| Resume alert | Resumes 1 - 10 of 184 |
Coding Analyst Medical Policy
Detroit, MI, 48208
... Acted as a liaison with internal departments to research incoming mail grievances, appeals, medical review cases, possible fraud and system issues to determine appropriate claims payment or rejection decisions based on CMS and company guidelines. ... - May 29
... Acted as a liaison with internal departments to research incoming mail grievances, appeals, medical review cases, possible fraud and system issues to determine appropriate claims payment or rejection decisions based on CMS and company guidelines. ... - May 29
Senior fullstack developer
Troy, MI
... Developed different cloud-based analytics enterprise products like GSS-CUSTOMER JOURNEY, AI-FRAUD, and Analytic-OPS. Served as POC for on-call support in the production team on a rotation basis. Worked on server-side implementation using spring core ... - May 12
... Developed different cloud-based analytics enterprise products like GSS-CUSTOMER JOURNEY, AI-FRAUD, and Analytic-OPS. Served as POC for on-call support in the production team on a rotation basis. Worked on server-side implementation using spring core ... - May 12
Customer Service Representative
Saint Clair Shores, MI
... UNIVERSAL CLASS ACCREDITED IACET PROVIDER – MEDICAL BILLING AND CODING Baltimore, MD 2023 Certificates of completion: July 10th, 2023 • Medicare Billing: 837P & Form CMS 1500, Combating Medicare Parts c & D Fraud, Waste & Abuse, World of Medicare, ... - Apr 30
... UNIVERSAL CLASS ACCREDITED IACET PROVIDER – MEDICAL BILLING AND CODING Baltimore, MD 2023 Certificates of completion: July 10th, 2023 • Medicare Billing: 837P & Form CMS 1500, Combating Medicare Parts c & D Fraud, Waste & Abuse, World of Medicare, ... - Apr 30
Mobile Application End User
Detroit, MI
... “Claim” includes claims of every kind and nature, including but not limited to initial claims, counterclaims, cross-claims, and third-party claims and claims based upon contract, tort, fraud, and other intentional torts, statutes, regulations, ... - Apr 25
... “Claim” includes claims of every kind and nature, including but not limited to initial claims, counterclaims, cross-claims, and third-party claims and claims based upon contract, tort, fraud, and other intentional torts, statutes, regulations, ... - Apr 25
Data Analyst Analytics
Rochester Hills, MI
... View link Insurance dashboard with Tableau The dashboard detailed total annual premium, amount claim, and level of fraud reported in various states. View link Austin City bikeshare dataset on Google cloud (Big Query) Identified and analyze company ... - Mar 26
... View link Insurance dashboard with Tableau The dashboard detailed total annual premium, amount claim, and level of fraud reported in various states. View link Austin City bikeshare dataset on Google cloud (Big Query) Identified and analyze company ... - Mar 26
T Mobile Care Giver
Detroit, MI
CL*****B-NW-TIP*-**** © **** Assurant, Inc. [Month Day, Year] Account Number [XXXXXXXXX] [IIIIIIIIIIIIIIII barcode IIIIIIIIIIIIIIIIIIIII] [Sample A. Sample] [Street Address] [City, ST XXXXX-XXXX] ● Loss ● Theft ● Accidental damage (including liquid... - Mar 12
CL*****B-NW-TIP*-**** © **** Assurant, Inc. [Month Day, Year] Account Number [XXXXXXXXX] [IIIIIIIIIIIIIIII barcode IIIIIIIIIIIIIIIIIIIII] [Sample A. Sample] [Street Address] [City, ST XXXXX-XXXX] ● Loss ● Theft ● Accidental damage (including liquid... - Mar 12
Charge 3 1
Garden City, MI
... These routine uses include, but are not limited to, law enforcement activities, employment verification, fraud prevention, border security, counterterrorism, litigation activities, and activities that meet the Secretary of State's responsibility to ... - Mar 08
... These routine uses include, but are not limited to, law enforcement activities, employment verification, fraud prevention, border security, counterterrorism, litigation activities, and activities that meet the Secretary of State's responsibility to ... - Mar 08
Social Worker Care Coordinator
Detroit, MI
... Other tasks included: Supervision and training of staff Development of policies and creation of forms to meet State of Michigan requirements Billed and investigated fraud Established and maintained relationships with stockholders. Cultivated and ... - Mar 07
... Other tasks included: Supervision and training of staff Development of policies and creation of forms to meet State of Michigan requirements Billed and investigated fraud Established and maintained relationships with stockholders. Cultivated and ... - Mar 07
Mortgage Loan Officers
Detroit, MI, 48226
... EDUCATION BACHELORS IN FINANCE & ECONOMICS Grand Canyon University Phoenix, Arizona KEY SKILLS Microsoft Office – Word, Excel, Power Point, Outlook Lotus Notes Desktop Underwriter Loan Prospector Land Safe – Value Finder Data Verify – Fraud Finder ... - Feb 27
... EDUCATION BACHELORS IN FINANCE & ECONOMICS Grand Canyon University Phoenix, Arizona KEY SKILLS Microsoft Office – Word, Excel, Power Point, Outlook Lotus Notes Desktop Underwriter Loan Prospector Land Safe – Value Finder Data Verify – Fraud Finder ... - Feb 27
Customer Service Quality Assurance
Southgate, MI
... EDUCATION Master of Science, Law Champlain College – Burlington, VT Bachelor of Science, Business Management Cleary College – Howell, MI CERTIFICATION Lean Six Sigma Green Belt 2017 to Present AFFILIATIONS Association of Certified Fraud Examiners ... - Feb 26
... EDUCATION Master of Science, Law Champlain College – Burlington, VT Bachelor of Science, Business Management Cleary College – Howell, MI CERTIFICATION Lean Six Sigma Green Belt 2017 to Present AFFILIATIONS Association of Certified Fraud Examiners ... - Feb 26