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Online Resumes with "Claims Resolution"

Featured Profile

Global Human Resources Director

Dynamic Director of Human Resources with 18 years of high profile global management experience. Proven expertise in talent management and acquisition, employee engagement, mergers and acquisition integration and Human Resource operations. Skilled at Human Resource management and support streamlining employee administration to increase efficiency and reduce cost.

Tags for this Online Resume: Human Resources, Recruiting, Organizational Development, HRIS, Talent Acquisition, Project Management, ICIMS, Compensation, Employee / Labor Relations, Training / Development, Workforce Planning, Talent Management, Mergers and Acquisition integration, Employee Engagement, SPHR

Claims Adjuster - 20 Years of Experience - Near 901-643-3015

Curlee Alexander, Jr. 5110 Judy Lynn Memphis, TN 38118 901-643-3015 SUMMARY OF QUALIFICATIONS Comprehensive knowledge and experience in evaluating and analyzing provisions and exclusions of policies and benefit eligibility. Twenty years plus of exceptional performance in accident investigations, injury settlements and damage assessment appraisals. Proven leadership abilities. Experience in managin...

Tags for this Online Resume: claims, management

Medical or Health Services Manager - 5 Years of Experience - Near 33981

Tags for this Online Resume: health care, claims resolution, problem resolution, medical management, computer skills, Team building, Accounts Receivables, Detail Oriented

Medical Claims Resolution Phoenix, AZ

Tags for this Online Resume: medical claims

Featured Profile

Talented and Experienced Attorney

Licensed Attorney with broad experience in litigation,contracts, marketing and FCPA compliance matters. Analytical thinker with superior legal research skills and statutory and regulatory interpretation. Clear, concise comunicator proficient in drafting legal memoranda, contracts, court documents, statutes, policy manuals and settlement agreements. Team player known for professional demeanor, diplomacy and impeccable ethics...

Ideal Companies: Reynolds American; Altria; AmerisourceBergen/ABC; Gilead Sciences; Marriott International;Wyndham Worldwide; Biogen;Arthur J Gallagher; S&P Global; Facebook; Constellation Brands; CBRE Group; FNF Group; Accenture; Aetna; General Dynamics; Express Scripts Holding; Home Depot; Applied Materials; Centene; O'Reilly Automotive; Nike; Automatic DataPorcessing; Toronto-Dominion Bank; Expedia; Cognizant Tech Solutions; Progressive; UnitedHealth Group;; Omnicom Group; Texas Instruments; AbbVie; Harman International; Allergan; Thermo Fisher Scientific; Trinity Industries; Lear; Expeditors Intl of Washington; Marsh & McLennan; AON; Boston Scientific; Interpublic Group; Sherwin-Williams; Western Union; Stanley Black & Decker; Principal Financial Group; Nielsen Holdings; Ingersoll-Rand; Boeing; Hilton Worldwide Holdings; Hanesbrands; Lowe's;Stryker; Time Warner; Starbucks; CVS Health; MasterCard; Clorox; Apple; Anthem;Prudential Financial; QVC Group; C.H. Robinson Worldwide; NCR; Southwest Airlines; Kraft Heinz; Hormel Foods; Delta Air Lines; Lithia Motors; Walgreens Boot Alliance; Twenty-First Century Fox; Asbury Automitive Group Illinors Tool Works; Arrow Electronics;Emcor Group;Carmas; Chicago Bridge & Iron; Walt Disney; Comcast; CGI Group; Agen;iHeartMedia; Universal Health Services; Fifth Third Bancorp; Symantec; United Rentals; Royal Bank Of Canada; Hrshey;United Technologice; Medtronic;Henry Schein; Alphabet; Dr Pepper Snall Group;L Brands; Tractor Supply; Capital One Financial Services; Quintiles Transnational Holding; Cardinal Health; Celgene; Jones Lang LaSalle; AutoZone; Spirit AeroSystems Holdings; Aecom;D.R. Horton; Zimmer Biomet Holdgins; Sealed Air; Pilgrim's Pride; Coca-Cola;Tyson Foods; Indivior; Sentry Insurance

Tags for this Online Resume: Development Initiatives, Manufacturing, Packaging, Policies and Procedures, POS, Procurement, Product Development, Marketing, Promotion, FCPA, Compliance, Contracts, Litigation, Negotiation, Confidentiality, RFPs, Training, Fraud, Export controls, Supply Chain, Settlement Agreements

Billing/Coding Specialist - 20 Years of Experience - Near 05401

SUMMARY OF QUALIFICATIONS * Knowledgeable and experienced in administrative management * Front/Back Office Manager - Medical Records - ICD-9/10 * CPT Coding * Receptionist/Transcriptionist - Medical Document * Business Machines Business/Medical Law - Title 22 * Insurance Billing/CMA & UB94 - Insurance Follow-Up & Verification/Pre-Certification * Word Processing - Medicare, Medicaid, HMO. PPO, Champus, IPA * HIPAA Rules/Regu...

Tags for this Online Resume: Coding, Billing, Insurance, Medicare, Attention to Detail, Automation, Back Office, Centricity, Medical, Administrative Assistant, Documentation, Medical Billing, Medical Records, Medical Administration

Human Resources Manager - 4 Years of Experience - Near 75074

Summary Dedicated Human Resources Generalist with strong negotiating and conflict resolution skills, seeking relocation to Dallas area. Expertise in multi-state payroll processing, state and federal reporting, claim resolution and government agency engagement. Accomplishments * Successfully resolved EEOC claims. * Partnered with Workforce Solutions to develop hiring and training programs, resulting in over $175,000 in reimb...

Tags for this Online Resume: Sales, Payroll, Benefits, Compensation, Corrective Actions, Human Resources, Management, Recruiting, Billing, Merchandising

Claims Investigator - 18 Years of Experience - Near 33604

Summary Claims Investigator with over 12 years of experience in investigating and managing various disability claims (Workers Compensation and LTD) which was reinforced by SIU fraud field experience meeting claimants, employers, and physicians in person and obtaining recorded and written statements, as well as arranging/reviewing surveillances and state fraud reporting. Recent employment as a desktop investigator for a Comp...

Tags for this Online Resume: contract interpretation, Management, File Documentation, Worker's Compensation, Database, Research, Field Investigations, Claims, Fraud Investigator, Desktop Investigator, LTD Disability, Interviews statements, Accurint Lexis Nexus, Word Excel powerpoint, Excellent written and oral communication

Contract Administrator

A self-motivated and highly experienced Commercial/Contracts Manager with a considerable background in Quantity Surveying. Possesses outstanding negotiating skills with a proven ability to resolve complex disputes and claims. Proficient in bid preparation tendering procurement cost planning and project management with a proven track record of analysing and resolving contractual dispute and claims with available material evi...

Tags for this Online Resume: Project Management, Project Manager, Quality Assurance, Test, Development Activities, Landscaping, Procurement, Architectural, Bridges, Statutory, CONTRACT/MANAGER/SPECIALIST

Engineering Manager - 20 Years of Experience - Near 80433

AREAS OF EXPERTISE: Project Management Earned Value Analysis Software Literacy: Business Development Staff Project Control Training Primavera thru P6.16.1 Construction Management Program Management Microsoft Office Project Controls: Claims Resolution Oracle ODI, MS Project Planning / Scheduling Contract Negotiation Crystal Ball, SAP & Others Cost Control / Estimating Contract Preparation / Admin. Custom non-linear forecasti...

Tags for this Online Resume: Planning, Project Management, Project Manager, Scheduling, Software, Day Care Center, Senior Project Manager, Integrate, Management, Project Controls

Quality Manager - 15 Years of Experience - Near 30076

Areas of Expertise Quality Assurance Management Quality Management Systems (QMS) ISO 9001 Lean Six Sigma Tools & Principles Supplier & Contract Manufacturer Quality Assurance Corrective/Preventive Action Customer Service and Claim Resolution Process and Product Audits Control Plan Development and Implementation Reliability Engineering Regulatory Compliance Site & Product Certification Continuous Improvement and Problem Solv...

Tags for this Online Resume: Compliance, Failure Analysis, ISO, ISO 9001, Product Development, Quality Assurance, Solar Cells, Test, Project Management, Project Manager

Electrical Engineer - 20 Years of Experience - Near 77406

Front-line design supervision and consulting in engineering and construction on industrial and commercial projects including oil and gass onshore and offshore IPP cogeneration and utility power LNG industrial gas plants including cryogenic petrochemical pulp and paper food processing and manufacturing plants client interface risk analysis construction claim resolution requisitions and TBE's personnel supervision profit and ...

Tags for this Online Resume: Distribution, Utilities, Heat Recovery, Consulting, Code Review, Assessments, Business Development, Development Activities