Sample Claims Specialist Resume

Posted in Specialist Resume Examples

John Johnson
3428 Walnut Avenue
Rochelle Park, NJ 7662
(123)-506-5776
[email]

Job Objective Seeking work as a Claims Specialist so I can use my skills and past experiences to better the company. Bringing specialized knowledge to the table to also improve your company with my skills.

Summary of Qualifications:

  • Vast experience in claim adjusting, claims management and claims program management
  • Sound knowledge of insurance coverages, contracts, claims handling guidelines, legal and medical terminology
  • Skilled in reviewing and interpreting account histories and statements
  • Thorough knowledge of multiple claim process guidelines
  • Proficient with Microsoft XP, Excel, MS Access and Word
  • Ability to analyze medical records and legal documentation
  • Remarkable ability to analyze problems and identify alternative solutions
  • Self motivated and able to work independently
  • Superior verbal and written communication skills
  • Excellent organizational, customer service, leadership, decision making and communication skills

Work Experience:

Claims Specialist, May 2006 – Present
CoreLogic, Rochelle Park, NJ

  • Ensured compliance with company and customer standards.
  • Reviewed and determined reimbursement amounts to client.
  • Ensured accuracy and completeness in validating claims.
  • Utilized claims tools to analyze and make accurate assessments.
  • Recognized and acted on opportunities to mitigate damages following a loss.

Claims Specialist, March 2003 – April 2006
Shawmut Design and Construction, Rochelle Park, NJ

  • Coordinated information and documents to bring claims to closure.
  • Ensured flow of information to appropriate channels.
  • Monitored all opened claims and lawsuits to quickly provide necessary information.
  • Facilitated settlement discussions.

Education

Bachelor’s Degree in Risk Management, Saint Paul College, Saint Paul, MN

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