Claims Administrative Assistant Resume Samples

A Claims Administrative Assistant works in insurance companies and performs administrative assistant duties. Common duties depicted on the Claims Administrative Assistant Resume are – handling correspondence, taking phone calls, helping customers and making sure their needs are met, administering all claims for all professional and general liabilities, determining all-expense reserves and coordinating with various departments, monitoring all defense activities, managing and maintaining a record of all losses, assisting all risk management personnel, developing reports for all statistical claims, monitoring all trends on sites and performing clinical frequency, and coordinating with all claimants to solve all customers and employee issues.

Based on sample resumes, the following skills are found essential – insurance industry familiarity; excellent communication skills, customer service orientation, fast-thinking skills, computer competencies, and knowledge of insurance claims and regulations. Most of these professionals have a degree in the relevant area.

Claims Administrative Assistant Resume example

Claims Administrative Assistant Resume

Headline : Worked in retail for twelve years working as a certified cashier, service trainer, office cashier, scanning coordinator, grocery stocker, and ending my career in retail as a grocery manager. I moved to the corporate office and worked in the Risk Management department processing the employee injury claims, processing payments for injured workers, case settlements, and medical bills.

Skills : MS Office, Claims Officer.

Description :

    1. Processed all employee injury claims.
    2. Processed payments for all partners losing time due or working with restrictions due to their work related injury.
    3. Processed annual O.S.H.A.
    4. Processed monthly report to Texas Department of Insurance.
    5. Processed quarterly report to Louisiana Office of Workers Compensation.
    6. Answered annual surveys from the U.S.
    7. Processed weekly injury reports for department heads.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Associate Of Arts In Journalism


Claims Administrative Assistant Resume

Objective : To obtain a position in compiling and tabulating data, preparing and checking documents for accuracy, handling and transporting documents, maintain files and logs, and handling inquiries. A committed individual with strong communication skills both written and verbal. Bilingual in English and Spanish.

Skills : Software: Outlook, Microsoft Suite, Photoshop, FileMaker Pro, Mailchimp, CiviCRM, Lotus Notes, FrameMaker, Final Cut Pro.

Description :

    1. Responsible for the claim filing of Workers Comp/ General Liability/Auto.
    2. Acted as liaison between the insurance companies and the company employees.
    3. Able to clarify and resolve problems in regards to claims.
    4. Balanced invoices and expense reports.
    5. Generated monthly reports.
    6. Assisted manager with research and analysis of routine legal issues and documents.
    7. Assisted in the preparation of cases and hearings as well as preparing correspondence.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
Bachelor In Criminal Justice


Claims Administrative Assistant Resume

Objective : Responsible for developing and maintaining statistical Excel databases; preparing and evaluating data for all monthly statistical reports for the claims section; responsible for training claims staff on the use of the claims electronic database.

Skills : Microsoft Excel Software; Meticulously Organized, Very Detail Oriented, Self Motivated, Agreeable, Well Spoken And Polite; Possess Excellent Verbal And Written Communication In Both English And Spanish.

Description :

    1. Sorted and distributed inbound/outbound correspondence such as subpoena requests, invoices, vehicle titles, medical reports, etc.
    2. Requested and retrieved police reports via the internet.
    3. Drafted and transmitted acknowledgement letters to insured's, agents/brokers, and third parties.
    4. Assigned independent adjusters/property appraisers to inspect insured vehicles and third party vehicles or property.
    5. Answered inbound calls and obtained accident details for a notice of new loss.
    6. Inbound calls also included queries from insured's, third party claimants, attorneys, medical providers, appraisers.
    7. Organized and maintained new/old claim files, by adjusting proper reserves and making follow up notes for internal adjusters.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
BA In Psychology

Claims Administrative Assistant Resume

Headline : Seeking a Claims Administrative Assistant position in which I will have the ability to work with enthusiastic individuals in a stimulating and innovative environment where I can apply the skills I have acquired from my professional, educational, and abroad experiences.

Skills : Planning Skills, Administrative Skills.

Description :

    1. Scheduled and facilitated quarterly conference calls and bi-weekly department meetings.
    2. Drafted and finalized all outgoing correspondence for 25 claims analysts and attorneys.
    3. Generated and formatted weekly and monthly Excel reports for high-level executives including the CEO.
    4. Supervised the tasks and responsibilities of the high school intern in the Claims Department.
    5. Scanned and routed incoming mail and faxes to e-files.
    6. Conducted interviews for the administrative team and facilitated the training of new hires.
    7. Examined the initial notices of claims and created the e-files for assignment.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
MA

Claims Administrative Assistant Resume

Objective : Looking for a position that is challenging and provides room to grow. I have excellent customer service skills and I understand the importance of being professional, efficient, and reliable. I can use my experience and growing education to help the company that hires me to meet goals and leave a positive long-lasting impression on clients and customers.

Skills : Detail-oriented, Fast Learner, Secret Clearance, Superior Customer Relations , Computer Proficiency, Type 57wpm, 10-key, Microsoft Office, Telephone Etiquette.

Description :

    1. Provided quality customer service Reviewed explanation of benefits letters, denials & inspection reports.
    2. Corresponded with insurance adjusters, brokers & insurance companies.
    3. Reached out to foreclosure attorneys for property information and documentation to conclude claims.
    4. Addressed claims, emails, e-faxes, voicemail and daily tasks within 24 hours Access vendor database sites i.e.
    5. Cored logic, MSP, safeguard to retrieve required information.
    6. Received recognition for having the highest amount of uploads for the month.
    7. Used 57 WPM Ability to work in a face-paced environment Telephone etiquette Ability to meet goals Microsoft Excel Microsoft Word.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
BA In Administration

Claims Administrative Assistant Resume

Objective : As a Claims Administrative Assistant, responsible for Reviewing and providing comments on the design of the Claims electronic database; maintaining electronic claims reimbursement, pre-approval, and reasonable cost database files.

Skills : Administrative Skills, Planning Skills.

Description :

    1. Provided administrative and secretarial support services for the risk, safety and quality department.
    2. Processed payments for medical bills, case settlements, and to case investigators and lawyers.
    3. Processed correspondence and phone calls from agents, vendors, providers, contractors, in-house/field adjusters and departmental managers.
    4. Processed Agency Claim Program drafts by coding & posting checks under correct coverage lines Issue payments for Teleglass and Driven Solutions.
    5. Performed complex, confidential and non-routine administrative tasks.
    6. Possessed understanding of Board statutes, rules and policies and BUSTR rules.
    7. Wrote and telephones owners or consultants to verify, clarify or request information.
          Years of Experience
          Experience
          2-5 Years
          Experience Level
          Level
          Executive
          Education
          Education
          MA In Administration

          Claims Administrative Assistant Resume

          Objective : Organized administrative professional with hands-on experience supporting business areas such as accounting, database management and human resources. Collaborative team player with strong communication, decision-making and time management abilities.

          Skills : Administration, Claims Processing, Account Management, Accounting Representative, Project Management, Project Management, Microsoft Office Suite, Document Management, Budget Management, General Ledger, Management Experience, Analytical , Policy Development.

          Description :

            1. Provided insurance verification/loss history information.
            2. Completed initial loss reports for medical claims.
            3. Directed inquiry calls regarding malpractice claims.
            4. Verified coverage and establish new malpractice claims.
            5. Processed payment requests for internal JUA invoices.
            6. Developed and prepared information, created layout and reviewed/revised policy wording.
            7. Adjusted glass claims and tow reimbursement claims Data entry of new claims and process closings.
          Years of Experience
          Experience
          2-5 Years
          Experience Level
          Level
          Executive
          Education
          Education
          Bachelor Of Arts

          Claims Administrative Assistant Resume

          Objective : Enthusiastic and personable employee with eight years of experience in business administration. Offering a diverse background of knowledge in key areas including strong problem resolution abilities, strong initiative and ability to handle multiple task and special projects within specified deadlines. Excellent written and oral communication skills and a high level of confidentiality. Strengths include the ability to prioritize, the ability to analyze documents for accurate and completeness, and company loyalty.

          Skills : Administrative Support, Customer Service, Insurance.

          Description :

            1. Reviewed of inspection reports and claim documents for potential coverage.
            2. Reviewed of denial claim letters for accuracy and potential rebuttals.
            3. Reviewed of Explanation of Benefits letter for payment accuracy.
            4. Accessed to several client related software and websites.
            5. Followed up on status of claims and address any pending issues that would prevent claim coverage.
            6. Claims Scanned and Uploaded Documents Research of Claim Coverage Review documents Client Related Software and Websites Review of Denial Letters Correspondence with Field Adjusters Review of Explanation of Benefits Call Center Customer Service.
            7. Assisted Environmental Claims Supervisor in preparation of eligibility determinations and prioritization of claim packages for analyst review.
          Years of Experience
          Experience
          2-5 Years
          Experience Level
          Level
          Executive
          Education
          Education
          Bachelor's In Business

          Claims Administrative Assistant Resume

          Objective : 4 years of experience as an administrative assistant has lead me to handle a wide spectrum of responsibilities ranging from basic office tasks to special project. The companies I have been employed with have happily benefitted from my intrinsic need to break down complex work processes and rebuild them to be more efficient and cost effective.

          Skills : Administrative Support, Administrative Assistant.

          Description :

            1. Exercised independent judgment in various non-routine decisions; and provided the highest level of administrative and secretarial assistance to management.
            2. Ensured the highest quality of work and maintaining a professional and confidential atmosphere in the office at all times.
            3. Determined where checks should be forwarded to, Premium or Claims.
            4. Performed searches on a Mac computer to locate members.
            5. Prepared documents for imaging.
            6. Reviewed and edits cost preapproval correspondence.
            7. Assisted in claims reimbursement review process.
          Years of Experience
          Experience
          2-5 Years
          Experience Level
          Level
          Executive
          Education
          Education
          GED

          Claims Administrative Assistant Resume

          Objective : Use to working in an environment where primary data research, verification, and entry is the bulk of the work. Also, use to heavy verbal and electronic communication. Documentation and accuracy are a high priority for quality control purposes. Phone and faxing coverage. Scan use. Can become a go-to person for areas of expertise.

          Skills : Microsoft Office, File Clerk, Mailroom Clerk, Packer, Warehouse.

          Description :

            1. Issued bonds of indemnity for replacement securities working with Access data base.
            2. Posted agent processing fees and monthly reports for stock brokers and agents for various insured's accounts.
            3. Maintained and purged file records.
            4. Sorted & distributed internal mail for distribution to staff of 75.
            5. Assisted with phone coverage as needed.
            6. Managed the process of archiving reimbursement applications for off-site storage and records destruction.
            7. Researched complex claims processing issues and recommends procedure/policy changes.
          Years of Experience
          Experience
          2-5 Years
          Experience Level
          Level
          Executive
          Education
          Education
          Diploma In Technology