| Distance: | Resume alert | Resumes 141 - 150 of 46520 |
Management & Program Assistant
Emporia, VA
... Verify & confirm information via WGS 2.0 (eligibility) & QCARE (claim system). Receive (doctor/ nurse), dress, and submit medical information for IR- Independent Review by outside agency via MCMC (Managing Care Managing Claims) & AMR (Advanced ... - Jun 06
... Verify & confirm information via WGS 2.0 (eligibility) & QCARE (claim system). Receive (doctor/ nurse), dress, and submit medical information for IR- Independent Review by outside agency via MCMC (Managing Care Managing Claims) & AMR (Advanced ... - Jun 06
Administrative Assistant Care Coordinator
Hayward, CA
... ● File initial claims remotely, and efficiently resolve claim issues while complying with company rules and policies ● Maintain a Quality Metric score of 95% or higher consistently throughout my tenure ● Ability to effortlessly navigate different ... - Jun 06
... ● File initial claims remotely, and efficiently resolve claim issues while complying with company rules and policies ● Maintain a Quality Metric score of 95% or higher consistently throughout my tenure ● Ability to effortlessly navigate different ... - Jun 06
Customer Service Verification Specialist
Tampa, FL
... • Analyzed claim records, policy provisions, and other relevant documents to determine validity of claims. • Assisted customers in filing new insurance claims and provided status updates on existing ones. • Investigated suspicious or fraudulent ... - Jun 06
... • Analyzed claim records, policy provisions, and other relevant documents to determine validity of claims. • Assisted customers in filing new insurance claims and provided status updates on existing ones. • Investigated suspicious or fraudulent ... - Jun 06
Patient Care Utilization Management
Simpsonville, SC
... 2020–May 2022) USRN Disability Claim Manager/analyst, covering Continental USA. • Processing and re-certification of Long-term Disability claims. • Processing and approval of Short-term Disability and Family & Medical Leave Act • Responsible for ... - Jun 06
... 2020–May 2022) USRN Disability Claim Manager/analyst, covering Continental USA. • Processing and re-certification of Long-term Disability claims. • Processing and approval of Short-term Disability and Family & Medical Leave Act • Responsible for ... - Jun 06
Senior Business Analyst
Arlington, VA, 22201
... Presented to underwriter and data science leadership on findings with a conclusion that it would save ~5 min of review time per claim. SKILLS Programming: Java, SQL, R, Python, Tableau Platforms: GitHub, Snowflake Languages: Spanish (Fluent) HONORS ... - Jun 06
... Presented to underwriter and data science leadership on findings with a conclusion that it would save ~5 min of review time per claim. SKILLS Programming: Java, SQL, R, Python, Tableau Platforms: GitHub, Snowflake Languages: Spanish (Fluent) HONORS ... - Jun 06
Data Analyst Senior
Charlotte, NC
... Partnered with actuarial teams to support predictive modeling of claim settlement durations and amounts to improve forecasting and risk management. Managed ETL pipelines using AWS Glue and Informatica to ensure data was correctly integrated into our ... - Jun 06
... Partnered with actuarial teams to support predictive modeling of claim settlement durations and amounts to improve forecasting and risk management. Managed ETL pipelines using AWS Glue and Informatica to ensure data was correctly integrated into our ... - Jun 06
Accounts Payable Financial Reporting
Greensboro, NC
... *, NC 27358 Cell: 404-***-**** Email: ********.***@*****.*** Professional Summary Detail-oriented and organized accounting and administrative professional with extensive experience in financial reporting, claim verification, and database management. ... - Jun 06
... *, NC 27358 Cell: 404-***-**** Email: ********.***@*****.*** Professional Summary Detail-oriented and organized accounting and administrative professional with extensive experience in financial reporting, claim verification, and database management. ... - Jun 06
Customer Service Medical Office
Hampton, VA
... Educated approved patients on the program guidelines which included verification of diagnosis and the requirements for claim submission process and income verification • Provided exceptional customer service and support to ensure customer ... - Jun 06
... Educated approved patients on the program guidelines which included verification of diagnosis and the requirements for claim submission process and income verification • Provided exceptional customer service and support to ensure customer ... - Jun 06
Customer Service Support
Houston, TX
... For calls pertained to claims inquiry, handled questions and documented transactions in the proper claim modules, provided first call resolution, when possible, identified problems and provided solutions, submitted adjustment reconsideration request ... - Jun 06
... For calls pertained to claims inquiry, handled questions and documented transactions in the proper claim modules, provided first call resolution, when possible, identified problems and provided solutions, submitted adjustment reconsideration request ... - Jun 06
C# Sql Server
Melissa, TX
... Best coder award from Thomson Reuters. Professional Summary: Client: Optimum, Plano, TX #1 Duration: Feb 2024 – Till date Role as: Sr. Data Analyst/ Data Engineer/ Lead Create Apache Airflow DAGs to migrate data from Oracle database to Cloud SQL. ... - Jun 06
... Best coder award from Thomson Reuters. Professional Summary: Client: Optimum, Plano, TX #1 Duration: Feb 2024 – Till date Role as: Sr. Data Analyst/ Data Engineer/ Lead Create Apache Airflow DAGs to migrate data from Oracle database to Cloud SQL. ... - Jun 06