The role of an Insurance Processor is to process applications pertaining to insurance claims. The duties typically listed on the Insurance Processor Resume are – reviewing insurance applications, compiling data on insurance policy changes, calculating premiums, refunds, and commissions; checking computations of interest accrued, collecting initial premiums and issues receipts, corresponding with insured or agent to obtain information, modifying and processing existing policies, notifying insurance agents, processing and recording new insurance policies and claims, reviewing and verifying data, and transcribing data to worksheets.
To succeed in this line, candidates have to demonstrate these skills – strong customer service skills, people skills, ability to negotiate well with customers, outstanding communication skills and attention to details. A thorough knowledge of Insurance concepts and principles are also needed. Most employers want at least a high school diploma or GED; advanced education will be preferred.
Objective : Currently involved as an Insurance Processor and seeking a relevant full-time job or externship to build exposure to the environments. In addition to assisting training, able to apply customer service and clerical skills gained from previous jobs to benefit organizations and their clients.
Skills : MS Office, Data Entry, Word Processing, 10 key, Communication Skills, Billing.
Description :
Preparing, mailing and tracking all mortgage discharges, filing terminations and various collateral releases.
Monitoring expiring recordings and other collateral within the system to ensure that collateral liens are perfected properly.
Reviewing and verifying all commercial loan hazard and flood insurance policies.
Ensuring all information regarding collateral coverage, compliance adherence and loss potential are obtained, accurate and complies with credit policy.
Mailing, filing and tracking any recordable/mailable documents with the appropriate recording office.
Making sure all invoices are paid (Title work, Appraisals, Searches, etc.).
Processed requested service on products (e.g. loans, surrenders, withdrawals).
Trained new employees on processing responsibilities from initiation to completion of the request.
Experience
2-5 Years
Level
Junior
Education
HS
Insurance Processor Associate Resume
Objective : Dedicated insurance professional experienced in investigating and processing insurance claims. Excel at analyzing damages, interpreting policies and negotiating payment solutions.
Skills : Microsoft Office Suite, Excellent Customer Service Skills, Attention To Detail, Internet Explorer, Medisoft, 40 WPM.
Description :
Preparing, mailing and tracking all mortgage discharges, filing terminations and various collateral releases.
Collateral protection monitoring expiring recordings and other collateral within the system to ensure that collateral liens are perfected properly.
Reviewing and verifying all commercial loan hazard and flood insurance policies.
Ensuring all information regarding collateral coverage, compliance adherence and loss potential are obtained, accurate and complies with credit policy.
Lien perfection mailing, filing and tracking any recordable/mailable documents with the appropriate recording office.
Making sure all invoices are paid (Title work, Appraisals, Searches, etc.
Verifying insurance benefits and eligibility, coding (ICD 9/10, HCPC).
Experience
2-5 Years
Level
Junior
Education
HS
Insurance Processor-Office Manager Resume
Objective : Seeking for a position that would allow to interact as a business professional and execute strong administrative and organizational skill while working independently or as a dedicated team player.
Skills : Microsoft Word, Powerpoint, Internet Explorer, Medisoft, 40 WPM.
Description :
Served as a key member of an interdisciplinary healthcare team for a busy family medical practice.
Assisted three MDs as well as an RN team in ensuring optimal patient care and smooth daily functioning of the front office.
Consistently praised for efficient handling of administrative duties: answering phones, scheduling appointments, maintaining medical records, and bookkeeping.
Completed externship practical hours at this location with perfect attendance, and excellent unpaid performance have obtained an offer for a position.
Ensured the cleanliness, sanitation, and maintenance of the front office.
Helped implement the practice's quality assurance and control program.
Efforts ensured compliance with HIPAA, and OSHA regulations; improved patient service while making them feel comfortable in the office.
Registered all new patients, created new patient chart records, and filed incoming faxes in the appropriate patient chart.
Experience
0-2 Years
Level
Entry Level
Education
BA
Mortgage Insurance Processor Resume
Objective : Over 3 years of experience in the mortgage and insurance industries performing identification of mortgages, liens, modifications, short sales, special forbearances, and researched mortgage releases and property titles and recordations. 3+ years of proficiency with MS Office. Extensive data analysis and input into Excel worksheets. Effectively research and apply appropriate agency guidelines. Balancing and auditing of accounts.
Skills : Software, Encoder, Customer Service Skills, MS Office Suite.
Description :
Uploaded of documents, data entry, and proofreading.
Confirmed the completeness and accuracy of all information provided for refinancing.
Worked efficiently in a fast-paced environment while multi-tasking using computer applications to troubleshoot and obtain problem-solving information.
Processed requests for identification insurance cards and address changes.
Adjusted medical claims and investigated denied claims.
Educated members on various medical plans and mailed out EOB's (explanation of benefits) to members.
Filed and processed insurance claims through the computer.
Corrected/added any missing/wrong information on applications.
Protected the security of insurance claims to ensure that confidentiality is maintained.
Experience
2-5 Years
Level
Junior
Education
B.Ed
Insurance Processor I Resume
Objective : Diligent, detailed-orientated growing professional, Completing projects within time & budget constraints. Experienced Supervisor, with strong communication, customer service, organizational and problem-solving skills.
Skills : Word Processing, Typing 60 +, Bilingual, Microsoft Word, Excel, Administrative Assistant, Clerical, Customer Service, Customer Service.
Description :
Assist with initials and or ongoing work when needed.
Provide customer service to patients, insurance companies, clinicians (Nurses, PT, OT, etc.) and all callers by answering calls/questions in high volumes.
Prepare weekend work for the nurses, work in the weekend room on occasions, as well as prepare nurse expenses.
Back up and transmitting claims on a daily basis.
Issue workman's comp insurance policies in accordance with laws and regulations.
Read and applied underwriters' instructions for named insured, additionally named insured, payroll levels and classes.
Answer incoming phone calls to assist in all situations form clients, doctors' offices and insurance companies.
Experience
2-5 Years
Level
Junior
Education
BI
Insurance Processor-CRM Resume
Objective : Seeking to obtain a position as an Insurance Processor, within the insurance industry. Process, prepare and submit business or government forms, such as submitting applications for coverage to insurance carriers. Process and record new insurance policies and claims. Correspond with the insured or agent to obtain information or inform them of account status or changes. Organize and work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or canceled.
Skills : Relevant Course Work & Computer Skills, Microsoft Office Applications, Word, Excel, PowerPoint, Access Publisher, Information Systems & Supply Chain Management, Kronos.
Description :
Maintain all incoming patient concerns utilizing records such as bills, patient information, treatment documents, and related documents and correspondence.
Examine pertinent information to determine the accuracy of the patient complaints and to help determine responsibility for errors.
Facilitate resolution with the patient and appropriate personnel in a timely manner.
Implement and maintains a system to track and report patient concerns, to assist management with analysis and formation of corrective measures.
Maintain patient purged records for all locations, including storage, retrieval, faxing and or ups patient files to different locations for return patients.
File primary and secondary insurance claims electronically, make copies of x-rays and attach to claim if needed.
Process insurance breakdowns using insurance verification forms from different locations.
Experience
2-5 Years
Level
Junior
Education
Diploma
Insurance Processor-Office Administrator Resume
Objective : Dedicated insurance professional experienced in investigating and processing insurance claims. Effectively manage multiple, high-priority projects and take pride in providing exemplary customer service.
Skills : Microsoft Office, Word, Excel, Typing.
Description :
Serve as a front line customer service representative providing accurate information about our products, services, and procedures.
Constantly convey accurate information about our business to support staff during departmental changes in policies/procedures.
Often recognized by management for completing important tasks in a timely manner.
Recognize for outstanding ability to use sound judgment during demanding situations.
Maintain constant attention to detail, while working on multiple projects simultaneously.
Responsible to make 50 - 75 calls daily for insurance verification.
Matched information from documents to policies on file.
Entered and documented information into AS400 system general office.
Process applications for, changes to, reinstatement of, and cancellation of insurance policies.
Experience
2-5 Years
Level
Junior
Education
BFA
Insurance Processor (Billing Manager) Resume
Objective : Insurance Processor is responsible for processing insurance claims and understanding the financial impact of insurance policies to the company.
Skills : Administrative Support, Excel, Attention to Detail, Team-player.
Description :
Responsible for the processing of monthly loss-sensitive adjustments.
Create processing modules for supervisors, and maintain above-average productivity and quality on a month to month basis.
Support the premium operations team as needed, also assist with reviewing of daily sequence sheet to ensure accuracy.
Process workers compensation audits and interacts with auditors and underwriting.
Work within the claim center to update information in regards to unit stat reporting.
Set up first reports/claims into claim center, and handles the premium coding for adjustments, audits, and endorsements.
Call clients that were missing crucial portions to their application and correct so that they were not denied.
Process payments, transfer over-processing and transferred 90% business in four short months.
Help set up team meetings, cross-train team members on new procedures.
Experience
2-5 Years
Level
Junior
Education
Associates
Assistant Insurance Processor Resume
Objective : Quality-focused Insurance Processor, offering over 5 years of experience in data processing, highly effective at handling confidential information and identifying system improvements with ease.
Skills : CPR Certified, Microsoft Office, Excel, Microsoft Outlook, Receptionist, Customer Service.
Description :
Coded, researched and extracted data into the system, forwarded to appropriate departments for complete process & procedure of exceptions processing scripts and screens.
Reviewed, researched, canceled and reinstated lender place insurance for homeowners requiring property insurance.
Ensure proper protection for home insurance, and submission for evidence of insurance.
Quality control and verification of checks for department audits.
Retrieved and verified live checks from the secure mail room for all incoming checks.
Performed quality assurance check and seal process for mail-out instructions on client endorse and release letters.
Validated, requested and researched errors on draw letters for accuracy before completing the mail-out process.
Coded provider bills in accordance with claims management system notes and state guidelines.
Experience
2-5 Years
Level
Junior
Education
BS
Executive-Insurance Processor Resume
Headline : Insurance Processor is responsible for processing claims, billing claims, and also for creating and maintaining customer relationships. This includes creating and maintaining customer relationships, implementing customer service processes, working with customers and vendors to gain product knowledge.
Skills : AS/400, JDE, MS Office, 65+ WPM, 10-Key, Fax, Copier, Printer, Standard Office Equipment, Filing, Multi-Task.
Description :
Process of insurance applications, enter data accurately into the computer, analyze income discrepancies, verify information, and resolve inconsistencies.
Familiarity with tax documents & other government documents, verify the authenticity of government documents.
Utilize various programs & ever-changing instruction manuals online.
Quality control and verification of checks for department audits.
Retrieve and verify live checks from the secure mail room for all incoming checks.
Call clients that were missing crucial portions to their application and correct so that they were not denied.
Process payments, transfer over-processing and transferred 90% business in four short months.
Experience
5-7 Years
Level
Executive
Education
Diploma
Insurance Processor III Resume
Summary : An Insurance Processor is looking for an objective is to obtain a position in an organization that is willing to provide entry-level and advanced career opportunities as education levels increase.
Skills : Microsoft Office, Typing, General Office Management, Filing, Scanning Of Files, Faxing, Mail Delivery, Keeping Records, Answer Phones.
Description :
Process, prepare and submit business or government forms, such as submitting applications for coverage to insurance carriers.
Process and record new insurance policies and claims.
Organize and work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or canceled.
Review and verify data, such as age, name, address, and principal sum and value of a property on insurance applications and policies.
Modify, update, and process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
Notify the insurance agent and accounting department of policy cancellation.
Obtain computer printout of policy cancellations or retrieve cancellation cards from the file.
Affix postage to packages or letters by hand, or stamp materials, using postage meters.
Experience
10+ Years
Level
Senior
Education
HS
Insurance Processor-Temp Resume
Headline : An experienced Insurance Processor is looking for a continuous learning position in a professional organization where one can put all of the skills and abilities to use.
Skills : Word Processor, Customer Service, Communication Skills.
Description :
Prepare and mail paper claims with needed EOBs and referrals.
Communicate with other patient accounting staff to ensure correct claims filing.
Post patient copay monies daily that have been received to the business office from various facilities.
Process mortgage insurance documents and file confidential data.
Make outbound calls to insurance agents regarding homeowner policies Inbound calls from banks and mortgage companies.
Process insurance claims from employees, doctor's offices, and hospitals for payment for prescription drugs, and outpatient and inpatient hospital claims.
Work in system maintenance/file maintenance and interfaced with IT department to streamline the workflow process.
Experience
5-7 Years
Level
Executive
Education
HS
Lead Insurance Processor Resume
Headline : 6 years of experience as an Insurance Processor, is now seeking to obtain a responsible position where one can help the organization grow in value utilizing experience, capabilities, and abilities.
Skills : Microsoft Office, Lawson, Accounts Payable, Accounts Receivable.
Description :
Recorded and filed patient data and medical records for workman's comp claims.
Validation and data entry of procedure and diagnosis codes documented on the daily patient list submitted by physicians.
Performs follow-up with insurance payers via phone or website to resolve claims and reviews.
Coded outpatient encounters at a rate of 90-100 per day and 120 complex specialty coding.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Interpreted medical reports to apply appropriate ICD9, CPT4, and HCPCS codes.
Contacted injured parties and legal representatives to negotiate final settlements for claims.
Reviewed collection files to determine the next steps in the collection process.
Drafted statement of loss to summarize damages, payments and underlying policy coverage.
Experience
5-7 Years
Level
Executive
Education
Certification
Insurance Processor Resume
Summary : An Insurance professional is now seeking to attain a position in an office environment where one can use extensive work history, computer knowledge, organizational abilities, and business intelligence.
Skills : Project Management/Project Coordinator, MS Office, Billing, Account Management.
Description :
Correspond with the insured and agents to obtain information or inform them of account status or changes.
Modify, update, and process existing policies and claims to reflect any changes in the account.
Transcribe data to worksheets and enter data into computer for use in preparing documents.
Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and the effects of changes.
Advised the underwriters of potential changes to policies.
Make decisions and solve problems based on relevant account information.
Compose grammatically correct and detailed written summaries of projects when needed for reference, for use by all areas.
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