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CLAIMS EXAMINER
Carl Furman
123, Ellis Street Boston, MA, 01234 (123) 456 789 OBJECTIVE
A good responsible and challenging position which would take advantage of my expereince as Claims Examiner in the field of medical assistance.
SUMMARY
EXPERIENCE
1992-Present KCIT Ltd., Springfield, IL Ss. Claims Examiner Maintanance of the day-to-day, weekly and mothly statistics of 30 claims examiner. Adjustments of the claims. To maintain good relation with the providers. Reporting the claim error, if any, by daily audit report or paper tracking. Interaction with State Health Officers twice a year.
1985-1992 KCIT Ltd., Springfield, IL Training of 5 claim examiners. The main responsibilties were to determune the eligibilty, good customer service communication, benefits coordination.
1980-1985 TIC Co., Helena, MT To establish and organise new policies for the medical assistance organization. To process the prescription vlaims, medical claims, dental claims. Maintained a good contact with the customers. To negotiate for the rates with the health partners and the providers.
1976-1980 Tic Co., Helena, MT Assistant Manager Training and supervision of the staff for children's clothing store. The responsibities included were customer services, management, problem detection and its corressponding solution, payroll, sales management.
EDUCATION
Hobart and William Smith Colleges, Geneva, NY Master of Arts in Law, 1976
Hobart and William Smith Colleges, Geneva, NY |
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