claims processor Resume Examples

In a competitive job market, you need to make sure you stand out over the other applicants. Since your claims processor resume is typically your first introduction to the hiring manager, it needs to be top-notch. One way to make it effective is to include relevant, job-specific qualifications such as customer service, risk assessment and mitigation, communication, time management, claims software, records management, damage assessment, and multi-tasking skills. An employer usually spends a short amount of time glancing over each resume, so you need to grab attention right away. You can do this by incorporating terms from the job description and formatting the information so it is easy to read quickly. If you are unsure as to what a good resume should look like, look at our resume sample library, which includes resumes written by our professional writers. They have also put together industry-specific qualifications and skills that most hiring managers are looking for.

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claims processor

Demonstrates telephone customer service skills and empathizes with customers and claimants.
Organizes and prioritizes work to assure accuracy and productivity targets are met.
Effectively works independently and as a team.
Documents and preserves all verbal and written communication in the claims system.
Establishes and maintains accurate loss and expense reserves.
Conducts investigation into claims.
Submits payments to vendors weekly and properly controls claims expenses.

claims processor

Investigation and proccesing of claims
Recommends Approval/Rejection of claims
Develop company-client favorable business relationship
Processed and audited manual paper claims for Workers Compensation clients

claims processor

Process medical claims for the sate of TN, FL, LA, KS
Use citrx and Facets
Production 122-160 day
Reached out to pharmacies to verify missing required information to process claims

claims processor / collection specialist

Processed professional (1500) and facility (UB04) claim reimbursement according to managed care contracts
Contacted payers to follow-up on claim and payment status
Maintains compliance with applicable Department of Insurance regulations.
Keeps direct supervisor informed of significant developments in all assigned claims.

claims processor

Reviewed and processed medical claims and collected information as needed to insure swift and accurate payments to providers
Responds to any inquiries from Brokers/Agents, insureds, claimants, attorneys, outside business partners and internal staff in a timely, thorough and accurate manner.
Assign claims, pay vendors, process payments and denials.
Responds to insureds requests, questions, and review estimates