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claims representative resume example with 4 years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary

Capable Claims Representative adept at claims investigations, information review and settlement management. Positive and reliable professional with a detail-oriented and systematic approach. Bringing years of related experience. Experienced in processing Retails claims in high-volume environments. Successful at managing complete claims process with minimal direction. Conversational skills in english, Telugu, Hindi. Capable Claims Representative adept at claims investigations, information review and settlement management. Positive and reliable professional with a detail-oriented and systematic approach. Bringing 2 years of related experience. Skilled in interviewing, records searching and documentation. Excellent critical thinking and organizational abilities. Proficient in insurance policy coverage levels, industry practices and compliance requirements.

Skills
  • Claims Investigation
  • Accident Review
  • Insurance Claims Review
  • Interpersonal Communication
  • Documentation Research
  • Coverage Determination
  • Time Management
  • Policy Knowledge
  • File Management
  • Conflict Resolution
  • Settlement Negotiation
  • Customer Service
  • Small Claims Payouts
  • Verbal and Written Communication
  • New Policies Processing
  • Insurance Claim Forms Review
  • Claim Amount Calculations
Education and Training
Annamalai University Tamilnadu, Expected in 05/2020 Bachelor of Science : Information Technology - GPA :
Siddartha Junior College Hyderabad, Expected in 05/2013 High School Diploma : - GPA :
Certifications
  • Association for Project Management (APM)
  • Certified Finance- Tata AIG Insurance Company - 2022
Experience
Do It Best Corp - Claims Representative
Woodburn, OR, 07/2021 - 07/2022
  • Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
  • Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
  • Verified details with policyholders and requested additional information.
  • Reviewed documentation and accounts to gain full picture.
  • Negotiated settlements for uncomplicated claims in accordance with actual company liability.
  • Managed asset recoveries for claims, including salvage and subrogation.
  • Used skills to establish productive working relationships with car dealers, loan processors and community business partners.
  • Tracked and reported on patterns of claims and repeat offenders to help eliminate system abuse.
Alaska Denali Travel - Retail Associate
Baha'i Faith, MT, 08/2018 - 07/2020
  • Welcomed customers, offered to help locate items and suggested merchandise without being intrusive or pushy.
  • Kept calm and applied strong problem-solving and interpersonal skills to resolve conflicts.
  • Counted cash, made change and stored coupons to keep organized and balanced cash register drawer.
  • Assisted customers by phone regarding store operations, products, promotions and orders.
  • Arranged merchandise for display to highlight new styles, attract customers and enhance sales.
  • Created price tags and merchandise signs for new items.
  • Cross-sold products to boost overall sales purchases.
Seagroves Insurance - Insurance Sales Representative
Chapel Hill, NC, 05/2013 - 06/2014
  • Placed orders and answered customer questions in-person, through email and over phone to maximize customer service.
  • Contacted new and existing customers to outline benefits of products.
  • Monitored customer order process and addressed customer issues.
  • Fostered relationships with customers to expand customer base and retain business.
  • Improved overall customer purchasing experiences to promote steady revenue.
  • Followed-up with clients after installations to assess quality service and customer satisfaction.
  • Stayed up to date on inventories, supplies and customer orders.
  • Prepared and processed contracts and order forms for new and existing customers.
  • Assessed customer needs to provide assistance and information on product features.
Languages
English :
Full Professional
Negotiated :
Telugu :
Native/ Bilingual
Negotiated :
Hindi :
Native/ Bilingual
Negotiated :
Accomplishments
  • Created highly effective new program that significantly impacted efficiency and improved operations.
  • Consistently maintained high customer satisfaction ratings.
Activities and Honors
  • Member, Alumni Association
  • Member, Small Business Association (2013 - present)
Additional Information

Good Morning/Afternoon, I hope you are doing well. I hope you're healthy and Safe! I am interested in the position. I have 5 years of experience in IT across various domains like Finance, Insurance, Healthcare, Retails.

I am hereby attaching my updated resume for your review. go through the resume and let me know your thoughts on considering my resume for the below position

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Resume Overview

School Attended

  • Annamalai University
  • Siddartha Junior College

Job Titles Held:

  • Claims Representative
  • Retail Associate
  • Insurance Sales Representative

Degrees

  • Bachelor of Science
  • High School Diploma

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