Claims Intake Specialist Resume Samples

A Claims Intake Specialist processes all claims and maintains logs of all telephone calls and provides an update to management claim systems and assists in the overall activities. List of day-to-day accountabilities are listed on the Claims Intake Specialist Resume as – coordinating with various insurance companies, evaluating all sale results, managing all communication with the medical manager, processing paperwork for new clients, obtaining pertinent information from new clients, collecting data to help with the admission process, ensuring that all admission forms are properly signed and filed, communicating with other team members, and respecting patient dignity.

Summary of highlighting skills include – the ability to use standard office equipment, the ability to communicate well, proficiency with computer programs, excellent customer service skills, the ability to calm patients, and the ability to adjust to constantly changing workloads. Most employers want only a high school diploma or GED, however, possessing a degree in behavioral science or data management will be useful.

Claims Intake Specialist Resume example

Claims Intake Specialist Resume

Objective : Goal oriented and highly motivated in providing extraordinary customer satisfaction, exercise independent judgment, decision-making, and problem solving abilities in order to provide a seamless operation.

Skills : Operating Skills, Planning Skills.

Description :

    1. Trained new employees on Claims Intake Specialist role, including responsibilities and procedures.
    2. Handled auto, general, property, and worker compensation claims.
    3. Served as the point of contact via phone & email for claimants and adjusters regarding claim information.
    4. Worked to troubleshoot inquires by claimants having trouble with claim process.
    5. Processed claim files and documents into PDFs to ensure adjusters could access the files.
    6. Received exceptional monthly and annual reviews acknowledging my dedication to excellent customer service.
    7. Worked in a fast-paced environment and remain professional and calm in difficult situations.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
BS In Psychology


Claims Intake Specialist Resume

Headline : Seeking a Claims Intake Specialist position that can utilize my exceptional customer relations experience, and where I can optimize my problem-solving and organizational skills.

Skills : Powerpoint, Supervising Skills.

Description :

    1. Answered a high volume of incoming calls from potential new clients.
    2. Accurately applied the firms criteria, protocol and procedures to each new lead.
    3. Followed up on potential leads via email, text, and/or phone.
    4. Interviewed potential new clients to gather information needed to pre-qualify cases.
    5. Collected client information and drafting incident summaries.
    6. Vetted the legal claims or prospective clients.
    7. Prepared paperwork needed to onboard new clients.
                                    Years of Experience
                                    Experience
                                    5-7 Years
                                    Experience Level
                                    Level
                                    Executive
                                    Education
                                    Education
                                    BA In Psychology


                                    Claims Intake Specialist Resume

                                    Headline : Focused and hardworking Claims Intake Specialist with considerable experience in debt collection and bankruptcy documentation. Adept at resolving difficult interpersonal situations to maximum company benefit. Strong multitasker able to handle multiple simultaneous banking service request accurately and completely.

                                    Skills : Microsoft Office, DocsNet, Ardis.

                                    Description :

                                      1. Managed and monitored bankruptcy file accounts.
                                      2. Addressed legal actions through attorney networks.
                                      3. Provided support to case analysts as needed.
                                      4. Maintained bankruptcy plan and proof of claim paperwork.
                                      5. Answered bankruptcy-related questions by telephone and email.
                                      6. Gathered and analyzed research data regarding statutes, decisions, legal articles and codes.
                                      7. Researched bankruptcy files to confirm federal guideline compliance.
                                    Years of Experience
                                    Experience
                                    5-7 Years
                                    Experience Level
                                    Level
                                    Executive
                                    Education
                                    Education
                                    Bachelor's In Psychology

                                    Claims Intake Specialist Resume

                                    Headline : An enthusiastic and professional person, who enjoys being part of, as well as leading, a successful and productive team. I am quick to grasp new ideas and concepts, and to develop innovative and creative solutions to problems. I am able to work well on my own and with a team to demonstrate high levels of motivation required to meet the tightest of deadlines. Even under significate pressure, I possess a strong ability to perform effectively.

                                    Skills : Microsoft Office, Type 60 Wpm, Quickbooks, Peachtree.

                                    Description :

                                      1. Entered loss information into appropriate claims applications, review and evaluate the incoming loss documents for complete and accurate information.
                                      2. Received first notice of loss, review and/ or locate policies, validate coverage applied to the claim and determine the appropriate line of business and loss type.
                                      3. Received claim report and information inquiries from internal and external business partners and research, then provide a response.
                                      4. Reviewed application systems to determine presence of duplicate claims.
                                      5. Validated and located missing policy information prior to entering default information, along with reviewing special handling instructions for claims routing.
                                      6. Reviewed medical claims, Insure proper pay out, verify member benefits.
                                      7. Sent and received fax.
                                    Years of Experience
                                    Experience
                                    5-7 Years
                                    Experience Level
                                    Level
                                    Executive
                                    Education
                                    Education
                                    Associates Of Applied Science

                                    Claims Intake Specialist Resume

                                    Objective : To obtain a responsible and challenging Claims Intake Specialist position where my educational and work experience would have valuable application.

                                    Skills : Good Communication, Good Customer Service.

                                    Description :

                                      1. Received injury reports for the City of Philadelphia Employee's via telephone, mail, or fax.
                                      2. Entered all information into the Automatic Claims Management System (ACMS) within 24-48 hours.
                                      3. Completed all workmen's compensation first report using Quick and Easy Software and report it to the state on a weekly basis.
                                      4. Created all files for the Claims and Medical Adjusters.
                                      5. Corrected necessary changes on the injury report and verify information using the City of Philadelphia Employee website.
                                      6. Provided customer service to customers calling in to set up insurance claims by phone.
                                      7. Checked status of existing claims.
                                    Years of Experience
                                    Experience
                                    2-5 Years
                                    Experience Level
                                    Level
                                    Executive
                                    Education
                                    Education
                                    MS

                                    Claims Intake Specialist Resume

                                    Objective : Claims Intake Specialist is a great interest of mine. It is an enjoyable experience working with the public. Working hard for companies is also another interest of mine. I am also willing to learn new obstacles that come my way. Friendly Hard worker Team player On time Customer Service experienced Experience with Office Patient Drove a company vehicle for 5 months Excellent typing Dependable.

                                    Skills : Calendar management, Record maintenance, Transcribing dictation, Multicultural interaction, Office procedures, Customer service.

                                    Description :

                                      1. Received, Processed, and distributed Workers Compensation, General Liability, Auto Liability, and Property Liability claims from clients according to specific instructions via email, fax, mail or telephone.
                                      2. Assigned adjusters to fatality and catastrophic trucking losses according to loss location.
                                      3. Maintained excellent customer relations and developed customer rapport.
                                      4. Processed initial notification of loss information from e-mail, inbound telephone calls, website submissions and faxes for property, commercial, catastrophic and workers compensation claims.
                                      5. Entered information into appropriate database (CMS, XACT, Symbility).
                                      6. Proofread and research incoming loss documents and capture relevant data to complete claims process.
                                      7. Made outbound calls to claimants, representatives or reporters for clarification of information or to obtain additional data.
                                    Years of Experience
                                    Experience
                                    2-5 Years
                                    Experience Level
                                    Level
                                    Executive
                                    Education
                                    Education
                                    Business Management

                                    Claims Intake Specialist Resume

                                    Headline : Responsible for Explaining, kindly and professionally, when the firm will not be able to assist a prospective client, Scheduling appointments with our investigators, and also Resolving problems and handling clients issues in a professional manner.

                                    Skills : Customer Service, Computer, Phone Etiquette.

                                    Description :

                                      1. Trained and guided team of interns to achieve and maintain data entry quality, provided instruction in processes used to work with specific loss types and established productivity quotas to ensure prompt information processing and claims submissions.
                                      2. Checked for confirmation of having received documents needed to process claims.
                                      3. Educated patients on the proper use of equipment and/or services offered.
                                      4. Verified primary payers for coverage criteria and communicates any financial obligation to the customer.
                                      5. Obtained initial pre-certification or authorization for prescribed equipment and/or services as dictated by patient's insurance.
                                      6. Researched qualifying reimbursement data in effort to create initial clean claims for third party payers.
                                      7. Confirmed all deliveries of equipment and/or services in the billing system monthly.
                                                Years of Experience
                                                Experience
                                                5-7 Years
                                                Experience Level
                                                Level
                                                Executive
                                                Education
                                                Education
                                                Bachelors In Information Systems Technology

                                                Claims Intake Specialist Resume

                                                Objective : To obtain an interesting Claims Intake Specialist position with a growing company, where I can utilize my Customer Service, Payroll, and Dispatching Skills.

                                                Skills : Powerpoint, Typing 50 Wpm, Outlook, Windows, Data Entry, Customer Service, Sales.

                                                Description :

                                                  1. Answered incoming calls and direct the calls accordingly.
                                                  2. Assisted customers by directing the calls or completing the first notice of loss process.
                                                  3. Obtained and input information relating to accidents for new claim creation.
                                                  4. Entered claims received via mail, email for faxes into the AS400.
                                                  5. Ensured accuracy of first notice of loss entry.
                                                  6. Provided excellent customer service.
                                                  7. Contributed toward meeting business objectives through prompt, accurate inputting of claims.
                                                                                Years of Experience
                                                                                Experience
                                                                                2-5 Years
                                                                                Experience Level
                                                                                Level
                                                                                Junior
                                                                                Education
                                                                                Education
                                                                                Diploma In Accounting

                                                                                Claims Intake Specialist Resume

                                                                                Headline : To work for an organization where my professional efficiency, experience and integrity are thoroughly utilized; in addition to my strong communication skills to ensure my superior customer service assists the profits of the company.

                                                                                Skills : MS office, COordinating Skills.

                                                                                Description :

                                                                                  1. Appropriately documented claim files, systems and all communication in an approved format in a clear, prompt, consistent and professional manner.
                                                                                  2. Consistently adhered to the documented workflow guidelines and established procedures.
                                                                                  3. Consistently demonstrated high quality work by meeting or exceeding quality audits.
                                                                                  4. Coordinated with other parties to ensure seamless integration of claim process.
                                                                                  5. Maintained claimant information on administration systems to ensure claims are processed in compliance with legal and statutory requirements as well as customer agreements.
                                                                                  6. Conducted regular and timely follow-up for pending claim information on all incomplete claims.
                                                                                  7. Sent written communication regarding the information needed.
                                                                                  Years of Experience
                                                                                  Experience
                                                                                  5-7 Years
                                                                                  Experience Level
                                                                                  Level
                                                                                  Executive
                                                                                  Education
                                                                                  Education
                                                                                  MS

                                                                                  Claims Intake Specialist Resume

                                                                                  Summary : Responsible for Performing client relation responsibilities to ensure customer satisfaction and conflict resolution, Adding leads and new clients to our case management system and constructing client files, and also Handling outgoing and incoming mail.

                                                                                  Skills : Monitoring Skills, Maintenance Skills.

                                                                                  Description :

                                                                                    1. Contributed toward meeting business objectives through prompt, accurate inputting of claims.
                                                                                    2. Assisted in building strong customer and client relationships.
                                                                                    3. Worked closely with peers to ensure office workflow objectives are met.
                                                                                    4. Maintained appropriate level of confidentiality.
                                                                                    5. Promoted a positive customer service image through prompt, accurate and courteous responses to customer information needs.
                                                                                    6. Assisted management in activities/projects that support team objectives.
                                                                                    7. Informed manager of any trends, suggested efficiencies and assists in development of new processes.
                                                                                  Years of Experience
                                                                                  Experience
                                                                                  10+ Years
                                                                                  Experience Level
                                                                                  Level
                                                                                  Senior
                                                                                  Education
                                                                                  Education
                                                                                  MS