Insurance Claims Specialist Resume
Insurance claims specialists review claims submitted by policyholders and determine if they are to be accepted or rejected. For this, they check if the mentioned claim is covered under the policy or not, supporting documents are attached or not, and determine the actual cost to be paid so that the company doesn't pay in excess or less to the policyholders. They also help insurance adjusters in reviewing disputed claims. They work in different industries such as auto, life insurance, and property. But the demand for this job position is higher in insurance companies.
Sample Insurance Claims Specialist Resume
Anthony W. Smith
4809 Hillside Street
Phoenix, AZ 85034
Phone: 480-460-5480
Email: awsmith@example.com
Career Objective:
Seeking an insurance claims specialist position in your organization to investigate and process automobile insurance claims.
Summary of Skills:
- Experience of investigation and assessing damage to vehicles and drafting reports
- Experienced in claims reporting and documentation
- Skilled in claims handling and investigations
- Skilled in records management and knowledge of AZ Auto Insurance Regulations
- Strong analytical and investigative skills
- Ability to handle phone calls, emails, and data entry duties
Work Experience:
Insurance Claims Specialist
AllCare Insurance Company, Phoenix, AZ
October 2015 - Present
- Analyzing claims and ascertaining if they are covered under the policy
- Investigation thoroughly and determining whether to accept or deny claims
- Negotiating settlement of claims with claims according to the policy provision
- Assisting claims adjusters in unusual claims and authorizing claims payments
- Setting reserves on payment and disbursing funds to clients
- Coordinating with the police and collecting a copy of accident report
Insurance Claims Specialist
United Insurance Group, Phoenix, AZ
February 2013 - September 2015
- Investigated and settled disputed claims outside the court in a friendly manner
- Evaluated damaged, assessed liabilities, and developed applicable negotiation strategies
- Testified in court with solid evidence against wrong claims filed by policyholders
- Communicated and negotiated with different types of insured and claimants, attorneys, and insurance carriers
- Participated in regular meetings with the upper management and suggested ways for improvement
- Monitored and corrected inconsistency in claims data
Education:
- Bachelor's Degree in Science
ABC University, Phoenix, AZ
2012
Reference:
On request.
