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Apps Paramedical Company - Insurance Examiner Resume Example

Alexa Coleman
XXXXX XXXXXXXX XXX, Key Largo, FL 33037
Ph: XXXXX XXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXX
Professional Summary
Registered Nurse (RN) for 10 years while working as a Paramedic for 17 years in the emergency and non-emergency pre-hospital setting.  Critical thinking skills with the ability to remain calm and compassionate during life threatening situations while performing Basic (BLS) or Advanced Life Support (ALS) care.  Firefighter for 19 years.  Nurse Auditor for 9 years performing hospital bill audits.  10 years experience as an Insurance Examiner performing life and health insurance exams. With my Emergency Medical Service (EMS) experience and education, I have the ability to adapt to any clinical setting.
Skills

ACLS certified CPR certified

Critical thinking Quick diagnosing

Critical Care skills Equipment knowledge

Remain calm in stressful situations Document and report writing

Computer software Detail oriented

Excellent communication Exceptional interpersonal skills

Professional presentation Compassionate, caring

Outgoing, willing to learn Quick learner

Experience
Insurance Examiner Apr 2013Present APPS Paramedical Company Pembroke Pines, FL Contracted Insurance Examiner coordinating and scheduling Life and Health Insurance exams on proposed insured clients for various Insurance Company's. Interview and document medical history, perform phlebotomy to obtain blood, perform 12-lead EKG's. Responsible for centrifuging blood obtained, completing lab forms, and forwarding completed exams to the appropriate diagnostic lab company.
Nurse Auditor Oct 2004Present Scio Health Analytics Jacksonville, FL Contract Nurse Auditor for 9 years performing health claim audits on over 500 million in billed charges on behalf of the payer for auditing companies.  Maintained compliance with various auditing companies while following policies and procedures for assigned audits in the required time frame.  Worked closely with facility Auditor and Chief Financial Officer (CFO) to review audit results and obtain signatures for agreed results. Types of audits perform: Hospital bill audits, High Cost Drug/Implant audits, Short Stay review, Skilled Nursing Facilities, and DRG validations.  Received several recognitions for high dollar savings.
Paramedic/Firefighter/Driver Engineeer Jul 1997Present City of Sunrise Fire Rescue Sunrise, FL Assess patients, perform critical thinking skills, medical diagnoses and Basic Life Support (BLS) or Advanced Life Support (ALS) care while following protocols. Triage, bandage and package patients.  Perform and monitor: intubation, suction, ventilation, all airway adjuncts, 12 lead EKG's, external defibrilator, pacing, intravenous (IV) administration, and medication by all routes.  Monitor and provide comfort and communication to the patient and family.   Perform telemetry, documentation and report writing in detail. Communicate with Emergency Room hospital staff members through patient transfer of care.
Education
Associate of Science : Nursing Aug 2004 Broward College Davie, FL Graduated with Honors and received Nursing Student of the Year award out of the 3 campuses of graduating nursing students.
Associate of Science : Emergency Medical Services Aug 2002 Broward College Davie, FL
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Resume Details

This is a real resume for a Insurance Examiner in Key Largo, Florida with experience working for such companies as Apps Paramedical Company, Scio Health Analytics, City Of Sunrise Fire Rescue. This is one of the hundreds of Insurance Examiner resumes available on our site for free. Use these resumes as templates to get help creating the best Insurance Examiner resume.

Previous Companies:

  • APPS Paramedical Company
  • Scio Health Analytics
  • City of Sunrise Fire Rescue

Previous Job Positions:

  • Insurance Examiner
  • Nurse Auditor
  • Paramedic
  • Firefighter
  • Driver Engineeer

Schools:

  • Broward College

Level of Education:

  • Associate of Science

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