Claims Handler Resume Samples

A Claims Handler is responsible for processing insurance claims from customers, ensuring that all paperwork is accurate and that claims are handled in a timely manner. The primary duties often seen listed on the Claims Handler Resume are – gathering and assessing information from customers, documenting and verifying claims, investigating the facts of each case, and negotiating settlements with the claimant. Additional duties may include maintaining records and databases, communicating with customers, and representing the company in court proceedings. Part of the job description also includes – negotiating settlements, resolving disputes, documenting information about the claims, and interviewing claimants.

Apart from possessing a strong knowledge of insurance policies, legal and risk management procedures, and customer service principles, incumbents for this role are expected to possess a good understanding of relevant laws, and regulations. Good communication, problem-solving, and organizational skills are also essential. A minimum of a bachelor’s degree in a related field is typically required.

Claims Handler Resume example

Claims Handler Resume

Summary : As a Claims Handler, built rapport and showed empathy with each caller where appropriate to assist in the capture process. Ensured indemnity/Validation concerns are addressed in line with the client's process. Worked closely with those around and offered support and guidance to ensure all claims run smoothly in a proactive manner.

Skills : Customer Service, Communication And Interpersonal.

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Description :

  1. Reviewed claim facts and Treaty/Certificated language to analyze and appropriately determine coverage position.
  2. Drafted various coverage letters including claim denials, reservations of rights, etc.
  3. Conducted investigation into claims, obtains required documents, maintain physical/electronic files, comply with all policies and procedures.
  4. Evaluated claims for possible reserve and payment. Presented appropriate recommendations.
  5. Directed counsel/arbitrators on disputed assumed and retroceded claims.
  6. Prepared and presented accurate and timely management reporting thereon.
  7. Assisted in litigation relating to retrocession matters and facilitate the timely notice, reporting, and billing of retrocession recoveries.
            Years of Experience
            Experience
            7-10 Years
            Experience Level
            Level
            Management
            Education
            Education
            Bachelor's In Finance


            Claims Handler Resume

            Objective : Six Years of commended performance in key customer service and support roles. Expert in customer care/communications, problem solving, relationship building and support, Call Center Support Provided inbound telephone services (handling on average 100 - 200 calls daily).

            Skills : Microsoft Word, Proficient in Data Entry, WPM 60, Fax Machine, Copy and scan. Great Customer Service, Multi- Tasking and Fast learner.

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            Description :

            1. Handled claims that require intense coverage or liability investigations. Served as a mentor to less experienced adjusters and may assist in their training and development.
            2. Recognized recovery opportunities in regard to subrogation and salvage. 
            3. Obtained necessary documents and forms from claimants and insureds; conducted recorded statements.
            4. Recognized excess exposures and effectively communicated verbally and in writing to the insured.
            5. Recognized potential exposure of injury and the ability to reach a settlement during the first contact.
            6. Negotiated timely and appropriate settlements with claimants, insureds, and attorneys and issue appropriate payments.
            7. Proactively managed all Third Party injury claims within the authority level, adhering to regulatory timescales and guidelines and settling through negotiating the optimum claim settlement.
            Years of Experience
            Experience
            2-5 Years
            Experience Level
            Level
            Executive
            Education
            Education
            Bachelor's In Finance


            Claims Handler Resume

            Headline : As a Claims Handler, processed new and continued Claims and dealing with all correspondence. Answered all calls promptly in an enthusiastic, courteous and efficient manner. Identified and responded to the needs of customers, resolving queries where possible or passing effectively to Veterinary Technical Advisor's or the Management team. Applied detailed, up-to-date knowledge of products and procedures.

            Skills : Analytical And Problem-Solving.

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            Description :

            1. Prepared required paperwork to make accurate payments as necessary. Managed multiple claims at a time while researching individual case histories, insurance types, and claim details.
            2. Exercised independent judgment and make critical business decisions effectively. 
            3. Conveyed more complex information coverage, decisions, outcomes, and negotiations to all appropriate parties, maintaining a professional demeanor in all situations.
            4. Accurately calculated and justified Flexport's legal liability, including identifying reasons why full claimed amounts may not be made.
            5. Delivered excellent standards of customer service through high quality and efficient handling of claims, including handling customer queries in a professional and efficient manner.
            6. Worked under general discretion and within broad authority limits. Made prompt and timely decisions.
            7. Embraced a 'Coaching Culture' and challenge the 'Status Quo' through our culture of continuous process improvement across the business. Adapted to change and value diverse opinions and ideas.
            Years of Experience
            Experience
            5-7 Years
            Experience Level
            Level
            Executive
            Education
            Education
            Bachelor's In Finance

            Claims Handler Resume

            Headline : As a Claims Handler, investigated and set property and vehicle incident claims over the phone and in-person. Handled 1st and 3rd party claims. Investigated and determined liability and make the appropriate recommendations based on investigative decisions. Experienced with a client facing role - be able to initiated and conducted client meetings.

            Skills : Insurance Policies And Regulations; Negotiation.

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            Description :

            1. Evaluated and investigated damages in a timely manner while following a set of general claims and statutory guidelines.
            2. Assisted all parties with questions regarding claims by phone or through written correspondence while providing a high level of customer service.
            3. Established initial reserves for all potential exposures and adjust them as appropriate throughout the claim.
            4. Identified any other team members that may be able to assist in the handling of the claim in a timely manner.
            5. Conducted thorough investigations including obtaining necessary documents and photos.
            6. Ensured timely completion of appraisals and determine accident-related damages.
            7. Liaised with the claimant and advised them on any issues that arise. Help the insurer investigate the claim to ensure its genuine (sadly some people do lie).
            Years of Experience
            Experience
            5-7 Years
            Experience Level
            Level
            Executive
            Education
            Education
            Bachelor's In Finance

            Claims Handler Resume

            Summary : As a Claims Handler, reviewed insurance claims from customers to make sure that they're eligible for coverage. Typically worked for an insurance company as part of a customer service team. Learned more about a claims handler career. Adapted, adjusted and multi-tasked in a fast-paced environment. Cleared and effective social skills with senior business leaders and project teams.

            Skills : Policy Assistant, Leadership.

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            Description :

            1. Worked with risk analysts, brokers, and underwriters. Ensuring a fair settlement and good customer service for the client.
            2. Ensured the early identification of the total loss process is adhered to in order to reduce the claim cost, Lifecycle and to mitigate hire.
            3. Arranged/Instructed Hire if required/applicable and proactively monitor throughout the lifecycle of the claim.
            4. Negotiated settlement for any all TP claims-related costs (with the exclusion of PI) this will include Personal Effects, TPPD, LOU, and LOE.
            5. Ensured all client-specific questions are asked and data obtained. Adhered to 100% accuracy in respect of data entry quality.
            6. Recognized and proactively pursue recovery opportunities at the earliest point. Managed the own damage or TP repair process from the instruction of the repairer through to the completion of repairs.
            7. Worked closely with those around you and offer support and guidance to ensure all claims run smoothly in a proactive manner.
            Years of Experience
            Experience
            7-10 Years
            Experience Level
            Level
            Management
            Education
            Education
            Bachelor's In Business

            Claims Handler Resume

            Objective : As a Claims Handler, helped manage every step of the claims process to ensure that the team completes individual tasks efficiently and effectively. Supported the claimant throughout the process and then ensure that the policyholder receives payment for valid claims. Demonstrated excellent communication and interpersonal skills, with a particular requirement for high quality telephony skills.

            Skills : Interpersonal Skills, Demonstrating.

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            Description :

            1. Provided guidance on making a claim and the involved processes. taking the policyholder's personal information and contact details.
            2. Advised how to proceed with the claim. collecting the necessary information and documents to proceed with a claim.
            3. Reviewed the claimant's insurance policy and assessed whether their claim satisfies the conditions.
            4. Identified any reasons the policyholder may not receive full compensation. Explained to a policyholder when their policy doesn't cover their claim.
            5. Organized and repaired the policyholder's property by using a network of approved professionals.
            6. Monitored a claim's progress and ensured it was handled efficiently. Investigated any potentially fraudulent claims.
            7. Consulted with other legal and claims professionals to assess the claim terms. Established and maintained accurate claims reserves to manage the overall expenditure throughout the life cycle of the claim.
            Years of Experience
            Experience
            2-5 Years
            Experience Level
            Level
            Executive
            Education
            Education
            Bachelor's In Business

            Claims Handler Resume

            Summary : As a Claims Handler, Liaised with all relevant parties to investigate complaints and ensure an appropriate straightforward response is provided to the client. Liaised with various stakeholders to capture all relevant information to make an informed and responsible decision on complaints. Kept claimants and other stakeholders updated on the progress of complaints setting and managing their expectations.

            Skills : Planning, Stakeholder.

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            Description :

            1. Sought advice from external professionals on more complicated cases when necessary. Ensured the policyholder receives fair treatment and excellent customer service.
            2. Ensured payment for all valid claims. Managed any complaints surrounding a claim. 
            3. Handled all the administrative aspects of the claim. Experienced with claims management.
            4. Abided by legal requirements, industry regulations, and customer quality standards that the company sets.
            5. Engaged in legal discussions about the recovery of money from the party responsible for the loss seeking indemnity from third parties where necessary.
            6. Instructed rehabilitation and medical examination suppliers at the optimum point of the claim.
            7. Identified and referred all litigated cases requiring legal intervention, utilizing our Proactive Partner Plexus. 
            Years of Experience
            Experience
            7-10 Years
            Experience Level
            Level
            Management
            Education
            Education
            Bachelor's In Business

            Claims Handler Resume

            Objective : As a Claims Handler, Provided high quality professional and straightforward written responses to complaints. Assisted in the preparation of Ombudsman review files. Contributed to team meetings and discussions, proactively seeking to improve internal processes and knowledge. Helped to identify key trends and root cause` in complaints and assisting with feedback to the field.

            Skills : Training, Quality Assistant.

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            Description :

            1. Weighed up all relevant evidence in line with current guidance and procedures to agree to the best outcome.
            2. Produced a reasoned report detailing investigations and conclusions in line with authorization levels achieved using relevant software to provide a full audit trail for the client and the industry regulator.
            3. Acquired information as necessary to perform accurate redress calculations.
            4. Achieved set targets in line with required quality standards.
            5. Established and maintained effective business partner relationships with DHL division Business Partners (BPs), external customers, accounting, legal departments, and other key stakeholders.
            6. Handled customer complaints in line with our internal complaints procedure. Liaised with others to obtain and deliver information that is crucial to service and control of claims costs.
            7. Ensured compliance with key legislative and regulatory requirements in the handling of pet claims. Worked towards professional insurance qualification.
            Years of Experience
            Experience
            2-5 Years
            Experience Level
            Level
            Junior
            Education
            Education
            Bachelor's In Business

            Claims Handler Resume

            Objective : As a Claims Handler, Provided a high level of customer service that aligns with the company`s core values. Identified, owned and managed the risks involved in running our business appropriate to role, in line with the DLG risk framework. Developed self in order to maximize personal contribution to your role and to understand how it fits into the wider Claims operating model.

            Skills : Operating, Scheduling.

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            Description :

            1. Organized, planned, prioritized, and scheduled work to ensure personal and team efficiency. Managed relationships with key internal and external stakeholders.
            2. Read, interpreted, and provided guidance with customer contracts in regard to the claim language, acting as the subject matter expert for our BPs.
            3. Produced and analyzed Workers' Compensation claim trending reporting, which will then be shared with management and used as consultative or expert advice on projects or to develop long-term or short-term business strategies.
            4. Worked with field staff to collect missing data initiate and monitored light-duty assignments.  Managed a portfolio of medium complexity claims, setting an appropriately high standard for others to follow in the management of all aspects of the claim.
            5. Assisted in the identification and management of underperformance within the team in an effective and efficient manner.
            6. Participated and adhered to the Quality program requirements for the team and ensure adherence to regulatory and compliance related activities.
            7. Supported and enhanced our Coaching Culture and challenge the Status Quo through our culture of continuous process improvement across the Business.
            Years of Experience
            Experience
            2-5 Years
            Experience Level
            Level
            Executive
            Education
            Education
            Bachelor's In Business

            Claims Handler Resume

            Objective : As a Claims Handler, co-ordinated with car part suppliers to order parts, Documented all call information according to standard operating procedures. Worked independently and use initiative to double check own work and go back through emails or previous correspondence; Handled of removal claims from first notification to final settlement.

            Skills : Documentational Skills, Customer Service.

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            Description :

            1. Supported and managed projects as required by the business. Handled customer queries in a professional and efficient manner.
            2. Established and maintained a positive and professional relationship with external veterinary professionals.
            3. Contributed to the development and maintenance of best practice procedures for Bodily Injury Claims, consistent with global best practices.
            4. Prepared court paperwork. Composed responses to various legal and non-legal arguments. Briefed external third parties.
            5. Contacted County Courty as and when required. Engaged in mediation processes. Dealed with court paperwork, such as witness statements.
            6. Ensured we are treating customers fairly and acting in a professional manner at all times.
            7. Managed the Third Party damage repair process from instruction of repairer through to completion of repairs.
            Years of Experience
            Experience
            2-5 Years
            Experience Level
            Level
            Executive
            Education
            Education
            Bachelor's In Business