The professional in this role will be responsible for analyzing the clients’ claims and evaluating the insurance validity status. The primary accountabilities listed on the Insurance Claims Adjuster Resume include – handling insurance claims filed by the policyholders, interviewing claimants and witnesses, investigating claims to gather pertinent information, processing variety of claims, handling property claims involving damages, accidents and so on; inspecting property damages, verifying coverage, consulting hospital records and police records, issuing payout amounts and presenting claims to insurance firms.
To qualify for this position, job applicants are supposed to demonstrate these skills – strong interpersonal and communication skills, meticulous work ethic, investigative skills, a thorough knowledge of Insurance rules, laws and principles; and mathematical skills to calculate damage totals and compensation percentages. A college degree in any of the insurance-related field is the minimum qualification necessitated by many insurance companies.
Summary : Looking for a challenging opportunity to work as a Litigation Paralegal with a renowned lawyer, where can gain exposure to the best of legal practices, and bring skill-sets and experience to effective use, to help lawyers with their daily professional administrative activities.
Skills : Bilingual able to read, write, and speak fluently in English and Spanish.
Description :
Investigated and processed insurance claims filed by policyholders and Law firms Interview claimant and witnesses to gather pertinent information.
Handled property claims involving damage to buildings and structures, or liability claims involving personal injuries or third-person property damage from liability situations, such as motor vehicle accidents.
Inspected property damage to determine the extent of damages.
Verified that coverage applies through an insurance policy.
Evaluated damages to ascertain compensation amount.
Consulted with accountants, architects, construction workers, engineers, lawyers, and physicians to get expert evaluation.
Adjusted liability claims Negotiated and settled claims with attorneys and claimants Took recorded statements.
Experience
7-10 Years
Level
Management
Education
Diploma In Business
Sr. Insurance Claims Adjuster Resume
Summary : Highly motivated, analytical, and results-driven professional, with comprehensive years of experience in legal administration, claims adjustment, cash management, and business development, complemented with expertise in office administration and support.
Skills : Microsoft Office Adobe Photoshop Photoshop Photography Analysis.
Description :
Investigated property insurance claims by interviewing the insured and witnesses, consulting police and fire records, and inspecting property damage to determine the extent of the company's liability.
Consulted with other professionals, such as architects, engineers, construction workers, lawyers, and accountants to receive a more expert evaluation of a claim when necessary.
Assessed the cost or value of an insured item.
Calculated and approved payment of claims within a certain monetary limit.
Ensured accurate and timely payments and services.
Proactively managed claim costs and expenses.
Established and maintained a high level of positive working relationships with insured, ensuring satisfaction with agency services.
Experience
7-10 Years
Level
Management
Education
Bachelors In Management
Insurance Claims Adjuster III Resume
Summary : Responsible for Discussing medical procedures and the necessity of treatment with the treating physicians to determine the nature of the injury as it relates to an auto accident.
Skills : Microsoft Office Word, Excel Power point.
Description :
Conducted interviews with our insureds, claimants, witnesses, health providers, police and firefighters, etc., to collect information and determine the cause of the accident in question.
Reviewed videotapes and securing a recorded statement of any of the above persons.
Conducted property damage inspections to determine the costs of damages.
Reviewed complex medical records for insureds and claimants that are presenting an injury claim.
Prepared files for litigation when a lawsuit is filed against our insured, and discuss defense strategy with an attorney.
Collected as much information as possible to determine the cause of an auto accident.
Involved speaking with a number of professionals, including architects, construction workers, engineers, etc.
Experience
10+ Years
Level
Senior
Education
B.S. In Mathematics
Insurance Claims Adjuster II Resume
Summary : Over 5 years of experience, as a Referee/Umpire and as an Insurance Claims Adjuster in industries including Wholesale Trade-Durable Goods and Insurance Agents, Brokers, and services.
Skills : Most Microsoft Programs.
Description :
Investigated, evaluated and settled claims, applied technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
Adjusted reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
Resolved complex, severe exposure claims, using high service oriented file handling.
Payed and processed claims within designated authority level.
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.
Confered with legal counsel on claims requiring litigation.
Contacted or interviewed claimants, doctors, medical specialists, or employers to get additional information.
Examined claims forms and other records to determine insurance coverage.
Experience
7-10 Years
Level
Management
Education
General Education
Insurance Claims Adjuster I Resume
Summary : A highly-rated manager with 21 years of logistics experiences in the US Air Force a drug-free and equal opportunity/employment environment.
Skills : CDL Class A, Customer Service, Inventory Management, Dispatch, Database Management, Procurement, Contract Management.
Description :
Manages daily schedule of assignments; completing damage estimates on automobiles.
Negotiates fair market value for repairs with collision repair specialists.
Communicates frequently with customers and network shops to ensure proper handling and safety precautions are fulfilled to standards.
Resolves total loss of property/vehicle with a customer; handling the emotional stress of customers with a great professional demeanor.
Helps work cases at total loss site; minimizing workload and closing cases at a quicker rate.
Develops repair facility network relations; performing ample visits to ensure equitable rates and quality of service meets required standards.
Uses and coordinates maintenance of office equipment, such as copiers, scanners, fax machines, voicemail systems, computers.
Experience
7-10 Years
Level
Management
Education
Associate Of Science
Insurance Claims Adjuster/Supervisor Resume
Headline : Hardworking and energetic customer service professional with 10+ years of experience. Skilled multi-tasker with a courteous manner, strong organizational and telephone skills, and detail-oriented.
Answered and directed phone calls from clients and service providers.
Compiled claim information for adjusters to begin processing.
Reviewed data to verify the validity of claims.
Conducted claims and estimate re-inspections to reduce overpayments.
Reduced losses through fair, accurate, and prompt processing of claims.
Obtained relevant evidence and information regarding the vehicle, home, and liability claims to determine damages and liability.
Drafted statements of loss to summarize damages, payments, and policy coverages.
Organized and maintained files, daily case notes, and electronic databases.
Experience
5-7 Years
Level
Executive
Education
Diploma
Insurance Claims Adjuster/Representative Resume
Summary : Innovative Meticulous Claims Supervisor with over 15 years of health plan industry experience as a Business Analyst, Provider Reimbursement Specialist, and Claims Adjuster who undertakes complex assignments, multi-tasking experience, meets tight deadlines, and delivers on the assigned tasks.
Skills : Root Cause Analysis, Inventory Management, Proactive.
Description :
Responsible for adjudicating medical claims following company and government guidelines.
Contacted and negotiated with medical providers for discounted rates.
Met with contracted providers to address payment and other quality issues.
Reviewed and researched questionable medical claims.
Assisted the Business Office Director with creating and troubleshooting capitation, stop loss, overpayment reports and other vital projects.
Assisted billing unit on payment recovery from health plans.
Responsible for answering, addressing patient concerns and questions.
Reviewed insurance monthly reports for unauthorized capitation deductions.
Experience
7-10 Years
Level
Management
Education
Business
Insurance Claims Adjuster/Specialist Resume
Summary : Fulfill customer's and company's expectations, would be first priority. In addition, a position where abilities as an Information Technician and office assistant would challenge in many aspects.
Skills : Good judgment, Very dependable, Experience in OIS, Record keeping, Great attention to detail, Excellent time management.
Description :
Investigated and processed insurance claims filed by policyholders.
Determined if the policy will cover the damages that are being claimed.
Inspected property damage to determine the extent of the compensation amount.
Prepared a report of findings and negotiates a settlement with the claimant.
Consulted with accountants, architects, construction workers, engineers, lawyers, and physicians to get expert evaluation.
Prepared cost estimates and present claims to insurance companies.
Investigated Crop Insurance Claims by interviewing the claimant.
Experience
7-10 Years
Level
Management
Education
Masters In Architecture
Insurance Claims Adjuster/Executive Resume
Summary : Seeking an MFT-trainee position within a professional environment that offers guidance, embraces cultural diversity, and promotes educational development.
Skills : Customer Service, Investigation.
Description :
Obtained all necessary information to complete proper evaluation of injury claims.
Contacted injured parties and legal representatives to negotiate final settlements for claims.
Conducted interviews, gathered detailed information and completed field investigations.
Reduced loss ratios through fair and prompt processing of claims.
Promoted client retention through high-quality service and follow through.
Investigated any potentially fraudulent claims with a focus on thoroughness, quality, and cost control.
Licensed to adjust claims in all 50 states.
Experience
7-10 Years
Level
Management
Education
BBA
Insurance Claims Adjuster Resume
Summary : Detailed oriented, highly organized, and motivated professional with more than 15 years of experience in the insurance claims profession. Capable of working under pressure. Possessing strong arbitration and negotiation skills.
Skills : Microsoft Word, 10-Key, Written Communication, Hospitality, Auditing, Inventory Management, Cooking, Quality Control.
Description :
Processed Auto Physical Damage Claims.
Paid cost of repair to customers and Body Shop.
Made customers feel at ease during their stressful situation of having their car damaged.
Provided quality customer service to customers.
Kept in touch with customers and Body Shops to ensure timely quality repair of damaged vehicle.
Made customers feel like they had the best Insurance Company available.
Qualified to manage expected volumes of claims within a time frame.
Able to fulfill every aspect of the claim investigation process.
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