Claims Support Resume Sample

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Thaddeus Bradtke
141 McClure Lock,  San Francisco, CA
+1 (555) 631 5968

Work Experience


Claims Support Associate
06/2016 - PRESENT
Detroit, MI
  • Enters data or transactional information in an accurate and timely fashion in the CHSS and WINS(GEMS)/CMT systems
  • Performs copying and scanning of documentation on an as-needed basis
  • Sets up folders for new claims and new policies received from underwriting department or overseas insurers
  • Supports the activities of Claim Representatives, Claims Specialists, Claims Technical Associates, and recovery staff, including responding to queries from claimants, brokers and others regarding payment status; and maintaining and ordering office supplies
  • Coordinates claim payments via a bordereau system, including preparation of bordereaus, processing checks, remitting funds to claimants and vendors by check and wire, and collection of funds from overseas insurers
  • Records and monitors incoming/outgoing fund by using spreadsheet
  • Opens, indexes and date stamps incoming mail in a timely and accurate fashion
Claims Support Analyst
07/2013 - 02/2016
New York, NY
  • Retrieves and files claim files in Laserfiche to ensure files are filed in an accurate fashion
  • Drops mail in claim files in a timely and accurate fashion to ensure accurate documentation is maintained in claim files
  • Provides back-up mail services including Fedex, certified mail, etc. to the operations unit on an as-needed basis
  • Pulls files for audits in a timely fashion and runs reports in preparation for marine audits
  • Assists with special projects requested by OMC members, including, but not limited to, research data for reports, prepare letterheads, print out reports, creating and updating spreadsheets
  • Process vendor requests from claim staff so that a new vendor can be added to the Vendor Maintenance Table. This involves verifying that the vendor is not already in the table, then completing a Vendor Request Form (found on the Source) and forwarding it to the CSC Processing Unit for entry into WINS(GEMS)
  • Responsible for maintaining inventory of OMC office supplies and reordering items as needed
  • Provides clerical support, including filing, answering phones, etc. Manages filing systems, prepares batch files and enters episode records within one-to-two days of receipt
  • Prepares general documents. Assists with special projects as needed
Receptionist Claims Support
06/2010 - 05/2013
Los Angeles, CA
  • Acts as primary liaison between the manager and patient. Provides relief receptionist coverage
  • Assure performance standards are achieved by daily monitoring of inventory, conducting quality audits of the team’s work product and surveying customer’s as appropriate
  • Produce trending and analysis reporting of the team’s performance as requested
  • Insurance claims experience
  • Identifies performance issues and/or trends and provides Unit Leader with feedback on individual’s progress, performance and opportunities
  • Reviews orders that are ready to ship to customers. Verifies the correct product, quality, and quantity of order prior to shipment
  • Verifies products on pallet by confirming contents to customer invoice
  • Ensures pallets are packed correctly to limit damage and product loss. Ensures address labels are correct on reviewed pallets

Education


University of Phoenix - Hawaii Campus
2004 - 2009
School's Degree in Business

Professional Skills


  • Demonstrates strong relationship building skills, initiative, and work prioritization and organizational skills
  • Strong proficiency with Microsoft Office software, specifically strong typing and data entry skills
  • Attention to detail and strong numeric, organizational, and filing skills
  • Strong communication and problem solving skills, explain insurance so that it’s easy to understand for the customer
  • Strong personal computer and keyboarding skills
  • Strong and effective communications skills, both verbal and written
  • Proven oral and written communication skills required

How to write Claims Support Resume

Claims Support role is responsible for training, customer, insurance, excel, basic, organizational, research, reporting, shipping, health.
To write great resume for claims support job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For Claims Support Resume

The section contact information is important in your claims support resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your Claims Support Resume

The section work experience is an essential part of your claims support resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous claims support responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular claims support position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Claims Support resume experience can include:

  • Working together with a view to building strong relationships with staff and customers
  • Experience teaching, mentoring, and providing feedback to teammates
  • Experience working in an office setting
  • Strong computer knowledge, including use of Word and Excel
  • Good understanding of the company’s departments, distribution methods, and product flow desirable
  • Experience in a production environment meeting quality standard

Education on a Claims Support Resume

Make sure to make education a priority on your claims support resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your claims support experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Claims Support Resume

When listing skills on your claims support resume, remember always to be honest about your level of ability. Include the Skills section after experience. Present the most important skills in your resume, there's a list of typical claims support skills:

  • Proven customer service and follow-up skills
  • High level of organizational skills and the ability to prioritize and multi-task
  • Perform basic mathematical skills including, but not limited to: addition/subtraction, multiplication/division and fractions/percentages
  • Intermediate PC skills; including Excel, Word, Outlook
  • Computer skills (Word/ Excel )
  • Exceptional customer service skills and focus - always and no exceptions!

List of Typical Experience For a Claims Support Resume

1

Experience For Claims Support Associate Resume

  • Provide Adjuster support to ensure efficiency and effectiveness
  • Mentors and trains less experienced staff
  • Processes transactional items such as creating and mailing correspondence, preparing invoices, etc. Ensures all correspondence is compliant
  • 30 % - Provides input and recommendations to Manager regarding performance management and related issues
  • Assist in training and development of Claims Support Coordinators
2

Experience For Claims Support Specialist Resume

  • Maintains electronic and hard copy files as required; includes file purging and retention
  • Responds to Adjuster and Unit Manager requests such as retrieving files, data inquiries, preparation for audit, research and problem resolution
  • Utilizing established guidelines, obtains needed information to secure timely recovery of recoverable payments
  • Prepares settlement drafts and correspondence
  • Initiates calls to external customers, vendors, medical providers, local authorities and/or attorneys to request, complete and expedite documentation such as police reports, medical bills and medical records
  • Composes formal correspondence such as Requests for Information, Acknowledgement Letters, Excess Letters, Resolution Letters, Policy Limit Demands, etc
  • Locate and retrieve prescriptions / patient demographic forms when requested
3

Experience For STD Claims Support Specialist Resume

  • Main point of contact for Fleet Management customers and groups that call and/or email the Risk Management Department
  • Initiate customer calls upon new customer set-up to develop customized profiles and communicate procedures
  • Administer first report of loss through communication with fleet driver, fleet contact or group personnel
  • Assign claim status based on initial negligence of driver and applicable law
  • Refer customers to approved body shops and arrange tows and rentals with continual follow-up through repair process
  • Extend substitute rentals and finalize bill for payment
4

Experience For Claims Support Analyst Resume

  • Identify damaged aftermarket equipment is repaired properly and through appropriate vendors
  • Understand lease type, term, book and market value for customer and group claim specific discussion
  • Discuss cycle and total loss claims with group personnel and customer
  • Communicate loss history with group personnel
  • Act as a liaison between EFM Groups, customers and the Risk Management teams
5

Experience For Claims Support Unit Team Leader Resume

  • Handle after-hour payments for release of vehicles upon request
  • Handle incoming and outgoing calls to internal partners and external contacts such as customers, vendors, medical providers, attorneys, law enforcement agencies, etc
  • Maintain and prepare files which includes forwarding files and photos to claims team members (claims reps, attorneys, subrogation, salvage, etc.), archiving old files, updating filing system and managing file inventory
  • Prepare settlement drafts and correspondence
  • Maintains up-to-date information in databases to support high quality company standards and turn around time
  • Prepare, scan and rename Claims files in accordance with established procedures
6

Experience For Offshore Claims Support Manager Resume

  • Ensure the timely retrieval of records when necessary
  • Transmits claims documents, form letters and other administrative documentation to appropriate parties
  • Reviews and handles e-mail, mail, and composes and types routine correspondence
  • Processes and prints loss run reports and disseminates to appropriate staff, create, maintain and run various departmental reports as required
  • Assist company to create a paperless environment
7

Experience For Dir, Claims Support Resume

  • Mail- out checks to correct address
  • Responsible of maintain storage room clean and organized
  • English (written and verbal)
  • New Claim set up and correspondence
  • Monitor claims within workflow system
  • Reviews new claims and assigns them to adjusters. Reassigns claims as needed
8

Experience For Claims Support Frontline Leader Resume

  • Manages, organizes and routes incoming/outgoing mail and faxes; includes monitoring of printers and fax machines. Ensures all correspondence is scanned as appropriate
  • Performs data entry and runs reports as needed. Reviews data regularly and track/report trends
  • Order supplies for the department
  • Participates in special projects as assigned
  • Manages some collection vendor processes
  • Collects and file bills/documentation
  • Confirms claim recovery and amount of payment
  • Processes Recovery checks

List of Typical Skills For a Claims Support Resume

1

Skills For Claims Support Associate Resume

  • At least two years of office and administrative experience
  • Stay organized, focused and prioritize in order to complete tasks
  • Demonstrates the Direct Line Group Values
  • Research, validate and correct data
  • Customer service experience in the insurance industry
  • Experience in a medical claims environment required
  • Three years of claims or related administrative experience
  • Experience working in an office setting
2

Skills For Claims Support Specialist Resume

  • Provides excellent customer service by responding in a timely and appropriate manner to all internal and external customer inquiries
  • Insurance related clerical experience in an office environment
  • Sending out Certified – Mail and noting on system
  • Responsible for clerical functions such as copying, filing, mailing claims correspondence to various external customers
  • Run basic reporting and initiating payment processing
3

Skills For STD Claims Support Specialist Resume

  • Responsible in assisting customers on Resolution line, answering questions and directing calls
  • Stamp all mail received, note on GA, scanning to shared drive, and forward documents to handling adjuster
  • Meet department targets, objectives and SLA’s through managing department workloads. Complete allocation by 4pm
  • Assistant claims staff in sending out correspondence
  • File forms, photocopy and data entry/typing
  • Knowledge of medical claims support functions, medical terminology and related data entry processing required
  • Comfortable using multiple computer programs simultaneously to research, resolve, and document requests
  • Coordinates office shredding with our clients vendor
  • Create and assign new claims including full-insurance, Accident Management, outside total loss and glass
4

Skills For Claims Support Analyst Resume

  • Communicate claims status with customers and Groups including recovery efforts, repair and rental status
  • Participate and lead prospect calls and customer training upon request
  • Research and communicate billing questions, errors and concerns as needed
  • Conducts weekly quality audits, assists with training, and resolves escalated phone calls
  • Handles the daily receipt of mail and utilizes computer and filing systems to input or access patient records or information
  • Maintain general filing for all closed files
  • Review all faxes, placed on shared drive, note on GA, and forward to handling adjuster
  • Assist on creating acknowledgment letters
  • Proficiency in Microsoft Excel
5

Skills For Claims Support Unit Team Leader Resume

  • 9,000 Keystrokes per hour
  • UIS, Claim Centre & IS 2000 knowledge
  • Knowledge of the general insurance industry and DLG strategy (beneficial)
  • Knowledge of local operation
  • Manage, inspire and motivate team to achieve all performance targets and instil collaborative team work creating a positive culture and environment with a resulting high performance ethos
  • Enter medical claims data into system
  • Maintain daily claims log records and activity
6

Skills For Offshore Claims Support Manager Resume

  • Set up group and claimant folders, both electronic and physical files
  • Scan, Index and File
  • Answer overflow phone calls, as needed
  • Other administrative tasks, as assigned/requested
  • Obtain or currently hold an Associate in Claims (AIC) designation in Auto and Foundation Curriculum
  • Follow-up on claims forwarded to internal departments for review such as UM, contracts, eligibility, UM Physician and Medical Director Review
  • Be responsible for entering Claims into the IDX database; following up on routine pended claims when needed such as those pending for request of Medical records or notes, TAX ID information
  • Prepares verified pallets for shipping by restacking and rewrapping pallet back to original configuration
  • Documents and records the accuracy of pallets. Assists in reviewing and improving processes to reduce inaccuracies
7

Skills For Dir, Claims Support Resume

  • Reviews and manages incoming Contracts and Amendments to determine appropriate action based on new or renewal status and premium paid status
  • Proficient in Microsoft Office programs, including Excel and OneNote
  • Records data, communicates with supervisors to go audit results, and addresses concerns regarding outbound pallets
  • Lift and move objects weighing up to 60 pounds
  • Proof of driver's license & insurance required
  • At least two (2) year’s experience working in an office environment; OR Any equivalent combination of experience and training that provides the required knowledge, skills and abilities
  • Creates claim data spreadsheets, including formatting, formulas, macros and pivot tables to prepare for claim entry. Enters claims into the appropriate administrative systems
8

Skills For Claims Support Frontline Leader Resume

  • 1 –2 years of experience in a production environment
  • Post-secondary education or equivalent experience
  • Administrative - clerical support experience
  • Good business judgment, professional demeanor and ability to provide exceptional customer service support
  • Long term disability claims and/or clinical experience
  • Disability claims experience
  • Insurance claims experience
  • Related warehouse experience required
9

Skills For Senior Claims Support Coordinator Resume

  • Demonstrated ability to perform in a production, team-based environment
  • Follow-up with repair shops to confirm arrival of vehicle, repair time calculation and validation of downtime
  • Commit to a 6 months assignment
  • Work and adapt to new technology programs
  • Proficiency in Microsoft Office: Excel, Word; Outlook
  • Familiarity with STD procedures
  • Reviews product code dates and verifies that the code dates meet shelf-life guarantee
  • Work varied shifts and overtime, when required
  • Work in cold environments (fresh, frozen, or dry grocery)
10

Skills For LTD Claims Support Specialist Resume

  • Work varied shifts and overtime when required
  • Familiarity of key customer service concepts such as first call resolution
  • Conducts file maintenance/preparation - forward files and photos as needed (to Claims Reps, Attorney, Subrogation, Salvage, etc.), archives older files, updates filing system as needed, manages file inventory, etc
  • Initiates payment processing (bills, refunds, expenses, incoming medical bills, etc.)
  • Screens and directs telephone calls while offering general assistance to customers as needed

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