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Online Resumes with "medical claim appeals"



The Michael Jordan of Resolving and Processing Claims.

High energy and motivated professional with outstanding interpersonal, communication and technical skills.Resourceful, loyal, reliable.

Ideal Companies: Corporate offices for Toys R Us, Aetna, Panasonic, Horizon Blue Cross and Blue Shield, Keebler, Liberty Mutual, Budweiser, Honda, Toyota, Nissan

Tags for this Online Resume: Claims

Market Conduct, Compliance, Medical Claims, Appeals - 16 Years of Experience - Near 53154

CAREER SUMMARY Dedicated health insurance professional with more than 16 years of experience in Claims Operations, Market Conduct and Regulatory Compliance along with Underwriting. Advanced skills in analyzing data and implementing improvements that enhance operations. A proven innovator in obtaining results with an acute attention to detail. Skills and abilities include: Project leadership, Medical terminology, Regulation ...

Tags for this Online Resume: Project Leader, Medical Records, Risk Assessment, Underwriter, Appeals, Grievances, Critical Thinking, Milwaukee, Microsoft Office, Insurance, Medical

Featured Profile

Excellent insurance sales experience with the constant balance of underwriting (company) and service (client).

My career objective is to obtain financial position within either the Insurance or the Banking industries offering a full-time, direct employee position. I welcome responsibly and have experience managing each market to operate at full staff capacity; a proven record of achieve or exceed business goals.

Ideal Companies: USAA, Amica Insurance, Allstate Insurance, Wells Fargo, UnitedHealth Group, BB&T, Bank o America, & ect...

Tags for this Online Resume: analyze risk, profitability, retention, counseling borrowers, advanced verbal and written communication skills, relationship-building skills, marketing, integrity, manager experience, proven sales experence