claims administrator resume example with 8+ years of experience
Motivated and detail-oriented Claims Administrator with 4 years of experience in managing claims processing, documentation, and customer service. Adept at analyzing complex data, resolving issues, and ensuring accuracy in claims settlements. Seeking to leverage my skills and expertise to contribute to Benton-Georgia LLC's success as a Claims Administrator.
- Communication Skills: Effective written and verbal communication, active listening, and the ability to convey information clearly and concisely.
- Problem-Solving Skills: Analytical thinking, creative problem-solving, and the ability to identify and resolve issues efficiently.
- Teamwork: Collaboration, cooperation, and the ability to work effectively with others to achieve common goals
- Leadership: The capacity to guide and motivate a team, make decisions, and take responsibility for outcomes.
- Adaptability: Flexibility in handling changing circumstances, adjusting to new environments, and learning new skills quickly.
- Time Management: Efficiently prioritizing tasks, meeting deadlines, and effectively managing workloads.
- Organizational Skills: Planning, prioritizing, and coordinating multiple tasks and projects simultaneously.
- Attention to Detail: Being thorough and meticulous in completing tasks, ensuring accuracy and quality.
- Critical Thinking: Evaluating information, analyzing data, and making reasoned judgments or decisions.
- Technical Skills: Proficiency in relevant software, tools, or equipment related to the job or industry.
- Customer Service: Providing excellent service, understanding customer needs, and addressing concerns professionally.
- Initiative: Taking proactive steps, being self-motivated, and demonstrating a willingness to go above and beyond.
- Multitasking: Managing multiple tasks simultaneously while maintaining productivity and quality.
Castleton, IN, 03/2021 - Current
- Managed the end-to-end claims processing cycle, including reviewing claim applications, verifying supporting documents, and ensuring compliance with company policies and procedures.
- Conducted thorough investigations and analysis of complex claims, collaborating with relevant departments and external stakeholders to gather necessary information and make accurate claim settlements.
- Maintained meticulous documentation and record-keeping systems, ensuring confidentiality and compliance with data protection regulations.
- Developed and implemented efficient processes to streamline claim handling.
- Resolved customer inquiries and complaints promptly, providing exceptional customer service and maintaining positive relationships.
- Prepared detailed reports and data analysis for management, highlighting trends, identifying areas for improvement, and recommending strategies to enhance claims administration efficiency.
- Assisted in training and mentoring new team members, ensuring a smooth transition and adherence to company standards.
Missoula, MT, 04/2018 - 01/2021
- Manage a caseload of workers' compensation claims from initial report to resolution.
- Conduct thorough investigations to gather relevant information and determine claim compensability.
- Analyze medical reports, records, and other documentation to evaluate the extent of injuries and potential disability.
- Collaborate with medical providers, attorneys, and vocational experts to obtain expert opinions and supporting evidence.
- Communicate with injured workers, employers, insurance carriers, and other stakeholders to provide updates, answer questions, and address concerns.
- Prepare and submit accurate and timely reports to insurance carriers and state agencies in compliance with regulatory requirements.
- Stay updated on changes in workers' compensation laws and regulations to ensure compliance.
- Identify opportunities for process improvements and contribute to the development and implementation of best practices.
Marietta, GA, 01/2016 - 01/2018
First point of contact for the clients
Educate clients about pricing and services and the benefits to them prior to giving an estimate
Safely operate the junk truck at all times
Make sure all daily truck inspections are performed
Make sure truck has enough receipts, safety equipment and marketing material
Check in regularly throughout the day with direct supervisor for additional assignments and troubleshooting guidance
Complete daily checklist
Remove all items unwanted furniture, appliances, garbage etc
Trained and monitored new hires
City, STATE, 05/2014 - 01/2016
Communicate with customers in a professional and friendly manner
Load and unload customers in the go-karts in a safe and timely manner.
Monitor and politely control the racing activity to ensure a safe racing environment
Maintain facility and track cleanliness
Maintain safety for customers on and off the track
Trained and monitored new hires
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Resume Overview
School Attended
- Norcross High School
Job Titles Held:
- Claims Administrator
- Workers' Compensation Claims Specialist
- Junk Captain/Junk Removal Specialist
- Track Marshall
Degrees
- High School Diploma
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