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work from home

Location:
southfield , MI, 48033
Posted:
December 31, 2007

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Resume:

***** *********

Southfield, MI ***** *********@*******.***

248-***-****

Pearline Johnson

Objective A challenging position utilizing abilities developed through my experience and education, with the opportunity to work for your company from home.

Experience 1998-2006 American Community Livonia, MI

Claims Examiner

? Responsible for prompt accurate and timely claims processing.

? Experience in medical, dental, life and short-term disability for several large accounts.

? Processing includes but not limited to coordination of benefits, right of reimbursement, and Medicare. Extensive knowledge of computer based processing system.

1996-1998 Automated Benefits Services Sterling Ht., MI

Team Leader

? Responsible for analyzing approving, or denying all types of standard and complex medical claims.

? Encompass internal service related activities. Supervised and trained new personnel on benefits for several different plans.

? Monitored staff performance to ensure the most efficient method of claims processing and conducting post payment audits to ensure quality control.

1994-1996 Claims Overload Systems Southfield, MI

Claims Analyst Trouble Shooter

? Responsibilities were to help different companies with backlog problems and /or customer service problems.

? Evaluate the company’s situation and help them to reach the company goal.

1986-1994 John Hancock Insurance Farmington Hills, MI

Claims Analyst

? Responsible for processing all types of medical and dental claims.

? Providing benefit information to providers, clients, and members.

Education University of Phoenix, Southfield, MI

Detroit College Of Business, Dearborn, MI

John Hancock Computer Training Farmington, MI

John Hancock Dental and Medical Training Farmington, MI

Reference Available upon request



Contact this candidate