| Resume alert | Resumes 71 - 80 of 1716 |
Call Center Front Desk
Gaithersburg, MD
... Member Services Representative/Claims United Health Care - Frederick, MD May 2002 to January 2007 Processor ● Assisted consumers with telephone inquiries regarding health plans. ● Assisted with DME Claims. ● Approved DME prior-authorizations. ● ... - Jan 24
... Member Services Representative/Claims United Health Care - Frederick, MD May 2002 to January 2007 Processor ● Assisted consumers with telephone inquiries regarding health plans. ● Assisted with DME Claims. ● Approved DME prior-authorizations. ● ... - Jan 24
Asset Management Financial
Silver Spring, MD
... •Analyzed financial management systems to ensure all operations are completed in the processing of applications, claims and payments •Reviewed and certified payments, and performs other duties in support of the day-to-day operations and the ... - Jan 22
... •Analyzed financial management systems to ensure all operations are completed in the processing of applications, claims and payments •Reviewed and certified payments, and performs other duties in support of the day-to-day operations and the ... - Jan 22
Operations Manager Customer Service
Washington, DC
... Evaluated unemployment claims to determine compliance with standards and make effective approval or denial judgments. ... Worked closely with Claim Examiners to maintain optimum levels of communication to effectively and efficiently complete ... - Jan 21
... Evaluated unemployment claims to determine compliance with standards and make effective approval or denial judgments. ... Worked closely with Claim Examiners to maintain optimum levels of communication to effectively and efficiently complete ... - Jan 21
Customer Service Representative
Silver Spring, MD
... ●Performed claims testing and resolved rejections using maintained computerized database spreadsheets. ●Identified and determined alternatives for non-covered services and provided referrals. ●Proficient with the Microsoft Operating System; ... - Jan 20
... ●Performed claims testing and resolved rejections using maintained computerized database spreadsheets. ●Identified and determined alternatives for non-covered services and provided referrals. ●Proficient with the Microsoft Operating System; ... - Jan 20
QA SDET
Sterling, VA
... ●Cross-Domain Claim Analysis: Engineered a robust text classification model to identify claims within Legal Judgments using deep learning. Utilized Convolutional Neural Network (CNN) and Recurrent Neural Network (LSTM) for sequential data analysis, ... - Jan 19
... ●Cross-Domain Claim Analysis: Engineered a robust text classification model to identify claims within Legal Judgments using deep learning. Utilized Convolutional Neural Network (CNN) and Recurrent Neural Network (LSTM) for sequential data analysis, ... - Jan 19
Human Resources Resource
Washington, DC
... SF-50, Notification of Personnel Actions, and SF-75, Pre-Employment Information forms for new hires, provide exit interviews, and respond to unemployment compensation claims. Effectively managed the onboarding process; inform best-qualified ... - Jan 18
... SF-50, Notification of Personnel Actions, and SF-75, Pre-Employment Information forms for new hires, provide exit interviews, and respond to unemployment compensation claims. Effectively managed the onboarding process; inform best-qualified ... - Jan 18
Business Analyst Scrum Master
Ashburn, VA
... Oct 2015 – Jan 2019 HCSC (HealthCare Claims), IL Business Analyst Project Description: Migration of the on-prem patient management application to Salesforce The project was to create new process workflows for Salesforce by mapping them to the ... - Jan 18
... Oct 2015 – Jan 2019 HCSC (HealthCare Claims), IL Business Analyst Project Description: Migration of the on-prem patient management application to Salesforce The project was to create new process workflows for Salesforce by mapping them to the ... - Jan 18
Test Automation Quality Assurance
Chantilly, VA
... Participated in brainstorming sessions and walkthroughs with Subject Matter Experts (SMEs) for the health benefit claims receiving and processing system. Involved in Reviewing and Preparation of Test cases in Jira Performed SOAP UI testing for the ... - Jan 18
... Participated in brainstorming sessions and walkthroughs with Subject Matter Experts (SMEs) for the health benefit claims receiving and processing system. Involved in Reviewing and Preparation of Test cases in Jira Performed SOAP UI testing for the ... - Jan 18
Quality Assurance Control
Great Falls, VA
... Also involved in the enhancement of Claims Adjudication Processing. Greatly involved in understanding the new design requirements related to the Claims subsystem and implementing them for the Claims Adjudication Batch cycle. 5.Prudential Retirement ... - Jan 14
... Also involved in the enhancement of Claims Adjudication Processing. Greatly involved in understanding the new design requirements related to the Claims subsystem and implementing them for the Claims Adjudication Batch cycle. 5.Prudential Retirement ... - Jan 14
Human Resources Data Entry
Ashburn, VA
... resolve employee relations issues such as payroll, unemployment, leave of absence and safety issues Respond to unemployment claims and attend hearings as necessary Manage employee referral program and respond to HR emails Assist Talent Acquisition ... - Jan 13
... resolve employee relations issues such as payroll, unemployment, leave of absence and safety issues Respond to unemployment claims and attend hearings as necessary Manage employee referral program and respond to HR emails Assist Talent Acquisition ... - Jan 13