An Auto Claims Processor works directly with customers while maintaining the company’s integrity and interests. Working in different capacities, these processors accomplish the following duties mentioned on the Auto Claims Processor Resume – documenting, investigating, analyzing, and providing customer service to handle claims; communicating with insurance agents and beneficiaries; preparing claim forms and related documentation, reviewing claim submissions and verifying the information; recording and maintaining insurance policy and claims information in a database system, determining policy coverage and calculating claim amounts; processing claim payments, and complying with federal, state and company regulations and policies.
Apart from proven work experience, the following skills are needed – working knowledge of the insurance industry, computer literacy excellent critical and decision-making skills, strong customer service skills, and good administrative skills. A degree is commonplace among job applicants.
Objective : Over 5 years' experience in Business and Subrogation Analysis to include client relationship management with recognized strengths in account maintenance, problem-solving, specification planning and design, and planning/implementing proactive procedures and systems to assess and mitigate against potential risks.
Skills : Microsoft Office, Indiana Real Estate Broker License.
Description :
Investigated, Evaluated, Negotiated and settled auto claims in an assigned area to include - Verification of coverage, legal liability and extent of damages to a person's property, which may require contact by telephone, via mail and email.
Secured releases from appropriate parties.
Assisted agents in settlement of claims.
Worked with attorneys in the defense of lawsuits under management direction.
Paid all repair estimates.
Contacted OIC when need to contact to retrieve required information.
Used various electronic resources for claim handling.
Experience
2-5 Years
Level
Junior
Education
Bachelor Of Arts
Auto Claims Processor Resume
Summary : Goal oriented Property claim specialist and customer service professional seeks employment with a top - level Insurance company. Claim specialist with expertise providing customer support in high call volume environments. Exceptional computer aptitude and telephone etiquette. Service-oriented professional who delivers high quality customer service by accurately assessing client needs and recommending the most useful & appropriate means to resolution.
Skills : Training Skills, Claiming Skills.
Description :
Served in a team environment, handling automobile claims.
Duties focused around enhanced customer service, making sound and precise liability decisions, negotiating claims as well as paying careful attention to detail and maintain communication with teammates to insure proper and consist information relayed to the customer.
Extreme confidentiality was key while handling sensitive and confidential policy information.
Responsible for all claim payments and file documentation.
Carefully reviewed police reports as well as scene diagrams.
Accurately set reserves and monitored expenses.
Worked with little, or no supervision but kept management apprised of any claim developments.
Experience
10+ Years
Level
Senior
Education
BS
Auto Claims Processor Resume
Headline : To obtain an Auto Claims Processor position within an organization utilizing extensive organizational and multi-tasking skills along with excellent customer service in order to maximize productivity and efficiency.
Skills : Administrative, Customer Service, Data Entry.
Description :
Served as the primary contact for customers fielding questions, responding to inquiries and providing timely updates on the status of claims.
Created and delivered presentations utilizing a natural ability for public speaking and client engagement.
Worked with interested parties including attorneys, witnesses, repair shops and service providers to investigate, negotiate and settle claims.
Drafted and distributed written correspondence including letters, emails, memos and claims statements.
Processed and filed claims and related information with attention to accuracy, organization and confidentiality.
Utilized refined communication abilities to establish and strengthen relationships with clients.
Exceeded established objectives consequently being ranked as one of the top ten processors.
Experience
5-7 Years
Level
Executive
Education
BA
Auto Claims Processor Resume
Headline : Highly-motivated problem-solver and decision maker. Well-versed in Insurance and Financial Services and expertise in Property and Casualty Claims environment (Auto). Superb communication and technical skills, and experience in leadership with personal accountability to customers and colleagues.
Skills : Inventory management, Payroll.
Description :
Communicated with clients on a daily basis to access policy needs and relate policy language to their understanding.
Made individual recommendations to best support client's needs.
Acted as a rental liaison to keep team informed on rental procedures and assisting with rental problems.
Acted as the team's On the ground team member to keep coworkers up to date with upcoming changes while ensuring successful implementation.
Acted as subrogation captain to keep the team on track with the corporation's goals in fund management and any outstanding liabilities (A/R).
Maintained positive working relationship with partnered vendors such as car insurance companies.
Handled claims in NY and all of the New England states (VT, NH, CT, RI, ME, MA) Obtained and held liability adjuster's license in NY, NH, VT, CT, RI, TX, WY, SC, OK, DE, GA Determined minor accident liability decisions.
Experience
5-7 Years
Level
Junior
Education
MS
Auto Claims Processor Resume
Headline : Developing relationships with customers via telephone & email, investigate insurance policy coverage, interpret rental agreement information, determine fault in auto accidents, and document activity on each claim to resolve as quickly and accurately as possible.
Skills : Computer : include: Microsoft Windows, Microsoft Word, Microsoft Excel, Microsoft Access, Visio, Publisher, and PowerPoint applications, Outlook, Novell, Horizon Patient Folder, Star Navigator, Windows Computrition and Cbord.
Description :
Assisted insured's and claimants with the auto repair process.
Determined coverage of items and damages to vehicles and property damage.
Coordinated special projects as a Personal Injury Protection and Medical Payments Coverage Specialist with responsibility for the following: o Perform detailed research and analysis of claims.
Evaluated research findings based on a refined knowledge of applicable laws in addition to a basic understanding of medical and anatomical terminology.
Continuously adhered to all provisions of the Employee Handbook as well as maintained compliance with the Fair Claims Practices Act.
Appointed to handle total loss claims in our Centralized Total Loss Department.
Initiated claim payment process for assigned claims.
Experience
5-7 Years
Level
Junior
Education
GED
Auto Claims Processor Resume
Summary : Hardworking, organized, Auto Claims Processor professional with a proven background delivering sensible business technology solutions on time and under budget while working as a team member or team leader.
Openned uncomplicated medical-only claims, primarily needlesticks and BBF claims in accordance with office protocols, including establishing initial reserves.
Managed expenses associated with assigned claims.
Ensured that all state guidelines are met for assigned claims, including state reporting and appropriate follow-up documentation (needlestick letters) from the state.
Coordinated medical care and communication with employees regarding assigned claims.
Assisted with property, auto, and general liability claims.
Assisted with CMS and OSHA reporting.
Reached above shoulders: Extending arms in any direction above shoulders.
Experience
7-10 Years
Level
Management
Education
GED
Auto Claims Processor Resume
Summary : Motivated, reliable, dedicated and hardworking customer service professional, demonstrating strong interpersonal communications, with a talent for building trusting relationships, while exhibiting consistency and flexibility in approach to team and independent assignments.
Skills : Training Skills, Call Center.
Description :
Provided Remarkable service to State Farm insured customers regarding auto claims.
Worked in a collaborative call center team environment to handle large volumes of claims.
Applied auto claims procedures to process claims, initiate claim payments and close claim files under the direction of claim representatives or claims management.
Maintained the confidentiality of claim information and contact customers by phone responding to claim inquiries.
Reviewed police reports and submit correspondence to insured customers and claimants to determine liability.
Interviewed and corresponded with agents to handle auto insurance claims.
Assigned claims to appropriate designated departments for further investigation to resolve claim issues.
Experience
7-10 Years
Level
Management
Education
MS
Auto Claims Processor Resume
Summary : To establish a long-term career in a company where I may utilize my Auto Claims Processor professional skills and knowledge to be an effective Associate Program Manager and inspiration to those around me.
Skills : Coaching/mentoring, Creating Training Curriculum, Customer Service, Customer Relations, Microsoft Office, Insurance, Decision Making, Money Management.
Description :
Handled auto claims for 6 states.
Had vehicles inspected or set up body shops to handle repairs.
Took the most phone calls on my team for many years.
Able to help train newcomers to our claim teams.
Reviewed insurance policy terms to determine whether a particular auto claim is covered.
Examined claims submitted by insured and third parties, or such claims referred from others.
Processed claims assigned by claim management/claim specialist/representative and/or electronic assignment.
Experience
10+ Years
Level
Senior
Education
GED
Auto Claims Processor Resume
Summary : Seeking an Auto Claims Processor profession with an outstanding career opportunity that will offer a rewarding work environment along with a winning team that will fully utilize management skills.
Skills : MS Office, Customer Service.
Description :
Kept records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
Checked to ensure that appropriate changes were made to resolve customers' problems.
Determined charges for services requested, collect deposits or payments, or arrange for billing.
Referred unresolved customer grievances to designated departments for further investigation.
Reviewed insurance policy terms to determine whether a particular loss is covered by insurance.
Contacted customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
Resolved customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
Experience
10+ Years
Level
Senior
Education
MS
Auto Claims Processor Resume
Objective : Conducting telephone interviews, corresponds with claimant and witnesses, review police and hospital records; and inspects property damage to determine extent of company's liability, varying method of investigation according to type of insurance.
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