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VP of Family Roofing Company

Frisco, TX
... Claims Manager – August 1997 to April 2011 Investigated potentially fraudulent disability, life and healthcare claims via referrals, data-mining, anonymous tips for red flags and performed comprehensive investigation of claim Managed 10-15 Field ... - Apr 23

Stack Developer Spring Boot

Justin, TX, 76247
... Maintains policy and claim files information in different content management tools. Responsibilities: - Worked in the complete Software Development Life Cycle including Requirement Analysis, Design, Implementation, Testing and Maintenance. Worked in ... - Apr 23

Test Automation Project Management

Brockton, MA
... Converted and verified Auto Group Loaded file (Groups, Subgroups, Class, 270-Eligibility Enquiry,271- Eligibility Response, 835-Payment,837-Claim, Upay file) data with application data. UPMC benefit Plans(76) verification fully automated. Rolling ... - Apr 23

Account Manager Relationship Management

Lowell, MA
... Maximized revenue by ensuring claim payment, tracking and resolving any issues with payer terms of reimbursement. Recommended improvements by identifying billing errors while accurately entering information to prevent payment delays. Additional ... - Apr 23

Customer Service Data Entry

Elgin, IL
... Gerber Collision & Glass Schaumburg, IL Customer Service Representative April 2015 – December 2016 • File first notice of glass claim and accident. • Communicate with insurance company for approval. • Communicate and assign shop and dispatch orders. ... - Apr 23

Customer Service Representative

Ennis, TX, 75119
... Registration Representative METHODIST CHARLTON - Dallas, TX August 2018 to December 2018 • Complete insurance or other claim forms. • Interview patients to complete documents, case histories, or forms, such as intake or insurance forms. • Compile ... - Apr 23

Customer Service Call Center

San Antonio, TX
... Ensured timely reimbursements by proactively identifying potential issues that could delay claim processing and addressing them before submission. Established positive relationships with insurance carriers, streamlining communication channels when ... - Apr 23

R D Mechanical Engineer

New Haven, CT
... Design Analysis of Drone Arm (MS Course program) ● Drone Arm was redesigned in ANSYS space claim for Finite Element Analysis then imported into ANSYS workbench for stress, strain, deformation, modal analysis. The main objective of the project was to ... - Apr 23

Life Cycle Qa Engineer

Plano, TX
... Strong Knowledge on CLAIM Adjudication and different pharmacy like specialty Pharmacy. Worked mainly on MEDICARE, MEDICAID, and Commercial project. Responsible for maintaining Daily Project Tracker sheet and deliver it to CVS QA Lead. Deliver weekly ... - Apr 23

Project Manager Management

United States
... Programmer Analyst Review and update all required and helpful documentation for software development Create queries needed for claim data review and/or modification Develop Unix and SQL software code in preparation for ongoing software code reviews ... - Apr 23
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