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claims analyst resume example with 5+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Summary

To obtain a supply chain role and work in a positive team setting with an emphasis on quality control process improvement. This role will demonstrate my ability for excellence and performance and will allow me to grow further in my career. Focused. Courteous, bilingual and well-trained to effectively manage all types of situations. Ready to take the next step with a company that believes in the value of hard work.

Skills
  • Analyst
  • SAP warehouse management software (Intermediate)
  • Cargo Wise
  • R Studio
  • Forecasting
  • Inventory control
  • Microsoft Office (Word, Excel, PowerPoint, and Excel)
  • Structured programming
  • Interpret and communicate quantitative solutions and other information
  • From computer output
  • Design and evaluate management decision-making processes in business organizations.
  • Microsoft Office
  • PowerPoint
  • Clients, Policies
  • Client, Processes
  • Claims Evaluations
  • Claim Form Analysis
  • Information Updates
  • Settlement Negotiation
  • Accounting Spreadsheets
  • Claims Understanding
  • Accounts Payable and Accounts Receivable
  • Bank Deposits
  • Decision-making, Quality
  • Delivery, Retail
  • Documentation, Sales
  • SAP
  • Critical Thinking
  • Claims Processing
  • Regulatory Compliance
  • Client Interviewing
  • Decision Making
  • File and Record Management
  • Complex Problem Solving
  • Verbal and Written Communication
  • Information Confidentiality
  • Claims Evaluation
  • Claims History Analysis
Experience
Claims Analyst, 12/2021 to Current
Herc Rentals Inc.Dallas, TX,
  • Investigated and analyzed requirements to improve timeliness of reports to customers.
  • Built lasting relationships with clients and employees to underpin successful claims activities.
  • Synthesized data into comprehensive quarterly written reports for management.
  • Reviewed coverage determinations, investigated and evaluated claims and negotiated settlements.
  • Gathered proper documentation and data to prepare claims for submission.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
  • Input claim information and payments into company database.
  • Analyzed information gathered by investigations and reported findings and recommendations.
  • Reduced loss ratios through fair and prompt processing of claims.
  • Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
Claims Analyst (Contract), 11/2019 to 11/2021
NESTLE WATERSCity, STATE,
  • Manage complex claims and deduction resolution process through collaboration with Customers, Sales, Retail Finance, Collectors, and Supply Chain functions.
  • Align material information with customer to be able to capture orders.
  • Analyze customer claim/deduction details and make determination of claim/deduction validity in alignment with business and BAS (BTB Accounting Standards) policies.
  • Collaborate with COS Claims and COC Collections as needed on claims that require further analysis and/or actions to resolve.
  • Generate and review the Claims and Deductions Ageing Report as needed and ensure all assigned customer claims and deductions are closed within predefined timeframes.
  • Collaborate with Customer Solution Analyst on return-related claims and OS&D on refusal-related claims.
  • Finalize the claim/deduction resolution through the creation of payment/credit requests via Hydro, Trade Spend management tool.Reviewed and analyzed suspicious and potentially fraudulent insurance claims.Identified and resolved problems through root cause analysis and research.
  • Validated results and performed quality assurance to assess accuracy of data.
Lockbox Processor (Contract), 01/2018 to 11/2019
PWCCity, STATE,
  • Extracts remittances based on standard operating procedures

  • Responsible for maintaining specific productivity and quality levels.

  • Processes and/or reconciles transactions in accordance with established policies and procedures

  • Ensures the appropriate materials, documentation and capacity are available to complete transactions
  • Received and recorded cash, checks and transfers.
Claims Operator (Contract), 07/2017 to 09/2018
SAMSUNG ELECTRONICSCity, STATE,
  • File shortage claims based on shortage investigation from SAP report mangement, theft notification, Warehouse notification
  • File damage claims based on damaged returns
  • Update new claims and remove closed/paid claims from recovery list
  • Communicate with 3PL/Carrier/Client to recover claim payment, review declines if valid
  • Gather BOL, POD, different invoices from GMP, WMP
  • Call with carrier/client to discuss/resolve escalated issues
  • Gather claim documents to send to insurance
  • Investigate and support as needed
  • Arrange inbound/outbound cargo shipments, schedule trucking pick- up, follow up with Customs brokers, track/trace shipment door to door
  • Invoice customers and agents, handling import-export operations, assist and maintain service relations with clients and other offices
  • Provide quality customer service to all vendors, shippers, and agents in order to facilitate the required objectives and provide customers with daily updates
  • Daily checking the life cycle of an order, including order status and confirmation follow up
  • Maintaining daily the Delivery & Customer Pick-up Coordination log, including calling customers to schedule/confirm delivery appointments, and following up post-delivery.
Education and Training
BBA: Supply Chain Management, Expected in 05/2022 to UNIVERSITY OF TEXAS - Arlington, TX,
GPA:
Associate of Science: Science, Expected in 05/2013 to RICHLAND COLLEGE - Dallas,
GPA:
High School Diploma: , Expected in 05/2010 to INFORMATICS SCHOOL OF THAMES - ,
GPA:

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Resume Overview

School Attended

  • UNIVERSITY OF TEXAS
  • RICHLAND COLLEGE
  • INFORMATICS SCHOOL OF THAMES

Job Titles Held:

  • Claims Analyst
  • Claims Analyst (Contract)
  • Lockbox Processor (Contract)
  • Claims Operator (Contract)

Degrees

  • BBA
  • Associate of Science
  • High School Diploma

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