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Operations Manager/Lead Auditor Resume
Operations Manager/Lead Auditor Resume
pearline
US-Michigan-Detroit
10+ yrs
No
No
claims Examiner
A challenging position utilizing abilities developed through my experience and education, with the opportunity to work for your company from home.
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esponsible for analyzing approving, or denying all types of standard and complex medical claims.
„X Encompass internal service related activities. Supervised and trained new personnel on benefits for several different plans.
„X 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
„X Responsibilities were to help different companies with backlog problems and /or customer service problems.
„X Evaluate the company¡¦s situation and help them to reach the company goal.
1986-1994 John Hancock Insurance Farmington Hills, MI
Claims Analyst
„X Responsible for processing all types of medical and dental claims.
„X 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
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