The job purpose of an Insurance Examiner is to determine the payments and settlement amount that has to be made as per the company’s practices and procedures. The job description entails reporting overpayments, underpayments, and other irregularities. Other daily tasks are outlined on the Insurance Examiner Resume as – conferring with legal counsel on claims that require litigation; determining whether payouts are reasonable; approving or rejecting claims to the specialists; meeting with claimants and settling disputes; ensuring compliance with regulatory standards, company policy and guidelines; and assisting attorneys and other specialists while defending the company against contestation.
Confident decision-making skills and sound administrative skills are crucial for this role. Besides, the following skills are also needed – sound communication skills, knowledge of all types of insurance products, and services; proficiency with mathematics and spreadsheet software, and demonstrable attention to detail. A high school diploma is sufficient for entry-level jobs.
Headline : Seeks to establish a challenging career path where one can leverage creativity as well as operational and analytical expertise to achieve department and organizational goals and objectives.
Skills : Typing, Customer Service, Computer.
Description :
Collected blood and urine specimens.
Performed EKGs.
Completed paperwork.
Completed exams for those folks that are looking to obtain life and disability insurance.
Collected urine and blood.
Cognitive function testing.
Assisted in organizing and planning financial examinations of insurance companies.
Experience
5-7 Years
Level
Executive
Education
LPN In Nursing
Insurance Examiner Resume
Summary : Insurance Examiner Professional with significant years of experience managing, assessing, and directing business operations. Known for consistently combining financial leadership with sound business practices to position organizations for long-term growth and profitability.
Skills : Computer, Phlebotomy, Health And Wellness Screenings, Flu Vaccines, EKGs, PFT's, Vision And Hearing Testing, Drug Screening.
Description :
Directed National Association of Insurance Commissioners examinations of Iowa domiciled insurers.
Reported findings of those examinations to state insurance regulators nationwide.
Appointed deputy receiver of a domestic life insurance company.
Successfully rehabilitated the life insurer and protected the contractual benefits of all policyholders.
Evaluated risk-based examination procedures conducted nationally by the N.A.I.C.
Organized professional development programs for the members of the Iowa Chapter.
Contacted the proposed insured and set up a time for the exam.
Experience
10+ Years
Level
Senior
Education
B.S. In Business Administration
Insurance Examiner Resume
Objective : Seeking a challenging Insurance Examiner position that allows utilizing skills to full potential. Learn quickly and actively seek new knowledge. Work well with others as a team member, or quite comfortable working alone.
Skills : Medical Office Assistant, Phlebotomy, Medical Terminology, EKG, Centrifuging, Microsoft Office, Obtaining Patient History, Demographics & Insurance Information, 5 Line Phone System.
Description :
Examinered do an accurate and detailed completion of required information for all types of insurance forms.
Communicated is made directly with insurance agents and applicants applying for insurance.
Made the first impression by a phone call to set up and/or confirm an exam.
Appointment duties also require vitals, blood, and urine samples, some require EKGs.
Represented everyone involved including the Examination company, Insurance company, and the agent.
Part of a team that examined hundreds of health insurance claims, making decisions to pay, deny, or transfer claims.
Trained on three lines of business.
Experience
2-5 Years
Level
Junior
Education
Certified Phlebotomist In Phlebotomy
Insurance Examiner Resume
Headline : As an educated professional career-minded individual, enthusiastic, goal-oriented, highly motivated, responsible, creative, flexible, and a strong team player as well as a leader that works well with people. Throughout the course of employment, have serviced communities with a wide range of ethnicity, ages, and economically diverse backgrounds.
Skills : IV Insertion, Phlebotomy, Medical Assistant Clinical, and Admin.
Description :
Traveled to patients' homes Health Fairs performs EKG prepare patients for blood and urine test.
Entered patient test data on paperwork follow infection control procedures also center fuse blood.
Monitored vital signs, such as blood pressure and pulse.
Maintained accurate records of patient care, condition, progress, and concerns.
Scheduled and accompanied clients to medical appointments.
Customer service, service writer, order parts and supplies, communication line between insurance companies and clients.
Organized the shop and helped to set up S.P's.
Experience
5-7 Years
Level
Executive
Education
Associates In Nursing
Insurance Examiner Resume
Summary : Experience in an office environment entering significant amounts of data for a large health insurance company, gaining proficiency in Microsoft Excel, Word, and Outlook. Has 3 years experience in focused teamwork in a fast-paced environment where exceptional communication is the norm. Took classes to better my skills as a problem solver.
Skills : Front Desk, Multiple Phone Lines, Blood Draw, Specimen Collection, EKGs, and Office/Instrument Sterilization.
Description :
Did insurance exams for people applying or life insurance.
Obtained vitals, collect specimens, (blood, urine) and sed them to the correct lab.
Also would go to local stores like Sams club and obtain vitals and specimens for glucose readings and spirometer readings.
Drawn blood, Ht, Wt, Bp, Pulse.
Performed a variety of activities within the provision of Trade Readjustment Assistance (TRA) program to claimants whose jobs were affected.
Interviewed claimants to determine the potential eligibility of Trade Readjustment Allowances, obtained wage affidavits of missing quarterly wages.
Earned the respect of my boss, clients, insurance supervisors, and employees.
Experience
7-10 Years
Level
Management
Education
Associate's In Business
Insurance Examiner Resume
Objective : Effective Insurance Examiner who adapts easily to changing environments and demands. Customer service-oriented Medical Assistant is skilled with greeting patients, scheduling appointments, and preparing patient charts.
Skills : Customer Service, Data Entry.
Description :
Reviewed pathology reports, ancillary service, hospital, ambulatory care, and pharmacy bills for cancer insurance claims.
Accurated data entry of claims information and process claims for payment.
Responsible for reviewing coverage for insureds with Military Contracts.
Ensured the vendors for multiple Military clients are up to par with client standards.
Recorded and designated all proper data and contact producers to resolve any issue.
Recorded all coverage information via specialty software.
Provided medical assessments for life insurance applicants.
Experience
2-5 Years
Level
Junior
Education
Diploma In Medical Assisting
Insurance Examiner Resume
Headline : Insurance Examiner is responsible for the review and approval of insurance claims. Work closely with the insurance company’s claims department to ensure that all claims are filed in a timely and accurate manner. Communicate with external auditors and agents and coordinate with law enforcement agencies on any suspicious activity.
Skills : Customer Service, Microsoft Office Applications, Data Entry, Documentation, Phone, Shipping, And Receiving.
Description :
Completed medical history questionnaires for life insurance applicants Vital sign collection Collected blood and urine samples General office.
Taken vital signs.
Collected urine samples and blood samples and record on exam forms.
Responsible for obtaining paramedical exams, drawing blood, obtaining urine specimens, taking vital signs for contracted.
Prepared paperwork and distribute it to appropriate sources.
Marketed to insurance agencies for additional referrals.
Worked for them part-time in addition to the job at Professional Home Health.
Experience
5-7 Years
Level
Executive
Education
Some College
Insurance Examiner Resume
Headline : Insurance Examiner will be responsible for reviewing and investigating claims for insurance companies, with a focus on medical coverage. Review claims submitted by providers (medical) in order to determine the validity of the claim process.
Assessed the accuracy of filed financial statements.
Evaluated compliance with state regulations, recommended corrective actions, and documented findings.
Insurance physicals, health and wellness screenings, drug screenings, medical histories were taken.
Several insurance agents requested me to do (or sent me the order directly) insurance physicals on their clients.
Did monthly blood draws on certain applicants through Prometheus Labs.
Obtained blood and urine specimens, patient vitals, EKGs, patient health history for life, health, and LTC insurance policies.
Paramedical history is obtained, blood is drawn, urine specimen obtained, sometimes an EKG is done.
Experience
5-7 Years
Level
Executive
Education
Diploma in Medical Assisting
Insurance Examiner Resume
Headline : Insurance Examiner is responsible for conducting and overseeing a variety of insurance examinations, including general liability and workers' compensation. This includes interviewing employees, reviewing documents, and visiting places of business to assess the credibility of claims.
Performed independent, in-home paramedical exams for insurance companies.
Assisted in the examination, verification, and analysis of financial data and records of insurance companies for adherence to state law, rules.
Computer data input, report generation, interviewed clients and obtained confidential medical information, medical histories, vital signs.
Administered EKGs and blood draws in accordance with insurance recommendations.
Offered in-office position.
Going to homes and doing insurance physicals with blood draws and EKGs.filling out all forms and preparing blood kits for shipment.
Could get them done in a timely manner and ended up starting a new branch with the owner.
Experience
5-7 Years
Level
Executive
Education
Associate's in Business
Insurance Examiner Resume
Headline : Examiner is responsible for the accuracy and reliability of risk management and insurance claims, by reviewing an applicant’s application and collecting relevant information.
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