Claims Specialist Resume
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3428 Walnut Avenue
Rochelle Park, NJ 7662
(123)-506-5776
j.johnson@emailaddress.com
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
