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RSA Medical - Medical Case Manager Resume Example

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Luke Young
XXXXX X XXXXX XXXX XXXX, Buckeye, AZ 85326
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXX
Professional Summary

Over 30 years of medical insurance experience including assistant claims supervisor, senior claims adjuster, underwriter and medical case manager. Hands on experience with disabled adults and elder care. Able to review medical cases and achieve production standards. Technical understanding of insurance products, able to assess, respond and articulate critical information.

Skills
  • Knowledge of CPT and ICD codes
  • Types 40 words per minute
  • Excel 
Experience
Medical Case Manager Sep 2013Jul 2014 RSA Medical Naperville, Il
  • Receive inbound calls
  • Review case files and complete medical interview to obtain required information
  • Use medical knowledge to uncover and collect additional critical details regarding conditions, treatment, medication usage, etc
  •  Comply with HIPAA guidelines and standards of care in client interactions
Senior Medical Underwriter Oct 2010Sep 2013 RSA Medical Naperville, Il
  • Review applications, medical interviews and medical records and apply underwriting guidelines to determine plan eligibility
  • Comply with all HIPAA guidelines and standards of care
Senior Medical Underwriter Jan 2007Feb 2009 Unicare Insurance Chicago, Il
  • Review applications and apply underwriting guidelines
  • Review medical records and medical interviews
  • Apply underwriting guidelines to determine plan eligibility
  • Assist agents and clients with questions or concerns
Assistant Claim Supervisor Dec 2004Feb 2006 Unicare Insurance Chicago, Il
  • Oversee day to day process of 20 employees
  • Train new employees
  • Handle problem calls
  • Work on reports and spreadsheets
Senior Claims Adjuster Oct 1989Dec 2004 Unicare Insurance Chicago, Il
  • Process medical claims
  • Review medical records
  • Answer questions for clients and agents
Education
Pharmacy Technician Jun 2010 Joliet Junior College Joliet, Il
Certificate : Certified Nurse Assistant Aug 2009 Joliet Junior College Joliet, Il
High School Diploma Jan 1975 Romeoville High School Romeoville, Il
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Resume Details

This is a real resume for a Medical Case Manager in Buckeye, Arizona with experience working for such companies as Rsa Medical, Unicare Insurance. This is one of the hundreds of Medical Case Manager resumes available on our site for free. Use these resumes as templates to get help creating the best Medical Case Manager resume.

Previous Companies:

  • RSA Medical
  • Unicare Insurance

Previous Job Positions:

  • Medical Case Manager
  • Senior Medical Underwriter
  • Assistant Claim Supervisor
  • Senior Claims Adjuster

Schools:

  • Joliet Junior College
  • Romeoville High School

Level of Education:

  • Certificate
  • High School Diploma

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