Claims Examiner Resume
The sample claims examiner resume will help you to build your own resume for applying to the job of claims examiner.
Sample Claims Examiner Resume
Richard Anderson
1234, West 67 Street,
Carlisle, MA 01741,
(123)-456 7890.
Objective :
Demanding and liable position where my experience for the Medical Aid recipients and supplier liaison can be used in a support of company objectives.
Summary :
More than 8 years experience in poses of rising duty with a fast growing Health Maintenance business includes following:
- Managing and launching policies for the Medical Aid Organization.
- Wide client service and supplier communication.
- Staff administration and coordination.
- Reviewing and quality control.
- Using Com Tec, Disc Corp systems.
Work Experience :
Ideaho HMO, Boise, Idaho (1986 to Present)
QC Coordinator (1991 to Present)
- Keep daily statistics on 20 claims examiners, informing claim errors through a paper tracking and regular audit report.
- Cooperate with the State Health auditors annually.
- Create adjustments to claims and keep relationships with the providers.
Sr. Claims Examiner (1989 to 1990)
- Guided and oversaw 3 claims examiners, handling out claims for a 15,000 Medical Aid recipients.
- Duties included benefits coordination, eligibility determination, wide supplier relations and the customer services communication.
Claims Examiner (1987 to 1988)
- Produced new position, arranging and launching policies for the Medical Aid Organization which increased from 200 members in a 1987 to present 15,000.
- Practiced medical/dental claims, encounters, referrals, eye and instruction claims. Kept important telephone dealings with customers.
- Discussed rates with suppliers and the Health Partners management.
New Glance, Caldwell, Idaho
Assistant Manager (1985 to 1986)
- Guided and monitored 20 employees for clothing store of women.
- Accountable for sales, inventory, payroll, customer service, management reporting, merchandising, and the problem solving.
