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Claims Representative Resumes in Delaware

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1.
M Pirecki
Location: Lewes, DE 19958
... address any concerns. Experience 2000-2009 State Farm Agency Monmouth County, NJCSR/Insurance ProducerWrote new policies generating over $15,000 plus in premiums monthly Serviced over 2900 households maintaining excellent client relationships while multilining additional products to address clients needs Used marketing and prospecting skills to generate new business Resolved client problems as liaison with departments in Regional office Trained Staff members and used my leadership skills to help manage office 1994-1999 Jackson Township Welfare Dept. Jackson, NJWelfare Director/Social Case WorkerAdminister ed State Trust Funds for grants for public assistance clients Det ...

97 hits
2.
L Thomas
Location: Middletown, DE 19709
... tory and compliance. Established skills in problem solving, organization and communication. Worked with management, colleagues, regulators and state departments of insurance to regulate and maintain compliance._____ ________________ ________________ ________________ ________________ ________________ _____WORK HISTORYACE - INA, Philadelphia, PA, Compliance Analyst - Workers Compensation 2005 - 2009Support Product Line Manager by researching compliance issues, tracking projects to meet deadlines, attending meetings. Review state department websites for new regulations and communicate information to our business customers.Busine ss Unit Support by responding to inquires pertaining to rate, ...

95 hits
3.
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 ...

93 hits
4.
T Drayton
Location: Bridgeville, DE 19933
... ucation Wilmington University August 2005MS (Masters of Science) Business Administration, Human Resource ManagementWilmin gton University May 2004BS (Bachelor of Science) Business Administration, Business ManagementDelawa re Technical and Community CollegeMay 1999AAS (Associates in Applied Science) Business Administration Market ManagementAAS (Associates in Applied Science) Business Administration General BusinessDiplomas Management Studies, General Business Studies ExperienceLogist icare November 2009- PresentTransport ation ManagerAreas of responsibility include recruitment and daily management of provider network; complaint investigation and resolution; and outreach and education related ...

91 hits
5.
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 ...

89 hits
6.
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 ...

87 hits
7.
J Scott
Location: New Castle, DE 19720
... Property & Casualty Insurance License obtained in 2000 SKILLS Microsoft Office, Sagitta, (AMS), Agency Management System, Genius, Diamond, Profile, PBRS, Lotus Notes, IDX, SMS, Right fax, Medical Terminology, ICD-9 and CPT-4 codes EMPLOYMENT HISTORY 3/2008 – 11/2008 Ace Insurance USA, Kelly Temp Position Financial Analyst • Locate and attach reinsurance slips to insurance premiums received from non-affiliate countries. • Run monthly query of past due reinsurance premiums due from non-affiliate countries. • Settle and balance reinsurance amounts due from 24-month report. • Mark-off commission, taxes and exchange rate differences. 9/2006 – 9/2007 Commerce Bank Insurance Serv ...

85 hits
8.
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 ...

83 hits
9.
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 ...

81 hits
10.
V Harmon
Location: Wilmington, DE 19805
... ith experience in Insurance follow up/Third Party Billing practice and procedure, Account Management and Customer service. Expert knowledge and Ability to Provide Excellent Service. Skills Summary ? Insurance Follow Up ? Ability to Prioritize ? PPO/POS Insurance ?Claims Management ?Oral communication ? Medicare/Medicai d HMO ? Quality Customer Service ?Written Communications ? Time Manage/Organizat ional skills ? Detailed Oriented ? Self directed without supervision ? Able to work well with others ? HIPPA compliant assuring security and confidential ...

79 hits
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