Insurance Claims Adjuster Resume Samples

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.

 

Insurance Claims Adjuster Resume example

Insurance Claims Adjuster Resume

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 :

    1. Investigate and process insurance claims filed by policyholders and Law firms Interview claimant and witnesses to gather pertinent information.
    2. Handle 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.
    3. Inspect property damage to determine the extent of damages.
    4. Verify that coverage applies through an insurance policy.
    5. Evaluate damages to ascertain compensation amount.
    6. Consult with accountants, architects, construction workers, engineers, lawyers, and physicians to get expert evaluation.
    7. Adjusted liability claims Negotiated and settled claims with attorneys and claimants Took recorded statements.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
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 :

    1. 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.
    2. Consulted with other professionals, such as architects, engineers, construction workers, lawyers, and accountants to receive a more expert evaluation of a claim when necessary.
    3. Assessed the cost or value of an insured item.
    4. Calculated and approved payment of claims within a certain monetary limit.
    5. Ensured accurate and timely payments and services.
    6. Proactively managed claim costs and expenses.
    7. Established and maintained a high level of positive working relationships with insured, ensuring satisfaction with agency services.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Bachelors In Management


Insurance Claims Adjuster III 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 Office Word, Excel Power point.

Description :

    1. Conduct interviews with our insureds, claimants, witnesses, health providers, police and firefighters, etc., to collect information and determine the cause of the accident in question.
    2. Reviewing videotapes and securing a recorded statement of any of the above persons.
    3. Conduct property damage inspections to determine the costs of damages.
    4. Review complex medical records for insureds and claimants that are presenting an injury claim.
    5. Discuss 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.
    6. Prepare files for litigation when a lawsuit is filed against our insured, and discuss defense strategy with an attorney.
    7. Collect as much information as possible to determine the cause of an auto accident.
    8. Involve speaking with a number of professionals, including architects, construction workers, engineers, etc.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
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 Service.

Skills : Most Microsoft Programs.

Description :

    1. Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
    2. Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
    3. Resolve complex, severe exposure claims, using high service oriented file handling.
    4. Pay and process claims within designated authority level.
    5. Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
    6. Confer with legal counsel on claims requiring litigation.
    7. Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
    8. Examine claims forms and other records to determine insurance coverage.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
General Education

Insurance Claims Adjuster I Resume

Summary : A highly rated manager with 21 years of logistics experience 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 :

    1. Manages daily schedule of assignments; completing damage estimates on automobiles.
    2. Negotiates fair market value for repairs with collision repair specialists.
    3. Communicates frequently with customers and network shops to ensure proper handling and safety precautions are fulfilled to standards.
    4. Resolves total loss of property/vehicle with a customer; handling the emotional stress of customers with a great professional demeanor.
    5. Helps work cases at total loss site; minimizing workload and closing cases at a quicker rate.
    6. Develops repair facility network relations; performing ample visits to ensure equitable rates and quality of service meets required standards.
    7. Used and coordinated maintenance of office equipment, such as copiers, scanners, fax machines, voicemail systems, computers.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Associate Of Science

Insurance Claims Adjuster/Supervisor Resume

Headline : Hardworking and energetic customer service professional with 10+ years experience. Skilled multi-tasker with a courteous manner, strong organizational and telephone skills and detail oriented.

Skills : Xactimate, Construction, Customer Service.

Description :

    1. Answered and directed phone calls from clients and service providers.
    2. Compiled claim information for adjusters to begin processing.
    3. Reviewed data to verify the validity of claims.
    4. Conducted claims and estimate re-inspections to reduce overpayments.
    5. Reduced losses through fair, accurate, and prompt processing of claims.
    6. Obtained relevant evidence and information regarding the vehicle, home, and liability claims to determine damages and liability.
    7. Drafted statements of loss to summarize damages, payments, and policy coverages.
    8. Organized and maintained files, daily case notes, and electronic databases.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Diploma

Insurance Claims Adjuster/Representative Resume

Summary : Innovative Meticulous Claims Supervisor with over 15 years 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 assigned task.

Skills : Root Cause Analysis, Inventory Management, Proactive.

Description :

    1. Responsible for adjudicating medical claims following company and government guidelines.
    2. Contact and negotiate with medical providers for discounted rates.
    3. Meet with contracted providers to address payment and other quality issues.
    4. Review and research questionable medical claims.
    5. Assist the Business Office Director with creating and troubleshooting capitation, stop loss, overpayment reports and other vital projects.
    6. Assist billing unit on payment recovery from health plans.
    7. Responsible for answering, addressing patient concerns and questions.
    8. Review insurance monthly reports for unauthorized capitation deductions.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Business

Insurance Claims Adjuster/Specialist Resume

Summary : An 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 :

    1. Investigate and process insurance claims filed by policyholders.
    2. Determine if the policy will cover the damages that are being claimed.
    3. Inspects property damage to determine the extent of the compensation amount.
    4. Prepare a report of findings and negotiates a settlement with the claimant.
    5. Consult with accountants, architects, construction workers, engineers, lawyers, and physicians to get expert evaluation.
    6. Prepare cost estimates and present claims to insurance companies.
    7. Auto insurance claims to adjust.
    8. Investigate Crop Insurance Claims by interviewing the claimant.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Masters In Architecture

Insurance Claims Adjuster/Executive Resume

Summary : Seeking a MFT-trainee position within a professional environment that offers guidance, embraces cultural diversity and promotes educational development.

Skills : Customer Service, Investigation.

Description :

    1. Obtained all necessary information to complete proper evaluation of injury claims.
    2. Contacted injured parties and legal representatives to negotiate final settlements for claims.
    3. Conducted interviews, gathered detailed information and completed field investigations.
    4. Reduced loss ratios through fair and prompt processing of claims.
    5. Promoted client retention through high-quality service and follow through.
    6. Investigated any potentially fraudulent claims with a focus on thoroughness, quality, and cost control.
    7. Licensed to adjust claims in all 50 states.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
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 :

    1. Processed Auto Physical Damage Claims.
    2. Paid cost of repair to customers and Body Shop.
    3. Made customers feel at ease during their stressful situation of having their car damaged.
    4. Provided quality customer service to customers.
    5. Kept in touch with customers and Body Shops to ensure timely quality repair of damaged vehicle.
    6. Made customers feel like they had the best Insurance Company available.
    7. Qualify to manage expected volumes of claims within a time frame.
    8. Able to fulfill every aspect of the claim investigation process.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Public Administration