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Claims Representative Resumes in Massachusetts

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1.
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
2.
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
3.
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
4.
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 ...

91 hits
5.
A Nuzzo
Location: Malden, MA 02148
... nager, Personal Lines Duties as described below in previous position . 10/2004-8/2008 Sullivan- Twomey Insurance Agency Customer Service Representative All Lines of Business/Assista nt to Agency Principal Maintain first lines of contact with agency clients keeping files current and accurate. Conduct risk analysis and discuss coverage strategies with clients ex: Auto, Home, etc. Monitor the renewal process negotiating pricing with company underwriters when necessary. Maintain a relationship with company underwriters & clients to discuss new and renewal coverage options. Quote new business and prepare proposals. Account Rounding. Compile marketing information for growth of Personal ...

89 hits
6.
A Palmerino
Location: Webster, MA 01570
... - 4 years adjusting experience in homeowner and businessowner claims - 3 + years experience adjusting both 1st and 3rd party injury claims - Prior construction experience - Successful completion of property estimating course at Vale National EDUCATION: B.S. in Applied Economics - Hostra University - Hempstead, NY - June '99 12 credits completed in pursuit of M.B.A. at Nichols College - Dudley, MA ACCOMPLISHMENTS: - Successfully managed a property claim case load of 200 files to achieve settlement of first party homeowner & business owner claims - Estimated structural and contents losses of all sizes and types - Successfully negotiated settlement of hundreds of bodily injury claims wi ...

87 hits
7.
S Silvestre Simko
Location: Everett, MA 02149
... alist CertificateCEI Allied Health Somerville, MA 03/2003-08/2004M edical Administrative Assistant CertificateSkill s:Medical Billing and Coding EKG Word Medisoft Filing Sterile fieldsExcel Transcription ClaimsExperience :American Renal Associates Danvers, MA 05/08-02/10Accou nts Receivable Support Process and manage primary and secondary claimsOrganize and send out self pay statements for Dialysis patientsProcess monthly cost reports Beverly Hospital Danvers MA 10/04-05/08 Medical SecretaryRespons ible for in-person and telephone reception of busy Cardiology Practice. Answer incoming telephone calls on multi-line switc ...

85 hits
8.
B Burgart
Location: Shrewsbury, MA 01545
... ticut, All-Lines Past Licensee: Florida, All-Lines Past Member: Arbitration Forums (AF)SUMMARY OF QUALIFICATIONS As a professional, I have more than twenty years experience dealing with leading insurance companies and attorneys, handling arbitration; commercial and personal lines auto claims; liability; litigation; and subrogation.EXPE RIENCETHE CCS COMPANIES 2002-2007Insuran ce Recovery Analyst The analyst desk allowed me to utilize the learned skills and knowledge from my many previous years of experience. I was responsible for hospital recoveries of medical services and treatment related to injuries sustained in an auto a ...

83 hits
9.
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 ...

81 hits
10.
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 ...

79 hits
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