Claims Specialist resume example with 20+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Summary
Having over 30 years in the insurance industry has provided my well-developed skills to succeed in customer service, investigation, and administration. My attributes of character, responsible, dedicated, adaptable, empathetic, and quick learner will help me in any job capacity.
Skills
Documentation review
Accident investigations
Coverage assessments
Settlement determinations
Outstanding clerical abilities
Background in insurance
Documentation skills
Reporting abilities
Insurance terminology
Medical terminology
Regulatory compliance understanding
Exceptional recordkeeping abilities
Insurance plan verification
Patient rapport
Electronic authorization processing
Account management expertise
Experience
12/2011 to 10/2021
Claims SpecialistLiberty Mutual – Bristol, CT,
Contacted policyholders, claimants and witnesses to determine liability in auto accidents.
Acted as intermediary between insurance companies and customers by researching and assessing information to determine claim validity.
Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
Investigated and analyzed requirements to improve timeliness of reports to customers.
Determined liability, compensability and benefits due on each claim.
Tracked and reported on patterns of claims and repeat offenders to help eliminate system abuse.
Managed asset recoveries for claims, including salvage and subrogation.
Negotiated settlements for uncomplicated claims in accordance with actual company liability.
Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
Researched coverage and premium options and supplied clients with best coverage available for individual needs.
Reviewed documentation and accounts to gain full picture.
Consulted with field support team, claim manager and other entities to receive support specific to assigned claim.
08/2003 to 12/2011
Customer Service RepresentativeIbex Holdings Limited – Dallas, TX,
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