CLAIMS MANAGER

BeneSys, formally A&I Benefit Plan Administrators, Inc. Vancouver,Washington

and team building Staff training and development Claims analysis and review specialist Critical thinking proficiency Professional Experience CLAIMS MANAGER March 2015 to March 2016 Bene Sys , formally A&I...evaluations for all department employees . PAYOR CONTRACTING AND ACCREDITATION MANAGER/PAYOR RESEARCH MANAGER October 2001 to October 2014 RS Medical - Vancouver , WA Completed credentialing packets , requests...relationships while serving as the contacting and credentialing point of contact . Served as project manager for high profile initiatives . Developed meeting agendas , managed timelines , delegated tasks

Claims Manager

CBRE, Inc Dana Point,California

Experience Claims Manager January 2008 to January 2015 CBRE , Inc － Newport Beach , CA Responsible for overall claims management of the U . S . casualty insurance program overseeing the auto , general...compensation claims . Approximately 1 , 300 claims annually . Direct contact for all insurance claim matters related to the auto and general liability claims . Direct management oversight of Senior Claims Analyst...risk exposures to the individual business lines derived from the claims exposure and practices/procedures . Analyze and compare claims data by measuring the total cost of risk and validating the effectiveness

Claims Manager

Copper Point Mutual Insurance Company formerly SCF Arizona Phoenix,Arizona

Lead team to achieve the highest average performance goal results in claims for the previous 6 years . Acting Liability Claims Manager for 2 1/2 months . Professional Development : Chartered Property Casualty...Experience Claims Manager June 2008 to June 2015 Copper Point Mutual Insurance Company formerly SCF Arizona － Phoenix , Arizona Effectively manage a team of 14 professionals , including claims supervisors...and procedures of claims handling . Auto Claim Team Manager May 2004 to August 2005 State Farm Insurance Company － Culver City , California Effectively managed a team of 10 to 15 claims professionals .

Claims Manager

Snohomish,Washington

FUNCTIONAL SUMMARY High , performing Manager offering over 22 years of Property and Casualty Claims experience , Successful in guiding and directing claims professionals to exceed company and industry...knowledge Automobile claims specialist Skilled multi , tasker Highly motivated Advanced oral and written communication skills Organized Advanced computer skills Work History Claims Manager 02/2005 to Current...Reviewing and ensuring technical and estimating skills of outside Auto Claims Staff and Direct Repair Shop appraisers , Assisted Auto Claims Managers and Director with regional goals and reviews ,

Commercial Lines Claims Manager

Progressive Insurance Canton,Ohio

- Profile Creative , energetic and enthusiastic manager motivated to succeed in any environment . Comprehensive knowledge of auto and commercial claims with a passion for launching new ventures and delivering...Speciality Zone LDS Experience Progressive Insurance | Highland Hts , OH Commercial Lines Claims Manager 11/2016 - Current Realigned workflows with changing business demands by evaluating processes...Central Claims Unit 03/2013 - 07/2015 Oversight of 8 - 10 virtual home - based agents and office file owners . Reviewed and authorized claim settlement , coverage , and liability . Reviewed claims handling

Property Claims Manager

North Carolina Farm Bureau Insurance Cary,North Carolina

District Claims Manager 06/2004 to 04/2007 North Carolina Farm Bureau Insurance Raleigh , NC •Manager of Raleigh District Claims Office with 22 direct reports handling property and casualty claims reporting...State Unit handling casualty claims in all states outside of North Carolina . •Mentored , audited and trained claims adjusters . Branch Claims Manager 04/1998 to 07/2000 Windsor Group Raleigh , NY R...Professional Experience Property Claims Manager 04/2007 to Current North Carolina Farm Bureau Insurance Raleigh , NC Responsible for overall management of all property claims for a company with 923 million

Property Claims Manager

National Claims Connection NCC Mandeville,Louisiana

agreements . Experience 01/2012 to Current Property Claims Manager National Claims Connection NCC － Alpharetta , GA Developed and implemented a claims reporting and filing system that provided an active...s . Monitored claims for clients to ensure prompt resolution . Updated and maintained the Xact Analysis and related excel spreadsheets with all reported claims , claims notes , claims status , updated...Initiated claim reviews with team of reviewers , up to 10 during influx of claims , regarding all peril losses . Managed and reviewed claims in excess of $ 50 , 000 and presented statuses and completed assignment

Senior Claims Manager

Clear Choice Roofing Huntsville,Alabama

productivity in my office . Experience Clear Choice Roofing November 2014 to August 2015 Senior Claims Manager Huntsville , AL I locate and find storm related damage , inspect homeowners property and roofs...exterior or interior of customers' homes . Best Choice Roofing October 2010 to October 2014 Senior Claims Manager Madison , AL I locate and find storm related damage , inspect homeowners property and roofs

Insurance and Claims Manager

Austin Addiction and Mental Health Center Frederick,Maryland

and Office Ally Experience Insurance and Claims Manager , Austin Addiction and Mental Health Center , March 2019 - Current Frederick , MD Submitted clean claims to reduce denial rates , following payer...insurance coverage levels and restrictions by thoroughly examining claims forms and associated records . Checked into questionable claims , interviewing agents and claimants to resolve errors and omissions...insurance claims . Maintained knowledge of new or revised codes and industry regulations to complete accurate coding services , including local coverage determinations . Reviewed all claims for accuracy

MEDICAL BILLER/ACCOUNTS CLAIMS MANAGER

PRACTICE MAX Shreveport,Louisiana

service Work History MEDICAL BILLER/ACCOUNTS CLAIMS MANAGER , 08/2017 to 04/2019 PRACTICE MAX – SHREVEPORT , LA Determined proper course of action for claims processing . Exceeded clients' expectations...Medicaid eligibility Claims analysis Planning and Organization Benefits review Data Analysis Business operations Organization Disability claims process Insurance policy review Claims investigation and research...resolve any denied claims and resubmit . Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments . Followed up on legal claims . Transferred