Claims Support Specialist Resume Samples

A Claims Support Specialist is responsible for timely claims adjudication, management, processing, and claims research. A well-written Claims Support Specialist Resume indicates the following duties and responsibilities – keeping the department’s claim inventory clear and current; editing and adjusting queues by processing claims; matching authorizations, adhering to established standards; identifying and reporting billing errors; identifying and reporting billing errors; collaborating with team for improving processes, and processing claims as per integration of program benefits or provider contracts.

Sample resumes commonly embrace the following skills and abilities – strong abilities to produce precise and accurate work, hands-on working knowledge in claim processing; good interpersonal skills, strong communication skills; and knowledge of claims operations management. Job applicants are also expected to be highly detailed-oriented and have strong abilities to initiate. A college degree is commonplace among job applicants.

 

Claims Support Specialist Resume example

Claims Support Specialist Resume

Summary : Excel at providing superior customer service by implementing a wide variety of problem-solving strategies. Proven administrative experience, skilled at handling multiple areas of responsibility by planning, organizing, and prioritizing complex tasks and managing multiple duties efficiently and effectively.

Skills : Customer Service, Data Entry, Insurance Companies.

Description :

    1. Ensured smooth office operations by providing superior administrative support for the Great Plains Regional Manager, two managers, and the regions' 35-plus investigators.
    2. Assigned incoming fraud claims to the appropriate investigator.
    3. Generated detailed weekly and monthly reports.
    4. Developed and maintained the organizational chart for the region, the region contact list, and the region vendor contact list and corresponding files to ensure compliance with state regulations.
    5. Employed strong project management skills to plan and execute team building events, meetings, and conferences within the region, including booking venues, negotiating with vendors, contracts and invoicing, managing attendee travel logistics, completing expense reports, and meeting budget expectations.
    6. Delivered new hire orientation to ensure compliance and consistent delivery of information.
    7. Reduced costs and improve profitability by employing exemplary collaboration and communication skills to maintain good business relationships with vendors.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Diploma In Accounting


Claims Support Specialist Resume

Objective : To work for a company where I can prove that great asset by maintaining the highest performance standards within a diverse range that can benefit from expertise with excellent organizational and communication skills and outstanding work ethic, and the ability to work equally well both in a team-oriented and self-directed environment and to strive to perform to do the best on the job and to know the job well.

Skills : Insurance, Policy Holders, Phone Calls.

Description :

    1. Made expense and loss payments regarding losses (auto/general/personal).
    2. Took new losses over the phone (customer service) and helped to resolve customers' questions and concerns.
    3. Assigned claim numbers to policies.
    4. Made stop payments on checks and voided returned checks.
    5. Processed incoming emails, faxes, and new loss emails.
    6. Responded to questions and concerns information requests via telephone regarding quality issues from International and external parties to include claimants brokers claim adjusters and vendors.
    7. Obtained information for research of internal systems or requests from external sources.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
Bachelor's In Accounting


Claims Support Specialist Resume

Objective : As Claims Support Specialist, Insurance or medical support role allows the utilization of current and development of additional skills.

Skills : Clerical, Scheduling, Data Entry, Customer Service.

Description :

    1. Performed general clerical and office duties, including answering phones, filing, copying/imaging, faxing, processing and distributing mail, and preparing items for destruction.
    2. Entered and proofread correspondence, forms, and related materials, and transcribes dictation and statements.
    3. Generated sorts and distributes automated form letters.
    4. Responded to inquiries from customers, including but not limited to adjusters, policyholders, agents, independent adjusters, and claimants and/or refers to others as required.
    5. Handled all inquiries with customer service as a priority.
    6. Assisted claims personnel with various activities, as required, including accessing and verifying policyholder information, providing other information, completing paperwork and preparing and entering loss reports, and/ or claims information into the claims management system.
    7. Processed independent adjusters' invoices through online accounts payable as well as worked on un-numbered mails.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
GED

Claims Support Specialist Resume

Summary : To expand my skills and knowledge as an analyst, by utilizing and expanding current human resources, finance, and claims expertise in a new capacity.

Skills : Data Entry, Customer Service, Collections, Financial Services, Telemarketing, Claims.

Description :

    1. Provided complicated support to Progressive Commercial Auto Claims Property Damage and Casualty Organizations.
    2. Served as the primary contact for a team of 100 Adjusters, Team Leaders, and Managers, resolving questions and problems.
    3. Served on a team that created the Field Specialist SharePoint website.
    4. Composed letters as a part of the claims investigation/completion.
    5. 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.
    6. Helped introduce processes/procedures including creating the initial job objectives for this position that contributed to higher quality and quantity results for our business group.
    7. Ensured customer needs and requests or resolve promptly and completely.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
High School Diploma

Claims Support Specialist Resume

Summary : Hard-working, well-organized, and enthusiastic Administrative Assistant offering excellent communication and customer service skills with a solid background in data entry.

Skills : Phone Calls, Policy Holders, New Claims.

Description :

    1. Took over the subpoena process. Streamline the process to make it more efficient.
    2. Answered and redirected phone calls as necessary.
    3. Opened and properly distributed incoming mail and faxes.
    4. Processed outgoing mail and Federal Express packages.
    5. Maintained a clean and organized file room.
    6. Ordered police reports, medical bills and records, vehicle registration reports, and office supplies.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
High School Diploma

Claims Support Specialist Resume

Objective : To obtain a Claims Support Specialist position within a well-established company where I can make a long term commitment and become a valued employee.

Skills : Microsoft Office, Customer Service, New Claims.

Description :

    1. Provided administrative duties for claim representatives, medical case managers, and supervisors.
    2. Answered incoming calls from customers regarding property damage claims, and gave customers detailed information on their property claim adjuster that was assigned to the claim.
    3. Scanned, and prepared documents for shipping to storage.
    4. Maintained current files, and correspondence as appropriate.
    5. Worked with all levels of management a maintained confidential information.
    6. Handled any outgoing shipments through Federal Express.
    7. Responsible for opening, scanning, and indexing incoming mail for review by adjusters.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
GED

Claims Support Specialist Resume

Summary : Seeking a challenging career that utilizes skills in the area of competence and enriches knowledge while offering me a chance to be part of a team that contributes towards the growth of the organization.

Skills : Microsoft Office, Answering Phones, Customer Service, Typing, Filing, Cashier, Supervisor, Manufacturing.

Description :

    1. Processed all new insurance losses submitted to our office & set them up in our specialized claims system.
    2. Assisted the claims adjusters by typing daily letters regarding these claims to the claimants, insured clients, attorneys & other insurance companies.
    3. Provided customer service by answering all incoming phone calls & handle any emergency losses.
    4. Managed & processed all incoming & outgoing mail correspondence daily.
    5. Assisted in writing checks for submitted losses along with reallocation of monies for claim files.
    6. Worked to assist in obtaining our insured's owed deductible recovery by writing letters & setting up payment plans for them.
    7. Coordinated company functions by ordering the catering and other supplies needed.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
High School Diploma

Claims Support Specialist Resume

Summary : Administrative Support Specialist with extensive experience in clerical support for claims and case managers in all lines of business in the insurance industry. Known for delivering outstanding customer services both internally and externally, timeliness, accuracy, and dedication.

Skills : Alphanumeric Filing, Multi-Line Phones, Billing, Data Entry, Office Equipment.

Description :

    1. Supported to claims and nurse case managers in all lines of business, including typing letters and reports in Microsoft Word, scheduling medical exams, arranging transportation, mail, phone, and fax support, data entry, processing checks, scanning, and photocopying.
    2. Trained employees to provide backup support for absences.
    3. Participated in team building and customer service training programs.
    4. Demonstrated flexibility in covering for others in absences.
    5. Worked independently as well as within a team.
    6. Assisted with initial customer contacts following catastrophic weather events.
    7. Updated insured and claimant information in ICS systems.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
BS In Claim Specialist

Claims Support Specialist Resume

Objective : Extensive customer service, data entry, clerical and administrative experience. Able to communicate effectively and handle a variety of office equipment. Professional, efficient, accurate, and well organized. Cheerful and helpful with customers and colleagues.

Skills : New Claims, Customer Service, Loss Reports.

Description :

    1. Gathered numerical data to support claims filed.
    2. Logged and corrected any errors on foreclosure claims.
    3. Documented claim payments into the computer.
    4. Pre-audited and closed satisfied accounts.
    5. Recognized for processing claims in the timeliest manner.
    6. Reduced errors on claims by 90%.
    7. Processed faxes from insured's, medical offices, claimants.
Years of Experience
Experience
0-2 Years
Experience Level
Level
Entry Level
Education
Education
Bachelor's In Finance

Claims Support Specialist Resume

Headline : Looking for a full-time Claims Support Specialist position that will allow me to grow professionally as well as provide the opportunity for advancement.

Skills : Loss Reports, Insurance Companies, Policy Holders.

Description :

    1. Accurately identified claim issues such as claim denials, rejections, and adjustments as well as how to achieve a resolution.
    2. Followed up on claims forwarded to internal departments for review.
    3. Performed clerical functions such as copying, filing, faxing and mailing claim correspondences.
    4. Conducted appeals, disputes, and status updates for denied claims and authorizations.
    5. Confirmed eligibility status for active and non- active members with health plans.
    6. Checked ICD-9 Procedure codes to verify if authorization is required or not along with authorization status for procedures and prescriptions.
    7. Previewed outgoing checks for insurance payment.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Bachelor's In Finance