commercial lines underwriter resume example with 14+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary
Analytical, detail-oriented and experienced professional proficient in health and medical information gathering, report preparation and healthcare data compilation capabilities. In-depth knowledge of insurance coverage forms, procedures and policies. Accommodating and logical individual skillful in creating customized requests for each client within the insurance industry. Prefer to utilize my extensive education and experience to obtain a position as a Healthcare Data Analyst.
Skills
Producer Support
Data Review
Application Analysis
Profitability Evaluations
Analyzing Data
Managing Risk
Business Practices Knowledge
Data Collection
Critical Thinking
Data Management
Friendly, Positive Attitude
MS Office
Reliable and Trustworthy
Working Collaboratively
Team Management
Organizational Skills
Computer Skills
Microsoft Office
Problem Resolution
People Skills
Customer Service
Work Ethic
Education and Training
Utica CollegeUtica, NYExpected in 05/2004 ā āMaster of Science:Economic Crime Management - GPA:
SUNY Polytechnic InstituteUtica, NYExpected in 05/1999 ā āBachelor of Science:Health Information Management - GPA:
Mohawk Valley Community CollegeUtica, NYExpected in 05/1996 ā āAssociate of Science:Liberal Arts And General Studies - GPA:
Communicated with medical providers, claimants and employers to provide invested parties with claim information and facilitate necessary participation.
Monitored claim progress and issued appropriate notices to maintain continued progress on claim processing and eliminate liability to company.
Completed continuing education courses to remain current on applicable laws and expand upon understanding of relationships between statutory requirements and company policies.
Coordinated with medical professionals to arrange treatment for injured claimants and provide relevant information to medical offices regarding policy coverage and claimant work conditions.
Calculated amounts owed to claimants and issued company checks for appropriate compensation to close claims completely.
Received claim reports filed and performed preliminary evaluation to advise on merits of claim and determine appropriate level of company resource investment in processing.
Maintained current knowledge of claim reserve levels and prepared reports on funds available for distribution to claimants to prevent overdraft.
Determined completeness of claims filed to recommend consultation with independent medical practitioners for further documentation or diagnosis.
Applied personal judgment in evaluating legal status of claims and interacting with claimants to minimize company liability and alert legal department of risky claims.
Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures.
Conducted interviews, gathered detailed information and forwarded claims if field investigations were necessary.
Conferred with claimants to gather additional claims information and educate on claim processes, terms and conditions, requirements and ramifications of filing claim.
Obtained necessary information to complete proper evaluation of injury claims.
Reviewed data to verify validity of claims and determine case management actions.
Complied with company and insurance client's guidelines in claims processes, estimate writing and claim closures.
Interviewed claimants, medical specialists and employers to determine pertinent claim information.
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