Claims Specialist Resume Examples

claims specialist

  • Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
  • Check to ensure that appropriate changes were made to resolve customers’ problems.
  • Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
  • Review claims adjustments with dealers, examining parts claimed to be defective, and approving or disapproving dealers’ claims.

senior claims specialist

  • Examine claims forms and other records to determine lienholder ‘s interest in the insurance claim is protected and claim funds are released per compliance and investor guidelines.
  • administer insurance claim disbursements 
  • review property damage estimates
  • Prepare report of findings of escalated compliants 
  • Review Inspect reports on damaged property, examining its general condition and status of repairs 
  • Monitor insurance claims to ensure repairs are completed to protect the interest of the lienholder, homeowner and contractors involved. 
  • Perform administrative tasks, such as maintaining records and financial accounting of claim funds. 

claims specialist

  • Handling MTPL claims
  • Building standards and processes in a newly-formed company department
  • Corrected and processed claims.
  • Confer with clients to obtain claim details and provide information when claims are filed. 

claims specialist

  • Evaluate scanned images (DL’s, insurance card, paperwork) and enter the necessary information accurately into a billing system.
  • Edit/correct billing codes as needed
  • Meet with management regarding trends or billing errors.
  • Assist clients with vehicle total loss claims by entering their total loss claim into the system.  

claims specialist/due diligence

  •  Responsible for Validating and updating information in the loan servicing system.
  • Reviewing prior lender service and payment history.
  •  Process claims to finalize resolution of estimates.
  • Track and update information reflecting the life of the loan.
  • Maintain documents in accordance with Nelnet’s policies and procedures.
  • Finalize claim and process.
  • Work with other departments as assigned.

claims specialist

  • File insurance claims accurately, and timely 
  • Input new frames to the system
  • Return exchanged contacts
  • Help patients with any questions they have

claims specialist

  • Replying to claimants’ queries
  • Calculating damages and making payment decisions
  • Handling appeals
  • Uploaded the necessary claims documents into the Oasis claims system

claims specialist

  • Critical thinking and problem solving: understanding what a policy holder needs and form a solution.
  • Compassion and patience: during moments of trauma or crisis.
  • Communication Skills: listening and speaking. 
  • Review work done by others to check for correct accuracies to ensure that company format policies are followed, and recommend revisions.

claims specialist

  • Troubleshoot device and web-related issues

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