Claims Clerk Resume

A claims clerk may be an agency or an individual who helps insured in filing and settling claims with insurance companies. They are experts in reading through the lines of terns and conditions of insurance carriers and determining what works in favor and against the insured. Based on their legal and business knowledge, they review and assist people in completing insurance claims forms and ensure insurance companies settle the claims without any further delay.

As the job is related to insurance claims, be it medical, health, property, etc., knowledge of claims procedures is vital. In addition, the candidate applying for the job must show his/her computer, communication, interpersonal, negotiation, and analytical skills on a resume.

Claims Clerk Resume Example

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Michael L. Maddux
711 Glenview Drive
Corpus Christi, TX 78476
Phone: 361-463-4059
Email: mlmaddux@freemail.com

Career Objective:

A claims clerk position with an insurance carrier where my skills in resolving conflicts, handling customers' complaints, reviewing policies, gathering and processing information, negotiating payment, and settling disputes can help in maintaining business relationships with clients.

Summary of Skills:

• Excellent knowledge of different types of insurance policies and claims procedures
• Ability to verify completeness and authentication of insurance claims forms
• Ability to communicate with clients, customers and other associates amicably through written and verbal modes
• Excellent organizational, time-management, and data management skills
• Outstanding analytical, problem-solving, and negotiation skills
• Skilled in calculating claim amount and expediting settlement

Work Experience:

Claims Clerk
ABC Finances Inc., Corpus Christi, TX
January 2013 - Present

• Storing and retrieving code data from records and calculating insurance premiums
• Preparing list of customers defaulting payments, mentioning total pending amounts, and forwarding them to finance department
• Maintaining payment records in accounting books and in form of original documents and receipts
• Liaising with defaulting customers through emails, letters and telephone calls and forwarding feedback to the organization
• Preparing and reviewing insurance claim forms and other related documents
• Performing other secretarial functions, as per the organization's needs

Claims Clerk
PQR Finances Inc., Corpus Christi, TX
September 2011 - December 2012

• Performed all data entry and record keeping tasks related to claims accounts
• Drafted reminder letters and sent them across to defaulting customers and requested payments with late fine
• Reviewed insurance policies and maintained accuracy and timeliness in client accounts
• Processed incoming correspondence and reviewed claims and other supporting documents
• Make suggestions to the top level management in policy making and decision making tasks
• Prepared, organized, and posted claim kits to all new clients

Education:

• High School Diploma
  St. George School, Corpus Christi, TX
  2010

• Diploma in Insurance Management
  ABC Technical Institute, Corpus Christi, TX
  2011

Reference:

On request.