Insurance Claims Processor Resume
Objective : Seeking an Insurance Claims Processor position with outstanding career opportunities that will offer a rewarding work environment along with a winning team that will fully utilize management skills.
Skills : Customer Information, Company Policies, Police Reports.
Description :
- Requested information from internal or external sources to ensure completeness and validity of the claim.
- Answered inquiries regarding the claim.
- Used customer software, sort claims according to network status.
- Entered claim information for re-pricing.
- Maintained a high level of accuracy and production rate.
- Compared information from the application to criteria for policy reinstatement and approve reinstatement when criteria are met.
- Processed, prepared, and submitted business or government forms, such as submitting applications for coverage to insurance carriers.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Insurance Claims Processor Resume
Objective : Over 1 year of experience in Insurance Claims Processor customer service dealing with all types of plans and claims and consistently exceeding performance levels.
Skills : Customer Service, Computer Skills, Billing System, Telephone Calls.
Description :
- Checked Medical Files for accuracy and doing data entry.
- Entered numerical data into databases in a timely and accurate manner.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Precisely completed appropriate claims paperwork, documentation, and system entry.
- Produced monthly reports using advanced Excel spreadsheet functions.
- Outlined the appropriate process and procedures necessary to fulfill and complete inquiries.
- Received and routed medical records.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Insurance Claims Processor Resume
Objective : As an Insurance Claims Processor, responsible for processing unemployment insurance claims including determinations, wage audits, appeals, hearings, reimbursements payments. Experience in collecting analyzing data to prepare annual member contributions.
Skills : Legal Research, Quickbooks, Customer Service Representative, Planning Skills.
Description :
- Updated, and processed existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
- Processed and recorded new insurance policies and claims.
- Reviewed and verified data, such as age, name, address, and principal sum and value of the property on insurance applications and policies.
- Examined letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and the effects of changes.
- Corresponded with the insured or agent to obtain information or inform them of account status or changes.
- Transcribed data to worksheets and enter data into computer for use in preparing documents and adjusting accounts.
- Interviewed clients and take their calls to provide customer service and obtain information on claims.
Experience
2-5 Years
Level
Executive
Education
Certification In CP
Insurance Claims Processor Resume
Headline : Over 10 years of experience, including as a Clerk/Line Cook, as a Cashier and as an Insurance Claims Processor in industries including Amusement and Recreation Services, Eating and Drinking Places, and Insurance Agents, Brokers, and Service. Most recently, have been working as a Clerk/Line Cook.
Skills : Reflect Changes, Outbound Calls, Customer Service, Communication Skills.
Description :
- Processed insurance applications.
- Updated insurance policies for changes, reinstatements, and cancellations.
- Managed account documentation, including policy change and cancellations.
- Responded to customer inquiries and complaints.
- Provided information for regulatory compliance including proof of insurance.
- Prepared documents, including identification cards and certificates.
- Submitted applications for coverage to insurance carriers.
- Prepared product or service reports by collecting and analyzing customer information.
Experience
5-7 Years
Level
Executive
Education
GEd
Insurance Claims Processor Resume
Objective : As an Insurance Claims Processor with 2+ years of experience in claims processing of new & existing claims, all correspondence related to claims.
Skills : Policy Provisions, Claims Data, Claims Issues, Communication Skills.
Description :
- Processed insurance forms, applications, and requests for insurance information.
- Efficiently handled questions and queries from customers.
- Maintained customer records by updating account information.
- Resolved product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution.
- Maintained financial accounts by processing customer adjustments.
- Recommended potential products or services to management by collecting customer information and analyzing customer needs.
- Contributed to team effort by accomplishing related results as needed. Maintained up to date paper and computer-based files and administrative systems.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Insurance Claims Processor Resume
Objective : Motivated and highly productive Insurance Claims Processor professional with an insurance background. Detail-oriented with strong skills in multi-tasking and efficient management of day-to-day office operations. Adept at building and maintaining effective working relationships with co-workers and clients through outstanding interpersonal skills.
Skills : Computer Literate, Data Entry, Claims Processor.
Description :
- Analyzed claims to determine the extent of company liability, determine if the vehicle is deemed a total loss or repairable by analyzing vehicle evaluation reports, Mitchell reports and pictures of the damaged vehicle, make approval or denial decisions, confirm ownership, and rectify titling and DMV issues.
- Negotiated settlement with claimants and policyholders in accordance with policy provisions.
- Collaborated with insurance agents, attorneys, and interview claimants to correct errors, rectify omissions and investigate questionable issues.
- Provided optimum service to policyholders, negotiated fair settlements and identified fraudulent claims.
- Selected by managers to assist file closures, resolve complex claim-processing issues.
- Selected by managers to train classes and groups of new incoming claim processors, delegate tasks, and create training modules.
- Answered any Insurance questions or handle any issues a patient/customer may have.
Experience
2-5 Years
Level
Executive
Education
Chartered Life Underwriting
Insurance Claims Processor Resume
Headline : An energetic, dependable individual with a strong work ethic, task-oriented, and solid interpersonal skills. Possess the ability to adapt to the demands of diverse and challenging workloads. Ability to work independently or as part of a team. Excellent communication skills and able to interact with all levels and types of individuals.
Skills : Computer Skills, Coordination Skills, Claims Processing.
Description :
- Excelled in a role requiring the ability to handle a variety of customer service and administrative tasks and resolve customer issues with expediency.
- Demonstrated proficiencies in telephone and front-desk reception within a high volume environment.
- Researched and rapidly solved problems and rebuilt client trust to prevent the loss of patient accounts.
- Accelerated data input, processing, and retrieval times.
- Consistently praised by management for the quality and timeliness of reports, attention to detail, exemplary customer service delivery, and team player attitude.
- Provided back-up support for general receptionist duties including telephone, customer records management, and scheduling.
- Handled pre-certification and scheduling for surgeries; prepared reconciliation reports, manage records, and administer the database.
Experience
5-7 Years
Level
Executive
Education
GED
Insurance Claims Processor Resume
Objective : To secure a position with a well-established organization with a stable environment that will lead to a lasting relationship in the field of Quality Assurance.
Skills : Data Entry, Customer Service, Insurance, Organization Skills.
Description :
- Contacted insured or other involved persons to obtain missing information.
- Posted or attached information to the claim file.
- Prepared insurance claim forms or related documents and reviewed them for completeness.
- Provided customer service, such as limited instructions on proceeding with claims.
- Reviewed insurance policy to determine coverage.
- Transmitted claims for payment or further investigation.
- Organized or worked with detailed office or warehouse records, used computers to enter, access, search, or retrieve data.
Experience
2-5 Years
Level
Executive
Education
Diploma
Insurance Claims Processor Resume
Objective : To obtain a rewarding Insurance Claims Processor position within an innovative and professional organization where can contribute knowledge and skills for the benefit of the company.
Skills : Customer Service, Medical Terminology, Insurance.
Description :
- Provided instructions for claims proceedings.
- Attached information to claim files.
- Provided referrals to auto repair facilities.
- Ensured timely and accurate claims payments.
- Reported denied claims.
- Submitted write-off and refund requests.
- Explained policy coverage to clients.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Insurance Claims Processor Resume
Headline : To secure an Insurance Claims Processor position with a company that is on the cutting edge of technology, and customer service, so that my abilities can shine and flourish as put forth my personal best.
Skills : MS Office, Customer Service, Claims Processor, Assisting Skills.
Description :
- Processed claims and bills for a transport company that transported patients to and from their homes to doctors' appointments, hospitals, nursing facilities, etc.
- Assisted with dispatching the drivers on emergent and nonemergent runs.
- Coordinated trips with hospitals, doctors, nursing facilities, and patients locally and long-distance to higher-level medical institutions.
- Received extensive training on the laws regarding patient billing, Medicaid, Medicare, and many private insurance companies.
- Assisted patients with payment options and coordinating home health care needs and medical transports.
- Processed insurance claims and verified correct Medicare codes for clean billing.
- Coordinated property inspection scheduling of ladder assistance for property field adjusters Retrieve and data entry ladder assist requests.
Experience
5-7 Years
Level
Junior
Education
BA In Respiratory Care
