Claims Coordinator Resume Samples

Claims Coordinator is accountable for receiving notices of injury from employees and acts as a liaison between the company and the claimant. The crucial tasks that are listed on the Claims Coordinator Resume include – submitting reports and notices to higher authorities, collecting statements from witnesses, ensuring that the submitted claim is correct and accurate, overseeing and training team members, submitting claims and letters of appeals and letters, and updating necessary accounts.

Job skills expected from potential candidates list the following – reading comprehension skills, active listening skills, critical thinking skills, and strong customer service orientation. Candidates are also expected to have a good understanding of Claims principles and processes and also stay updated with the latest trends and changes. Successful resumes should list at least qualification such as a high school diploma or GED. Possessing a Bachelor’s degree in Accountancy or Finance will be resourceful.

 

Claims Coordinator Resume

Objective : Dedicated and focused administrative professional who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Seeking a role of increased responsibility and authority.

Skills : Pallet jack, Forklift.

Description :

    1. Review and revise medical leave status report on a daily basis, or as required, ensuring the crew qualifies for ongoing medical leave benefits.
    2. Administer medical leave payroll via Solutions to make adjustments as required based on status.
    3. Administer the reimbursement of medical and transportation expenses for the crew submitting proper receipts of the cost incurred in connection with the medical leave.
    4. Process payments to healthcare, transportation and lodging providers that fall under our clients' maintenance and cure obligation.
    5. Update medical leave report and medical leave payroll report Coordinate crew travel with travel coordinators in order to minimize ticket costs, hotel stays and ground transportation costs.
    6. Coordinate medical care in the crewmembers home country Liaises with shipboard management to coordinate crewmember's medical leave disembarkation.
    7. Coordinate medical paroles in the US for crew receiving care in the US (mainly Miami, Florida) Open and maintain electronic medical leave files Contact and maintain an open line of communication with crewmembers on medical leave.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
High School Diploma


Sr. Claims Coordinator Resume

Summary : Highly motivated and professional individual who has handled and implemented companywide initiatives while developing and maintaining both vendor and customer relations. Able to perform in fast paced work environments with a strong ability to multitask. Innovative thinker and detail oriented individual who excels at problem solving and time management. Able to deal with frequent change, delays, or unexpected events; performs well under pressure.

Skills : Computer: Excellent with Microsoft Word, Excel, and PowerPoint., Can speak, read, and write fluently in Spanish and English., Autocad.

Description :

    1. Helped Design and Implement the tracking of 150,000 tons of steel purchased through Vendors.
    2. Researched issues and helped expedite orders when necessary.
    3. Participated in the design and implementation of a companywide stocking program for touch up paint.
    4. Procured costs with vendor which resulted in immediate costs savings.
    5. Assigned incoming claims and monitored processes to ensure timely resolution with vendors for 20 branches nationwide.
    6. Negotiated settlement terms with vendors and customers to assure customer satisfaction for claim related issues.
    7. Conducted annual Physical Inventories at Vendor locations Traveled and participated in Executive level meetings to negotiate claim resolution with key Vendors such as ArcelorMIttal.
    8. Handled cash payments and vendor debits for claim related issues Estimated and sourced pricing for potential sales and custom orders; worked closely with 75+ sales agents and key vendors to provide accurate costing and availability of materials.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Business Management


Jr. Claims Coordinator Resume

Headline : Working in an office environment for over 25 years now, taking positions that challenge me and allow me to learn more and improve my computer and office skills. Looking for a position that will continue to challenge me and where I can be a welcome addition to your team.

Skills : Microsoft Office, With An Emphasis On Excel And Access, Financials, Accounting, Budgets, Tracking Reports.

Description :

    1. Responsible for the day-to-day tracking and updating of all claims entered into RMIS including those claims that are forwarded to our third party administrator, Gallagher Bassett.
    2. Provide administrative support to Manager of General Liability and Workers' Compensation claims.
    3. Effectively works with internal personal, Gallagher Bassett, Mears, and Quanta in providing them information needed in support of both General Liability and Workers' Compensation related claims.
    4. Receive and communicate relevant claim information including but not limited to invoices, letters, phone calls, documents, legal notices to the respective Claims Manager.
    5. Ensure all reporting from our department is produced on time.
    6. Effectively works with internal departments in providing them information needed regarding reporting including but not limited to the weekly report, OSHA related reports, audit related, and Schedule 11.
    7. Handles any special projects or assists with miscellaneous duties as assigned.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Business Administration

Claims Coordinator III Resume

Objective : Highly qualified Claims Coordinator with experience in the industry. Enjoy creative problem solving and getting exposure on multiple projects, and I would excel in the collaborative environment on which your company prides itself.

Skills : Microsoft, Photography, Styling, Listing, Negotiating, Marketing, Selling, Writing, Listening.

Description :

    1. Possess sufficient clinical knowledge to effectively communicate the medical necessity of treatment with insurance reviewers in order to obtain authorization for treatment services provided for international patients.
    2. Communicates the information received to appropriate staff in a timely and efficient manner.
    3. Demonstrates understanding of medical terminology.
    4. Demonstrates understanding of policy deductibles, co pays, coinsurance and out of pocket maximums, out of network deductions and exclusions.
    5. Demonstrates understanding of billing revenue codes CPT and claim forms UB/HCFA.
    6. Demonstrates knowledge of diagnosis codes Demonstrates knowledge of EOB interpretation.
    7. Requires skill and experience in data entry, ten key, and spreadsheet applications.
    8. Communicates effectively with peers and supervisor to address billing and claim issues.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Bachelor's In Marketing

Claims Coordinator II Resume

Objective : Focused Legal Assistant with a solid administrative support background. Adept at paying attention to the details, as well as seeing the larger picture when managing clients, court filings, procedures and deadlines.

Skills : Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Powerpoint, Internet, Social Media Marketing, Communication, Competitive Analysis, Market Analysis, Customer Service, Management Skills.

Description :

    1. Effectively managed the light duty program and coordinated return to work programs for a company consisting of approximately 300 stores and 10,000 employees.
    2. Applied knowledge of worker's compensation practices for PA, MD, VA, WV, OH, and NC.
    3. Successfully negotiated and settled claims involved with the company's first outbreak of Salmonella.
    4. Coordinated all repairs to vehicles in the company's fleet.
    5. Skillfully collaborated with Third Party Administrators, Nurse Case Managers, and legal counsel to minimize lost time and workers compensation expenses, returning the employee to the pre-injury position in a timely manner.
    6. Responsible for collections owed to the company due to customers causing property damage to our store locations.
    7. Main contact for general liability and food borne illness claims.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Bachelor Of Science

Claims Coordinator I Resume

Headline : Sales professional with extensive experience in account and customer relationship management. Cultivates, nurtures and maintains long-term customer relationships to boost sales and grow brand visibility.

Skills : Microsoft, Photography, Styling, Listing, Negotiating, Marketing, Selling, Writing, Listening.

Description :

    1. Tactfully created and maintained Access databases to track training information and study trending.
    2. Skillfully designed a new lesson plan utilizing PowerPoint and Excel programs.
    3. Patiently answered benefit, medical inquiries via telephone, written correspondence or walk-in communications from members, providers, and employers.
    4. Efficiently scheduled and coordinated staff, management and departmental meetings.
    5. Effectively maneuvered computer systems including Microsoft Office; researching and responding to current/past correspondence or inquiries and documenting all activity in the system.
    6. Creatively streamlined processes of multiple departments, cross-trained employees and rolled out corporate initiatives in production, quality and adherence guidelines.
    7. Report any safety issues to the Safety Manager and work with the Safety Department on better ways to do things.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Bachelor Of Science

Lead Claims Coordinator Resume

Summary : Highly motivated and professional individual who has handled and implemented companywide initiatives while developing and maintaining both vendor and customer relations. Able to perform in fast paced work environments with a strong ability to multitask. Innovative thinker and detail oriented individual who excels at problem solving and time management. Able to deal with frequent change, delays, or unexpected events; performs well under pressure.

Skills : Microsoft Office,Excel, 45 wpm, Customer Service, Cash Handling.

Description :

    1. Promoted from clerical position which involved office support duties with increasing levels of responsibility.
    2. Trained other personnel on clerical duties, including computer applications.
    3. Processed all claims from start to finish.
    4. Worked closely with all parties involved while gathering pertinent information.
    5. Able to effectively assure new customers of the importance of their claim, putting them at ease.
    6. Served as a strong support person to agents in successfully developing a more efficient and cost saving environment for all involved.
    7. Developed and implemented a new system for agents by preparing new files with a claims section to speed clarification showing any possible trend of fraud.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Diploma In Basic

Asst. Claims Coordinator Resume

Summary : To obtain a position that will enable me to use my strong customer service and work ethic. A highly organized individual with 5+ years of experience in customer service, answering phone calls, answering emails, and performing data entry.

Skills : Admin.

Description :

    1. Prepares Medical records for HEDIS, QARR, HCC, RAF and Star submission.
    2. Completes mail merge of all provider correspondence.
    3. Compiles all marketing material for provider education and creating hard copy directories and training manual to distribute.
    4. Sorts and delivers all claims to the appropriate department for processing.
    5. Oversees document management system and scans all documentation in assign folders.
    6. Prepare bids and progress reports, as well as other exhibits and appendices as required.
    7. Retrieves undeliverable correspondences and research and correct inaccurate information.
    8. Works closely with the Marketing Department to develop print ads for Medicare Open Enrollment.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Bachelors

Claims Coordinator I Resume

Summary : Highly qualified Claims Coordinator with experience in the industry. Enjoy creative problem solving and getting exposure on multiple projects, and I would excel in the collaborative environment on which your company prides itself.

Skills : Customer Service, Outside Sales, phone sales. Proficient in Microsoft Word, Excel, PowerPoint, AS400, Cisco Dialing System, Technical Support, DOT Regulations for Tractor Trailer driving.

Description :

    1. Coordinated incoming insurance claims for auditing from Insurance companies for commercial equipment.
    2. Worked directly with insurance representatives, there insured, claimants, shops, and all parties evolved.
    3. Gathered accident information, quotes for repairs, and photos to confirm damages.
    4. Kept all parties informed of the status of the audit and worked with our technicians to get the claims processed in a timely manner.
    5. Did all the test pilots accounts for future clients.
    6. Crossed trained on all clients and provided back up claims help when departments were short.
    7. Attend weekly meetings with members of management to give feedback and areas of concern for pilot accounts.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
License In Current

Associate Claims Coordinator Resume

Objective : Looking for a position where I can make a difference and help people. I work hard, have extensive experience in Call Centers and Call Center Management.

Skills : Customer Service, Claims Handling, Litigation.

Description :

    1. Managing large workers compensation accounts in coordination with risk manager.
    2. Handle incoming claims calls and preliminary investigation.
    3. Work directly with company claim adjusters, claimants and vendors settling claims.
    4. Issue claims checks under specific draft authority.
    5. Work in field with agents designing claims management systems with clients.
    6. Accompany claims adjusters on outside appointments determining coverage and adjusting losses.
    7. Proficiency with Applied Systems, Advantage Fax and Real-time Interface Software.
    8. Completed the AIC33 course, completed continuing education courses and training for the Claims Supervisor position.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Education

Claims Coordinator/Specialist Resume

Summary : To obtain a position in an accredited business with the knowledge and skills I have acquired through school and work experience.

Skills : Microsoft Office, Accounting, Quickbooks, Account Management, Inventory Management.

Description :

    1. Acknowledge, evaluate, and prioritize incoming injury and liability claims and report of safety violations.
    2. Respond to claim needs for accident or injury through investigation processes.
    3. Conduct interviews and take witness statements for claims review process.
    4. Initiate and schedule all medical treatment.
    5. Reduce claims and lost -time costs through thorough record keeping and follow-thru.
    6. Coordinate light duty to return-to-work programs.
    7. Log, maintain, and analyze reports for processing claims and analysis.
    8. Product summary report of all claims processed and claims status.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Business Administration

Claims Coordinator Resume

Summary : Claims Coordinator with extensive accounts receivable experience in a family owned wholesale HVAC, refrigeration and controls company and a major patient security system company. Strong background in applying cash and reconciling problems with payments. Strong background making collection calls and resolving collection problems. Claims Administrator with accounts receivable experience in a major meat packing plant.

Skills : Accounts Receivables.

Description :

    1. Uploaded new deductions from daily cash sheet to database assigning a claim number, obtained backup information for each new claim.
    2. Prepared claims and forwarded to appropriate salesman for approval.
    3. Processed all approved claims by entering credits and spreading against debits on customer accounts.
    4. Processed customer rebills for denied claims.
    5. Determined which claims affected inventory to ensure proper processing.
    6. Processed all department credits daily to ensure current customer accounts.
    7. Provided instruction to customer and salesman to ensure efficient claim resolution.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Diploma