Resumes
Resumes

Senior Claims Analyst
View pageLocation:
Canton, MI
Industry:
Insurance
Work:
American Community Mutual Ins
Senior Claims Analyst
Provident Life and Accident 1986 - 1994
Claims Examiner
Aetna 1982 - 1984
Claims Examiner
Senior Claims Analyst
Provident Life and Accident 1986 - 1994
Claims Examiner
Aetna 1982 - 1984
Claims Examiner
Education:
Schoolcraft College 2012 - 2014
University of Cincinnati 1979 - 1981
Bachelors, Bachelor of Business Administration, Operations Management Miami University 1974 - 1976
University of Cincinnati 1979 - 1981
Bachelors, Bachelor of Business Administration, Operations Management Miami University 1974 - 1976
Skills:
Health Insurance
Claim
Microsoft Excel
Microsoft Word
Access
Hipaa
Managed Care
Healthcare
Ms Access
Claim
Microsoft Excel
Microsoft Word
Access
Hipaa
Managed Care
Healthcare
Ms Access
Interests:
Quilting
Family Tree Research
Family Tree Research

Meryl Maher Canton, MI
View pageWork:
American Community Mutual Ins
Jun 1995 to 2000
Senior Claims Analyst
Provident Life & Accident Ins
Phoenix, AZ
1986 to 1994
Claims Examiner
Aetna Life and Casualty
Columbus, OH
1982 to 1983
Claims Examiner
Union Central Life Ins
Cincinnati, OH
1981 to 1982
Claims Examiner
Jun 1995 to 2000
Senior Claims Analyst
Provident Life & Accident Ins
Phoenix, AZ
1986 to 1994
Claims Examiner
Aetna Life and Casualty
Columbus, OH
1982 to 1983
Claims Examiner
Union Central Life Ins
Cincinnati, OH
1981 to 1982
Claims Examiner
Education:
Schoolcraft Community College
Aug 2012
Certificate in Computer Programming
University of Cincinnati
Sep 1979 to Jun 1981
Bachelor of Business Administration in Operations Management
Miami University
Oxford, OH
Sep 1974 to Dec 1976
Aug 2012
Certificate in Computer Programming
University of Cincinnati
Sep 1979 to Jun 1981
Bachelor of Business Administration in Operations Management
Miami University
Oxford, OH
Sep 1974 to Dec 1976
Skills:
Resolution of insured grievances, appeals, and Department of Insurance complaints Complex claim issue investigations File Audits Accumulator adjustments Payment of medical, dental, group disability and life claims Payment and investigation of Co-ordination of Benefits, including determination of Medicare status Processing of Medicare and Medicaid reimbursements Knowledge of ICD-9, CPT-4, HCPCS, ADA coding Customer Service Exceptional written and verbal communication skills Microsoft Word 2010 Microsoft Excel 2010 Access 2010 Basic knowledge of PowerPoint 2010, Share Point Completed the ALHC, HIAA,HIPAA, LOMA 280 insurance courses
