As a Claims Generalist Associate, the individual will analyze facts and related claim information to determine accurate and appropriate compensation, and identify fraud if any. A well-drafted Claims Generalist Associate Resume mentions the following core duties and tasks – determining the customer’s insurance coverage, evaluating those who have filed claims, making sure the claims are analyzed correctly for the clients, handling claims on-site, opening and sorting mail by claim types, assisting new employees, and implementing proper procedures and timely disposition.
Qualifications for this role include an associate’s degree, relevant work experience, and research skills. Other vital job assets include – the ability to travel, excellent interpersonal skills, knowledge of handling complaints and solving abilities, and a strong knowledge of claims file management processes. A license to work in this capacity is also required in some states.
Headline : To obtain a Claims Generalist Associate position that allows me to utilize my skills in customer retention, initiative, and multi-tasking. Opportunities should also afford me the potential to obtain development in order to grow within the company.
Skills : Microsoft Office, Customer Service.
Description :
Investigated and processed insurance claims filed by policyholders or claimants Interview claimant and witnesses to gather pertinent information.
Handled and processed automobile claims.
Handled property claims involving damage to buildings and structures, or liability claims involving third-person property damage from liability situations, such as motor vehicle accidents, or alleged negligent behavior.
Inspected property damage to determine the extent of damages.
Verified that coverage applies through an insurance policy.
Evaluated damages to ascertain compensation amount.
Examined photographs and statements.
Experience
5-7 Years
Level
Executive
Education
High School Diploma
Claims Generalist Associate Resume
Headline : A Claims Generalist Associate Expertise A diligent, proactive, and goal-oriented Management Professional with over 7 years experience designing, developing, and executing sales, marketing and brand awareness campaigns seeking a challenging role within Stryker. Proven ability to manage program sales and brand awareness projects from concept through execution.
Skills : Customer Service, Basic Computer, Communication Skills, Cash Management.
Description :
Interviewed both parties involved in a motor vehicle accident.
Extensived communication and follow up with clients.
Worked closely with special investigations, medical reps, police departments, and attorneys.
Trained in fraud awareness and bodily injury investigation.
Worked with lien holders and final paperwork for total loss.
Coded final liability for the accident.
Consulted police and hospital records.
Experience
5-7 Years
Level
Executive
Education
BA
Claims Generalist Associate Resume
Headline : Effective team player with exceptional communication and interpersonal skills Goal-oriented professional with highly developed organizational, planning, and time management skills Motivated self-starter with initiative, focus, and an aptitude for learning new tasks quickly.
Skills : Microsoft Office, Customer Service, Investigations, Organizational, Presentation, Mentoring.
Description :
Managed claims from assignment to resolution to include contacting all involved parties, witnesses, and law enforcement agencies in order to determine accurate liability decisions.
Performed coverage investigations when needed by obtaining required or missing documentation in order to confirm or deny coverage.
Determined complex liability decisions by means of scene investigations, scene canvassing, and vehicle damage examinations.
Handled fire and theft claims with malicious or criminal intent to damage vehicles.
Briefly handled commercial vehicle and cargo claims with limited exposures.
Settled low-impact bodily injury claims with limited exposures.
Reviewed subrogation demands for accurate reimbursement.
Experience
5-7 Years
Level
Executive
Education
Bachelor Of Business Administration
Claims Generalist Associate Resume
Objective : As a Claims Generalist Associate, responsible for Identifying breaches of culture/values that impact the work environment; interpreting and providing guidance on corporate policy, Assisting in the communication and enrollment process of employee benefits programs, and also Analyzing HR reports, identify opportunities/trends, propose action plans.
Skills : Supervising Skills, Planning Skills.
Description :
Handled automobile claims which involved investigating liability in automobile accidents.
Gained knowledge of the insurance field as a whole, but most specifically: the claims process.
Employed there, I became proficient in many different programs associated with adjusting automobile claims.
Received excellent reviews from my supervisors on my ability to apply feedback quickly and efficiently, as well as, my excellent customer service skills.
Spent two weeks in Cleveland, Ohio to attend a 'Claims Ownership' class, and one week in Columbus, Ohio at 'Onboarding Training'.
Passed the West Virginia Adjuster's Exam and possess the required Claims Adjuster license for West Virginia.
Required a great deal of multi-tasking and time management skills in which I excelled at, tremendously.
Experience
2-5 Years
Level
Executive
Education
MS
Claims Generalist Associate Resume
Headline : Highly experienced and self-motivated office professional skilled in the execution of general clerical tasks and support with a wide range of knowledge in office practices and procedures. Skilled in business correspondence, recordkeeping systems, telephone etiquette, and office equipment operation. Over seven year of experience performing a variety of critical office functions including: handling of multiple accounts, filing, recordkeeping, and other administrative tasks while working in a high pressure environment.
Skills : Photography, MS Office, Claims Processing, Adobe Photoshop, Administrative Assistant, Data Entry, Management Experience.
Description :
Responsible for general investigation and ultimate decision on coverage and liability for auto and property insurance claims.
Reported the outcome of investigations and inspections to all parties, while ensuring decisions met all laws and contract requirements.
Coordinated with multiple vendors to meet customer needs while effectively answering all questions with thorough explanations throughout the claims process.
Aided customers in a compassionate and timely manner while maintaining composure under sensitive, emotional, and stressful contexts.
Successfully met contractual and financial obligations while observing ethical guidelines.
Handled high-volume phone and electronic communication in a high-pressure environment.
Accurately tracked large numbers of case records while maintaining all forms, documents, and correspondence in an orderly fashion.
Experience
5-7 Years
Level
Executive
Education
B.A. In Fine Arts
Claims Generalist Associate Resume
Objective : Highly experienced, results-producing business professional with a proven record of accomplishment and execution in planning and leading comprehensive sales initiatives in support of business goals. Well-organized multi-tasker with strong detail orientation. Solid leadership skills; Able to build and guide top-performing sales and recruiting teams, working directly with companies, customers, or product representatives in executing desired results.
Skills : Planning Skills, Coordinating Skills.
Description :
Experienced in conducting coverage and damages analysis in the investigation and completion in a timely and fair manner of automobile claims involving no coverage, coverage conditions, denial and disclaimer of coverage, liability disputes, and property Damage excess.
Reviewed, negotiated, and coordinated total loss process and payment with insureds, claimants, attorney offices, lienholders, and warranty companies.
Coordinated photographs, estimates, repairs, rental cars and composed and obtained signed property damage releases in property damage excess situations.
Daily recorded statements with drivers, passengers, witnesses, policyholders, claimants, locating and obtaining police reports, to assist in coverage determination under the policy and determining legal liability/comparative negligence of a claim.
Regular reviewed policy coverage and documents.
Used multiple claims systems to locate prior losses, missing information and documents not provided, and interaction with interested parties to obtain additional related information.
Maintened of an up to date diary, accurate and detailed documentation of claim files, timely correspondences via mail, fax, emails, and phone/returning of voice mails within an aggressive time frame to satisfy company, department of insurance and/or state specific regulations.
Experience
2-5 Years
Level
Executive
Education
Bachelor Of Arts In Psychology
Claims Generalist Associate Resume
Headline : To secure a career that is interesting and challenging. Establishing myself with an aggressive, growth-oriented organization that allows me the opportunity to learn and progress.
Skills : Training Skills, Customer Service.
Description :
Responsible for maintaining excellent customer service, while handling high call volume.
Responsible for investigating claims to their fullest extent.
Responsible for handling total loss claims, including in-person title draft exchanges, and POA signings.
Determined coverage.
Determined liability (whos at fault for the damages).
Interviewed customers, claimants, and witnesses.
Negotiated with customers and other insurance carriers and resolve claims.
Experience
5-7 Years
Level
Executive
Education
BA
Claims Generalist Associate Resume
Headline : Responsible for Resolving general Associate Relations issues including conducting employee relations investigations and fact-finding; administering company's correction action process in partnership with DC HR Mgr; assisting with unemployment claim information and unemployment hearings.
Skills : Communication Skills, Planning Skills.
Description :
Obtained statements from all involved parties, determine liability, obtain accident reports, arrange for vehicle inspections and rentals.
Settled total losses, and issue payments to necessary parties.
Used Communicated daily by telephone and email with policyholders and claimants in relation to claims status.
Generated communication using Microsoft Office (Word, Publisher).
Verified the accuracy of insurance policies for the insured and/or property.
Investigated circumstances and sequences of events prior to claimed damages that occurred due to negligence, culminating in the loss of property or bodily injury to reduce company liability.
Investigated auto insurance claims by interviewing the insured, claimant, witnesses and consulting with police reports to determine liability.
Experience
5-7 Years
Level
Executive
Education
GED
Claims Generalist Associate Resume
Headline : To obtain the Claims Generalist Associate position of employment within a company that will allow me to utilize my knowledge of office and management processes as well as my extensive customer service and communication skills with an eye toward future advancement.
Skills : Planning Skills, Leadership.
Description :
Negotiated property loss settlement according to Michigan law Handle first-party auto coverages and third-party liability for property damages.
Handled minor injury-related claims.
Obtained recorded statements from all parties, and reviewed police reports and legal documents to help determine liability.
Demonstrated strong interpersonal skills, great communication and negotiation skills (both oral and written) and wide experience in dealing with policyholders, claimants, attorney offices, medical providers, medical insurers, adverse carriers, lienholders, repairs shops, and rental agencies.
Employed tact, diplomacy, discretion, and ethical judgment in a variety of complex situations.
Applied knowledge of standard office equipment operation, including computers, copiers, and fax machines to efficiently accomplish tasks.
Recognized and pursued subrogation opportunities against claimant carriers and uninsured individuals.
Experience
5-7 Years
Level
Executive
Education
GED
Claims Generalist Associate Resume
Headline : A results-oriented Claims Generalist Associate professional with a focus on utilizing Human Resources education and customer service experience to create organizational efficiencies that improve employee immersion, engagement, and productivity in the organization. Tracking record of providing superior customer service and retaining clients. Proven ability to communicate effectively with all levels of an organization. Proficiency in using Microsoft Excel, Word, and Outlook.
Skills : Customer Service, Directing Skills.
Description :
Maximized financial returns of strategic partner relationships through consistent customer referrals utilizing concierge and network facilities.
Consulted with accountants, architects, construction workers, engineers, lawyers, and physicians to get expert evaluation.
Determined liability (whos at fault for the damages).
Interviewed customers, claimants, and witnesses.
Partnered with appraisers/estimators to manage vehicle repairs.
Negotiated with customers and other insurance carriers.
Diverted, inclusived & welcomed culture with Employee Resource Groups
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