Claims Agent Resume Samples

A Claims Agent is responsible for examining insurance claim liability for property damage or personal injuries. The job duties commonly found on the Claims Agent Resume are – inspecting the property and physical damage, analyzing complex information from different sources, examining claim liability, preparing and processing claims reports, consulting with specialists, calculating benefits and payments, negotiating settlements with claimants, examining police reports, videos from surveillance cameras or audio, and supporting attorneys to defend the company in case of contestation.

Apart from proven work experience, the following skills are needed – prior experience, working experience in using appraisal software, strong analytical and mathematical skills, experience in writing detailed reports, a compassionate and resilient personality, and insurance knowledge. A high school diploma or GED is necessary.

 

Claims Agent Resume example

Claims Agent Resume

Headline : To secure a Claims Agent position utilizing my strong sales and customer focused background, Navigate through various sources of information (P.C., Point of sale and IMP insurance system, Manuals, Intranet/Internet) to complete reports, Processing and recording PIP (no-fault) bills into computerized databases, Reviewing bills to determine if they would be paid, changed or denied based on New York State laws.

Skills : Great Interpersonal , Filing ,Workplace Relationship & Ethnics, Multi-line phone ,Personal Growth & Development, Type 35-45 WPM.

Description :

    1. Experienced in a production environment.
    2. Experienced in a transaction based environment such as a call center or retail location preferred.
    3. Ability to multi-tasked to accomplish workload efficiently.
    4. Maintained accuracy and production standards.
    5. Understood of medical terminology.
    6. Typed acknowledgment letters to persons sending correspondence.
    7. Read incoming correspondence to ascertain nature of writers' concerns and to determine disposition of correspondence.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
B.A. In Environmental Studies


Claims Agent Resume

Objective : As a Claims Agent, investigates claims for personal, casualty, or property loss or damages; determines the extent of the insurance company’s liability; and tries to negotiate an out-of-court settlement with the client.

Skills : Social and Behavioral Sciences, Strong concentration in agriculture, Population issues.

Description :

    1. Reviewed insurance policy to determine coverage.
    2. Provided customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
    3. Posted or attached information to claim file.
    4. Transmitted claims for payment or further investigation.
    5. Contacted insured or other involved persons to obtain missing information.
    6. Verified and analyzed data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
    7. Contacted or interviewed claimants, doctors, medical specialists, or employers to get additional information.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
Associates In Liberal Arts


Claims Agent Resume

Summary : Claims Agent with 8 years of experience in Assessing concepts and contracts, complex claims handling, liability disputes and settlement negotiation Excellent customer service surveys and average liability performance, Providing outstanding customer service, Investigating, evaluating and settling claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.

Skills : Customer and Personal Service, Critical Thinking/ Problem Solving, College Level Mathematics, Sales and Marketing, Quick learner, Ability to lead and follow directions.

Description :

    1. Answered inbound calls and assisting customers who have particular inquiries or questions.
    2. Provided individualized customer service of high-standard professional level.
    3. Built the interest of customers in the products and services offered by the organization.
    4. Updated the existing database with any modifications or changes and the present status of the customers or prospective customers.
    5. Assisted customers of communication based organization with service queries and problems.
    6. Handled customers directly either by face to face, electronically, or telephone and responding to customer inquiries and questions promptly.
    7. Provided feedback regularly on the effectiveness and soundness of policies and procedures of the customer service department.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
AA In Business Management

Claims Agent Resume

Summary : Claims Agent with 7 years of experience in Resolving lower level gas and electric claims and collections, Testifying and assisting attorneys in gathering of evidence, Participating in company's litigation defense related to third party damage of gas and electric facilities.

Skills : Microsoft Windows Certified Technician, Microsoft Office Certified.

Description :

    1. Assisted insured, claimants, and other agents with filing claims with different carriers.
    2. Helped insureds when they are having difficulty getting in contact with the adjuster.
    3. Assigned the adjusters when the insureds are not responding.
    4. Investigated coverage when a denial is issued for a claim.
    5. Provided several individuals with hands on training on how to process documents.
    6. Assisted teammates with understanding difficult claims.
    7. Assigned emails to agents within the department for handling.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Business Administration

Claims Agent Resume

Headline : Claims Agent with 6 years of experience in Preparing responses to information requests from other departments, legal counsel, insurance carriers and brokers, third parties, vendors, partners and joint owners. Investigates property losses and coordinates preparation of insurance claim packages.

Skills : Escot, Zendek, Zopim, Word, Publisher, Spreadsheets.

Description :

    1. Addressed and resolved customer product complaints empathetically and professionally.
    2. Defused volatile customer situations calmly and courteously.
    3. Accurately documented, researched and resolved customer service issues.
    4. Mastery of customer service management systems and databases.
    5. Managed customer calls effectively and efficiently in a complex, fast-paced and challenging call center environment.
    6. Referred unresolved customer grievances to designated departments for further investigation.
    7. Managed high call volume with tact and professionalism.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
High School Diploma

Claims Agent Resume

Headline : A Claims Agent position where I can use my skills, and gain more experience and make a significant contribution to your organization. Build a stable foundation career wise, also for the future, Identifying and locating potential witnesses and exhibits for evidence, attends depositions, prepares answers to interrogatories and requests for production of documents, etc.

Skills : Management, Reynolds & Reynolds, Bilingual, Data Entry.

Description :

    1. Met or exceeded service and quality standards every review period.
    2. Researched questions and concerns from providers and provided detailed responses.
    3. Learned how to handling the filing of lawsuits and other legal claims.
    4. Facilitated the collected competitive information to monitor business opportunities and trends.
    5. Checked lines and categorizing the problems and issues of the customers.
    6. Confirmed order information with customer.
    7. Dispatched, add noted to route of assigned tech.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Associate's

Claims Agent Resume

Headline : Claims Agent is Investigating, evaluating and negotiates satisfactory settlements of personal injury and major property damage claims, Providing support and assistance to company attorneys throughout the claims litigation process, including court testimony.

Skills : Salesforce, Desktop Support, Shoretel Phone Systems.

Description :

    1. Assisted customers of over 40 insurance companies by setting up insurance claims.
    2. Filed claims into a data entry system.
    3. Assisted by answering general customer questions.
    4. Completed general office tasks(printing, etc.).
    5. Worked under a strict deadline.
    6. Received many compliments from customers and other insurance reps.
    7. Employed of the month for my team.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Diploma

Claims Agent Resume

Objective : An ambitious and results-driven individual with strong academic credentials combined with real world business experience and a diverse background of extra-curricular activities and interests. Possess strong leadership skills along with the ability to deal creatively and practically with business problems/issues and interact effectively with colleagues and clients.

Skills : Microsoft Outlook, Planning, Directing, Investigating.

Description :

    1. Directed and coordinated activities involving claims against transportation company for shortages in or damaged freight, accidental death or injury to persons or employees, and private property damages.
    2. Directed activities of workers investigating claims to ascertain validity of claims and extent of company liability.
    3. Processed freight and property claims for which company is liable and submits claims to head office for settlement, or negotiates settlement with claimant and authorizes payment.
    4. Reviewed employee accident reports to determine compensation program under which accidents arecovered, and doctor reports for type of injury and length of time disabled.
    5. Authorised payment of disability compensation according to state or federal acts.
    6. Negotiated with persons having valid claims against company or death or injury to effect out-of-court settlement and refers cases that cannot be settled to legal department.
    7. Represented company at industrial accident or compensation board hearings to present company position on accident liability.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
GED

Claims Agent Resume

Headline : Claims Agent is Performing extensive research to process and/or adjust healthcare claims and appeals, Using multiple healthcare-related operating systems and tracking tools simultaneously, Occasionally encountering non-typical healthcare claims, and also Actively utilising critical thinking skills to determine when to seek advice or escalate issues.

Skills : Microsoft Word, Access, As400, Typing, Keyboarding.

Description :

    1. Processed claims, Reviewed and paid invoices.
    2. Communicated with the policy holders and agents to get the checks out in a timely manner.
    3. Kept records of outgoing payments.
    4. Made incoming and outgoing phone calls.
    5. Worked closely with others on problem solving.
    6. Filed policy holders claim folders.
    7. Telecommute employee that handle insurance claims for cellular devices.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Bachelor Of Science

Claims Agent Resume

Objective : Seeking a Claims Agent position with an organization where I can utilize my knowledge, skills, and expertise in administration, critical thinking, and management training to benefit the needs of the organization. A quick and easy learner that is used to working in a fast pace environment, under stressful situations and meeting company deadlines.

Skills : Implemented Spreadsheets, Assisted With Payroll, Direct Deposit, Timesheets, PTO, Vacation, STD, LTD,.

Description :

    1. Assisted clients with claims, kept track of confidential records and made sure that client's personal information was not exposed.
    2. Assured firewalls were in place to prevent hackers from hacking my computer.
    3. Made 40+ outbound calls per day Excellent organizational, time management, verbal & written communication skills.
    4. Paid and processed claims within designated authority level.
    5. Assign appts for installs.
    6. Coordinate employees schedules for ETA.
    7. Programs used AGEMNI, ATT Retailer site, Microsofts Excel.
    Years of Experience
    Experience
    2-5 Years
    Experience Level
    Level
    Junior
    Education
    Education
    Associate In Computer Science