The main duty of an Insurance Administrator is to assess the company’s insurance coverage and potential exposure to financial risk due to various liability claims. A well-drafted Insurance Administrator Resume provides a list of the following day-to-day activities – liaising between employees and insurance companies; determining insurance needs, handling insurance claim paperwork; reviewing company policies; visiting client locations; processing insurance claims like worker’s compensation; maintaining all records pertaining to claims; maintaining all data and records relating to claims; examining the risk liability, assisting in risk management and procuring new benefit vendors.
The most sought-after skills include – analytical thinking abilities, being able to work under pressure, research skills, computer competencies; staying updated with latest and updated policies, and claims; and superior networking skills. Most of these administrators have a college degree and are well-trained in public administration or business.
Objective : Seeking employment and have extensive experience in the insurance and construction industry especially in the area of Wrap Up Insurance Programs (Owner/Contractor Controlled Insurance Programs). Thrive in a fast-paced environment where deadlines are a priority and handling multiple jobs simultaneously is the norm.
Skills : ProLog, AonWrap, PIMS, Expedition, Claims Management, Microsoft Office.
Description :
Administered Wrap Up Insurance Program (DCIP) at the Bonnet Creek Resort project for the General Contractor.
Liaised to Subcontractors, Developer (KUD), Project Safety (Hunt), Insurance Broker (Aon) and Insurance Carrier (AIG) associated with the program.
Collected insurance information and other related enrollment documents from Subcontractors to provide Insurance Broker for enrollment process.
Worked directly with Subcontractors and their Insurance Agents to comply with all project/DCIP requirements.
Utilized proprietary software for entering customer information into a computerized database (Prolog).
Outlined in letter/email form to subcontractors the verification of enrollment, procedures for reporting monthly payrolls and man-hours, and certificate of insurance requirements as needed for enrollment process.
Worked closely with Construction Management and Developer in preparing and issuing Subcontractor and Owner change orders relative to DCIP credits and other jobsite related issues.
Reviewed/verified all outgoing Subcontractor change orders prepared by Project Managers, keep track to make sure each change order is fully executed, and provide assistance to Subcontractors relative to change order issues.
Prepared change orders to the Developer and provide assistance with issues.
Experience
2-5 Years
Level
Junior
Education
MPH
Jr. Insurance Administrator Resume
Objective : Senior professional with extensive experience in the insurance industry. Strong interpersonal skills with ability to establish and maintain effective working relations with internal and external individuals. Detailed-oriented with proven analytical skills. Strong customer-focus and service orientated.
Skills : Microsoft Office, SAS, Spss, Stata.
Description :
Communicated proactively with both internal and external customers in the resolution of insurance deficiencies through effective forms of communication including oral and written email inquiries.
Adopted an organizational system to routinely monitor insurance deficiencies and address all required items.
Working with Borrowers, Insurance Agents, Servicing Managers and Portfolio Managers on non-compliant critical insurance issues, in an effort to obtain compliant insurance coverage as required by loan documents and tenant lease agreements.
Scheduled teleconference meetings with all parties to assist in resolving outstanding issues.
Managed time-lines for escalation of deficient items for risk analysis.
Implemented a strategy to independently chronicle material incidents needing routinely reported as required by investor regulations.
Recorded weekly team meeting notes for distribution to all team members.
Prepared accurate weekly, monthly and quarterly reports via Crystal reporting.
Reviewed all assigned insurance policy renewals following the expiration of the current renewal period.
Experience
2-5 Years
Level
Junior
Education
License
Sr. Insurance Administrator Resume
Summary : Objective is to present some qualities and skills possess that makes applicable to a possible career or volunteer opportunity based on major, leadership roles, skills, extracurricular activities and aspiring career.
Skills : MS Office, Management.
Description :
Designed and implemented new program and procedures for tracking the compliance of several thousand subcontractors' insurance documents, on as many as 26 simultaneous multi-million dollar projects, for a large full service general contractor, who builds a diverse range of project types that include: retail commercial, industrial, educational, medical, hi-tech, and residential (both multi-family and assisted living).
Enhanced productivity by automating and streamlining correspondence processes.
Created rules, guidelines and training materials for management, staff, subcontractors and their insurance agents.
Uninsured losses and company's insurance premiums were significantly reduced due to ability to effectively transfer their risk.
Awarded significant pay increase and bonus for outstanding work ethic and performance.
Verified insurance certificates; dates, coverage, limits, content and form.
Reviewed and interpreted Additional Insured Endorsements; status and coverage language.
Experience
10+ Years
Level
Senior
Education
Accounting
Insurance Administrator I Resume
Objective : Insurance Administrator Professional seeking to obtain a position within an organization that will allow to utilize skills to the best of potential and also allow to gain both personal and professional growth.
Skills : Mysis, Cerner, Mosaic, Pathways, Tiger, Healthquest, Microsoft Word, Excel, Access, PowerPoint, Windows.
Description :
Books orders for Biostim products, sell medical necessity, and negotiate pricing and coverage of Orthofix products Understand and promote Compliance adherence.
Performs a wide variety of duties of an Insurance nature requiring initiative and a degree of judgment in solving problems.
Researchs and provides current guidelines and medical policies to Insurance Administration.
Builds and maintains professional communication levels with corporate accounts, territory managers, region managers, case managers, adjustors, medical directors, business partners, and internal management.
Maintains desired turnaround time for order processing.
Performs final analysis of order prior to release; review for accuracy and content.
Determines revenue amounts based on allowable, benefits, unit price, payer guidelines, co-payment and booking policy.
Performs daily analysis of call sheet, validation, and weekly analysis of UTB and open order report.
Experience
2-5 Years
Level
Junior
Education
Master
Insurance Administrator II Resume
Headline : Worked in Offices for the last 15 years with everything from customer service to billing, organized the Family days at the chiropractic office. Helping the patients with any questions or problems.
Handled customer appointments, payments and therapy.
Filed insurance claims and entered data into the system.
Handled all the personal injury claims from the paperwork to the claims.
Handled all delinquent accounts.
Worked personally with the lawyer for judgements.
Handled all the paperwork for the court system.
Administered all accounting-related functions of insurance administration.
Experience
5-7 Years
Level
Executive
Education
Masters
Insurance Administrator III Resume
Summary : Committed to professionalism; highly organized, working under strict deadlines schedules and policies with attention to detail; have excellent verbal communication and leadership skills. A strong detail-minded in Accounts Receivable, 18+ years of professional working experience. Proficient in Workers' Compensation and problem resolution techniques in addition to HR and payroll work experience.
Adeptly managed a multi-line phone system, professionally and courteously verified appointment times with patients.
Verified patients' eligibility and claims status with insurance agencies.
Prepared patient charts, pre-admissions and consent forms as necessary Correctly code, bill and follow up on all medical claims for medical supplies to various medical insurance carriers including third party claims, precisely completed appropriate claims paperwork, documentation and system entry.
Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Oversaw daily office operations for staff of 15 employees.
Oversaw inventory and office supply purchases.
Trained new employees on multiple medical billing programs and data entry software.
Experience
7-10 Years
Level
Management
Education
Associate
Asst. Insurance Administrator Resume
Objective : Certified Specialist with 20 years experience in fast-paced companies. Researched and denied claims and submitted appeals. Familiar with health billing and collections.
Precisely completed appropriate claims paperwork, documentation and system entry.
Professionally and courteously verified appointment times with patients.
Correctly coded and billed medical claims.
Verified patients' eligibility and claims status with insurance agencies.
Prepared patient charts accurately and neatly for the clinic.
Processed life insurance applications, gathered information from clients regarding their applications, Managed insurance data files using computers.
Performed typing and maintaining the filing systems.
Assisted with the phone.
Posted & completed A/P and A/R.
Experience
2-5 Years
Level
Junior
Education
Certification
Associate Insurance Administrator Resume
Headline : To Obtain a career with an established company, so that can display administrative skills along with leadership ability which will aid in the continues growth and reputation of the company.
Skills : Management, MS Office:.
Description :
Verifies insurance benefits HMO AUTO PPO POS Medicaid/Medicare and workers comp.
Negotiates pricing for purchase of Orthofix products.
Provides documentation relevant to the prescribing and billing of an Orthofix product.
Critiques medical documents based on CMS, Federal and Orthofix written guidelines, policies and procedures.
Follows formal written policy on submission of issues to Health Care Compliance for review.
Provides timely verification and authorization of insurance as required.
Provides timely follow up for pending authorizations and required billing documents.
Determines revenue amounts based on allowable, benefits, payer guidelines, co-payment and booking policy.
Performs final analysis of order prior to release to billing to ensure quality and accuracy of all billing documentation.
Experience
5-7 Years
Level
Executive
Education
Technology
Insurance Administrator Resume
Summary : Over 5+ years of experience as Insurance Administrator career to use skills and experience to develop an organisation.
Skills : Microsoft Saavy, great phone etiquette.
Description :
Builds and maintains professional communication levels with national accounts, territory managers, regional managers, case managers, adjusters, and medical directors.
Faxes accurate and thorough pre-authorization request letters.
Determines revenue amounts based on allowable, benefits, unit price, payer guidelines, co-payment and booking policy.
Performs daily analysis of Call Sheet and weekly analysis of Open Order report.
Supports the sales force on a daily basis.
Critiques prescriptions, letters of medical necessity and/or chart notes for consistent and complete medical information.
Verifies benefits, sell medical necessity, negotiate coverage and pricing for purchase of Orthofix products.
Maintains desired turnaround time for order processing.
Experience
10+ Years
Level
Senior
Education
Associates
Insurance Administrator Resume
Summary : Capable self-starter with over 10 years successful and progressive experience advancing company goals and objectives. Expertise in the creation and implementation of administrative and procedural systems with a focus on increasing efficiency, effectiveness and improving accuracy to achieve organizational objectives.
Skills : Proficient In Mac And Windows Operating Systems, Adobe.
Description :
Oversaw construction insurance department, which consisted of managing insurance controls and CCIP (Contractor Controlled Insurance Program) enrollments to ensure all subcontractors met insurance standards as outlined in construction documents.
Provided weekly reports to senior management and project managers to highlight any issues related to non-compliance of insurance standards.
Developed insurance tracking system to help manage concurrent projects' insurance compliance.
Increased efficiency of insurance processing so downsizing of department could take place to save company money.
Aimed at communication between subcontractors, management, insurance agencies and project field personnel, and accurate analysis and reporting of insurance compliance.
Managed and processed workers' compensation claims for subcontractor personnel enrolled in the CCIP.
Communicated between site safety officers, workers' compensation agencies and senior management was key to this role.
Focused on strict confidentiality standards and attention to detail.
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