Claims Representative Resume Examples

claims representative

  • Investigated and obtained recorded statements on all lost time Louisiana workers’ compensation claims
  • Determine compensable decisions
  • Paid timely medical and indemnity benefits
  • Negotiated settlements

claims representative

  • Interview or correspond with insured, claimants and witnesses to determine claim settlement, denial, or review.
  • Review police reports, medical bills, invoices or physical property damage to determine the extent of liability.
  • Investigate and assess damage to property.
  • Analyze information gathered by investigation, and report findings and recommendations to senior management.
  • Negotiate claim settlements. 
  • Identified and acted on damage mitigation opportunities. 
  • Prepare monthly and yearly and cost analysis reports for senior management.

senior claims representative

  • Direct and guide investigation of high exposure accidents.
  • Evaluate the need for retaining defense counsel. 
  • Attend depositions, mediations, mandatory settlement conferences, etc.
  • Attend and contribute to bi-annual company wide litigation review. 
  • Respond to the scene of high exposure accidents. 
  • Interview and correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.

claims representative

  • Handled incoming calls from policy holders
  • Resolved problems and corrected policy errors
  • Advised coverage to policy holders and processed claims
  • Evaluate claims for coverage, liability, bodily injury and property damage.

claims representative

  • File and process client insurance claims.
  • Conduct interviews or correspondence with claimants, witnesses, police, or other relevant parties to determine claim liability.
  • Investigated coverage and liability for non-injury proprty claims.
  • Reimburse clients for payments they made that should have been covered.
  • Resloved claims in a timely manner.
  • Provided a high level of customer service.

claims representative

  • Review insurance balances to determine why there was still a balance
  • Outbound calls to insurance companies for information on non-payments
  • Managed Lost Time Louisiana and Arkansas workers’ compensation claims
  • Provided swift and excellent customer service to insureds, agents, and claimants

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