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claims coordinator resume example with 18+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary

Take-charge professional delivering executive support and team leadership to business operations. Dependable and detail-oriented to manage multiple tasks and priorities. Broad experience includes office management, accounting, accounts receivable, invoicing, dispatching, database management, vendor negotiations and contract management. Recognized for exemplary customer service and team collaboration. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Skills
  • Data entry
  • Customer service
  • Decision-making
  • Data management
  • Critical thinking
  • Organizational skills
  • Active listening
Experience
Claims Coordinator, 10/2015 - Current
Avalon Bay Towson, MD,
  • Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
  • Supported efficient handling of complex claims and followed up on open, denied or suspended claims to complete required line items.
  • Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
  • Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
  • Verified claim data correctness in preparation for processing.
  • Addressed customer inquiries to provide information and explanations on coverage and terms, expediting claims.
  • Coordinated benefits with medical insurance plans and Medicare providers.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Prepared and reviewed insurance-claim forms and related documents for completeness.
  • Input claim information and payments into company database.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
  • Discussed current cases and issues in claim committee meetings.
  • Developed and updated spreadsheets in Microsoft Word and Excel to track claims information.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Assisted claimants, providers and clients with problems or questions regarding claims.
Claims Associate, 10/2011 - 09/2015
Oneamerica San Diego, CA,
  • Determined liability, compensability and benefits due on each claim.
  • Supported efficient handling of complex claims and followed up on open, denied or suspended claims to complete required line items.
  • Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
  • Verified details with policyholders and requested additional information.
  • Processed high volumes of bodily injury claims efficiently while working in fast-paced environment.
  • Managed asset recoveries for claims, including salvage and subrogation.
  • Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
  • Assessed and conducted negotiations within authority limits to settle claims.
  • Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
  • Documented specific claims by completing and recording forms, reports and logs.
  • Conducted interviews with involved claims parties and witnesses to gather detailed information and arrange investigations.
Collision Service Advisor, 01/2008 - 06/2011
State Of Oklahoma Antlers, OK,
  • Answered phone calls and responded to questions and concerns.
  • Explained amount for expected services and provided detailed answers to customer questions.
  • Researched coverages under warranties and determined requirements for coverage.
  • Handled telephone inquiries regarding appointments and work in process.
  • Utilized in-house systems and software to drive customer interaction and communication through service process.
  • Calculated materials, supplies and labor costs to develop estimates and prepare work orders.
  • Updated customer accounts in computer system, submitted payments and changed personal details.
  • Produced repair and installation orders and updated master schedule with assignments.
Secretary, 08/2004 - 01/2008
Latham Auto Body City, STATE,
  • Coordinated communications, taking calls, responding to emails and interfacing with clients.
  • Ordered office supplies to purchase items and maintain appropriate levels.
  • Assisted with accounts receivable and accounts payable functions.
  • Maintained office by preparing payroll, designing filing systems and reviewing and approving supply requisitions.
  • Pleasantly welcomed visitors, answered phone calls and maintained front reception desk.
  • Organized files, developed spreadsheets, faxed reports and scanned documents, maintaining front desk and reception area in neat and organized fashion.
Education and Training
High School Diploma: , Expected in 06/1988
-
Shaker High School - Latham NY,
GPA:
Status -
: , Expected in
-
Bay State Jr College - Boston MA,
GPA:
Status -
Certifications
  • Independent Adjuster License

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Resume Overview

School Attended

  • Shaker High School
  • Bay State Jr College

Job Titles Held:

  • Claims Coordinator
  • Claims Associate
  • Collision Service Advisor
  • Secretary

Degrees

  • High School Diploma
  • Some College (No Degree)

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