claims representative resume example with 16+ years of experience

Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000,
Professional Summary
Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
  • New Policies Processing
  • Incident and Accident Reports
  • Conflict Resolution
  • Small Claims Payouts
  • Time Management
  • Data Analysis
  • Documentation Research
  • Team Collaboration
  • Policy Knowledge
  • Claims Investigations
  • Workers Compensation
  • File Management
  • Workflow Processes
  • Reading Comprehension
  • Production Goals
  • Account Management Software
  • Data Communications
  • Customer Relationship Management
  • Asset Recovery
  • Liability Determinations
  • Promotions Programs
  • Billing Codes
  • Strategic Initiatives
  • Information Updates
  • Clerical Support
  • Customer Feedback
  • Professional Development
  • Asset Protection
  • Critical Thinking
  • Data Quality
  • Past Due Balance Management
  • Reminder Calls
  • Client Relationships
  • Constructive Feedback
  • Prospecting Clients
  • Corporate Systems
  • Office Supplies and Inventory
  • Active Listening
  • Creative Solutions
  • Special Projects
  • Team Meetings
  • Inquiry Requests
  • Social Perceptiveness
  • Policy and Procedure Explanations
  • Quality Control Analysis
  • Web Browser Software
  • Automated Information System Software
  • Microsoft Excel
  • Complex Problem-Solving
  • Microsoft Internet Explorer
  • Operations Analysis
  • Composing Business Correspondence
  • IBM Check Processing Control System CPSC
  • Learning Strategies
  • Judgment and Decision-Making
  • Microsoft Office
  • Operation Monitoring
  • Microsoft Access
  • Recordkeeping Organization
  • Regulatory Compliance Adherence
  • Microsoft Outlook
  • Large-Sum Computations
  • Speaking
  • Writing
  • Coordination
  • Instructing
  • Monitoring
  • Persuasion
  • Groupme
Work History
02/2021 to Current Claims Representative Hca | Odessa, TX,
  • Interviewed policyholders to verify information and obtain additional details.
  • Examined reports, accounts and evidence to determine integrity and accuracy of information.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Followed up with customers on unresolved issues.
  • Evaluated accuracy and quality of data entered into agency management system.
  • Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
  • Checked documentation for accuracy and validity on updated systems.
  • Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
  • Verified client information by analyzing existing evidence on file.
  • Generated, posted and attached information to claim files.
  • Maintained confidentiality of patient finances, records and health statuses.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Communicated verification and authorization status updates with Type department to facilitate decision-making for patient admissions and insurance coverage.
  • Acted as Type subject matter expert, answering internal and external questions and inquiries.
01/2020 to 12/2020 Licensed Insurance Agent Assurant | Florence, AL,
  • Calculated quotes and educated potential clients on insurance options.
  • Obtained underwriting approval by completing application for coverage.
  • Recommended type and amount of coverage based on analysis of customers' circumstances using persuasive sales techniques.
  • Attended continuing education courses and workshops to gain additional insurance industry knowledge.
  • Provided coverage option information to assist clients in protecting assets.
  • Leveraged knowledge of company insurance products and services to advise customers on appropriate choices.
  • Upsold additional products and services after identifying customer needs and requirements.
  • Scheduled fact-finding appointments and consultations to determine client needs and overall financial situations.
  • Utilized advanced sales skills to overcome objections, persuade clients to purchase policies and close deals.
  • Exceeded corporate quotas for monthly policy sales.
  • Capitalized on upsell opportunities with offers of Type support and additional insurance policy options.
08/2005 to 04/2019 Loan Supervisor Methodist Healthcare Federal Credit Union | City, STATE,
  • Built strong relationships with clients by following up on previous purchases and suggesting new products.
  • Supervised site investigations, reported issues and escalated those that required further assistance.
  • Reduced workflow inconsistencies by recruiting and hiring capable staff members.
  • Communicated best practices among on-site and external personnel to align efforts and goals.
  • Facilitated change management activities for department and staff of Number individuals.
  • Performed customer needs assessments and coordinated resolutions with supply chain and quality teams.
  • Maintained store equipment, printers and fax machines.
  • Developed and implemented productivity initiatives, in addition to coordinating itinerary and scheduling appointments.
  • Reduced customer service complaints Number% by designing new methods of resolution.
  • Coordinated all companies, business executives and site leadership teams by interacting effectively and establishing communication best practices.
  • Prepared quotes for new products and services and composed budgets.
  • Recruited and developed Number employees for Type department.
  • Greeted and welcomed new members, establishing and updating memberships to Company Type programs.
  • Performed forecasting to identify necessary changes for supply chain business.
  • Engaged prospects and customers through trade shows, seminars and workshops.
  • Increased operational efficiency by developing improved filing systems for confidential client records and reports.
  • Performed payroll responsibilities every Number weeks by correcting any variances and scheduling conflicts.
  • Initiated Type service consultations with customers by questioning to learn customer needs and preferences.
  • Delegated daily tasks to over Number employees to provide development opportunities.
  • Streamlined and monitored quality programs to alleviate overdue compliance activities.
  • Used Software and Software to generate quotes and proposals for customers.
  • Generated Type and Type reports with Software to monitor quality assurance.
  • Consistently trained Number employees through Action and Action to minimize loss and increase sales.
  • Conducted supplier risk evaluations and assisted Job Titles with regulatory inspections.
  • Enhanced Type initiatives while managing effective marketing campaigns.
  • Decreased head-count from Number to Number while driving productivity by Number%.
Expected in to to | Finance University of Memphis, Memphis, TN GPA:
Expected in 05/1996 to to Diploma | Forrest City High School, Forrest City, AR GPA:

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Resume Overview

School Attended

  • University of Memphis
  • Forrest City High School

Job Titles Held:

  • Claims Representative
  • Licensed Insurance Agent
  • Loan Supervisor


  • Diploma

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