and resolve issues in a timely manner. (including root cause analysis)* Facilitate seminars, educating the provider community on any updates to Medicaid/Medicar e guidelines.* Develop a strong rapport with physicians in network in order to promote a mutually beneficial relationship.Nov ember 2006 - September 2009 Touchstone Health, HMO (TH), Binghamton, NY Provide ...
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