Claims Manager Resume Examples

claims manager

  • Loss adjustment as per the terms & conditions of insurance policy. 
  • Dealing with marine claims on behalf of Ship-Owners & Charterer, Hull Underwriters and P&I Club Correspondent . 
  • Prepare report of findings of investigation. Collect evidence to support contested claims in court.
  • Interview or correspond with claimants, witnesses, authorities (port & customs), or other relevant parties to determine claim settlement, denial, or review.
  • Negotiated with the Port Authorities, Consignees & Carriers and liaised with various Authorities. 

claims manager

  • End to end management of a claims portfolio
  • Proactively managing multiple stakeholders throughout the claims process
  • Managing the claims administration team
  • Liaising and negotiating with third party insurance companies and negligent third parties
  • Recovering outstanding debt from liable parties

claims manager

  • Liaising and negotiating with insurance companies and negligent third parties
  • Examine claims forms and other records.
  • Monitor insurance claims.
  • Correspond with policyholders, claimants, witnesses, police, or other relevant parties. 

claims manager

  • Managing a portfolio of injury claims by influencing return to work and delivering on claim strategies;
  • Assessing and determining liability and entitlements in accordance with legislative requirements;
  • Establishing and maintaining effective relationships with injured workers and third party service providers;
  • Coordinating effective and necessary treatment for injured workers in line with treatment plans;
  • Accurately updating and maintaining the claims management system;
  • Working in accordance with relevant legislation and internal policies and procedures;
  • Preparing and conducting regular claim reviews.

claims manager

  • Processing claims through a call centre
  • Meeting daily and weekly targets
  • Develop or conduct orientation programs.
  • Training staff to use government software and programs.

claims manager

  • Managed a team of 5 dedicated claims adjuster 
  • Managed an SRS office on clients premises.
  • Worked very closely with clients CEO and underwriters 
  • Prepared and maintained an annual budget for the office

claims manager

  • Resolve complex claim related issues.
  • Verify that required claims data is properly logged into the system.
  • Confirm compliance with state and federal insurance regulations.
  • Responded to inquiries from claimants.
  • Knowledge and use of ICD-9, ICD-10 and CPT coding.
  • Maintained office supplies by performing regular inventory and ordering product. 
  • Answering multi-line telephone system.

claims manager

  • Selected to take over collection calls to insurance companies. Significantly increased revenue by building relationships that led to higher answer rate and quicker debt collection.
  • Initiated group talks over breakfast or lunch to review workload, everyday issues and ways to help each other.
  • Managed a claims team of 6 adjuster on the dedicated Moderate claims team for Lowes
  • Prepared and presented reports for and to the client

claims manager

  • Prepared and presented annual Stewardship to the client

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