A Claims Administrator works with insurance claims typically in healthcare or medical world and also deals with property insurance. Essential job duties listed on the Claims Administrator Resume include the following – administrating claims for professional and general liabilities; monitoring defense activities, managing and maintaining records; coordinating insurance process across departments, supporting and mentoring staff in insurance resources; reviewing claims submission, determining eligibility and level of coverage; preparing and monitoring insurance budgets and report; filing claims and updating databases with current information.
The summary of skills and qualification seen on resumes include the following – experience as insurance claims administrator, deep knowledge of workplace safety and insurance act; familiarity with insurance practices; deep knowledge of health and safety practices; outstanding abilities in using the computer and relevant software and superior communication skills. Employers prefer to hire those having a degree in relevant areas.
Summary : With a decade of extensive experience in claims administration, I excel at delivering efficient and effective solutions to complex claims issues. My expertise in collaborating with adjusters, legal professionals, and clients ensures seamless communication and resolution of claims, driving successful outcomes. I have a proven history of enhancing operational processes and fostering strong relationships with stakeholders to facilitate optimal claims management. Committed to maintaining high standards of service, I thrive in fast-paced environments while adapting to evolving challenges.
Skills : Advanced Excel Proficiency, Microsoft Office Suite Expertise, Exceptional Client Relations, Effective Communication Skills
Description :
Developed and operate the Third-Party Recovery Program for a leading publicly-held real estate company, enhancing recovery rates.
Surpassed property insurance brokers' subrogation efforts by over 400% in the program's first year.
Recovered and negotiated more than $5.5 million in subrogation funds, maintaining an average recovery ratio of 83%.
Authored a comprehensive training guide for the Third-Party Recovery Program, utilized by thousands of field employees across 300+ properties.
Created and delivered multimedia presentations on the Third-Party Recovery Program at corporate regional meetings, engaging audiences of several hundred.
Contributed articles to the quarterly Risk Management Department newsletter, enhancing departmental visibility and communication.
Managed complex billing and contract issues as assigned by upper management, ensuring compliance and resolution.
Experience
10+ Years
Level
Senior
Education
B.S. in BA
Sr. Claims Administrator Resume
Summary : Bringing a wealth of knowledge from a decade in claims administration, I specialize in streamlining claims processes and enhancing client satisfaction. My comprehensive experience in collaborating with diverse stakeholders—including adjusters and legal teams—facilitates effective claims resolution and operational excellence. I am dedicated to improving service quality and operational efficiency while navigating complex challenges. My proactive approach and commitment to team success consistently yield positive outcomes in high-demand environments.
Skills : Claims Management Software, Advanced Microsoft Office Suite, Effective Negotiation Techniques, Claims Order Processing, Claims Contract Management
Description :
Managed communication with drivers to generate accurate claims reports following accidents.
Monitored and updated claims status, ensuring timely resolution and closure.
Secured necessary police reports and documentation to support claims processing.
Coordinated repair orders for vehicles involved in accidents, utilizing Square Rigger for tracking.
Entered new invoices and work orders into the system for shop management oversight.
Facilitated the timely submission of invoices and work orders to accounting and relevant vendors.
Experience
7-10 Years
Level
Management
Education
B.S.B.A.
Jr. Claims Administrator Resume
Objective : Driven claims administrator with over five years of specialized experience in managing and resolving complex insurance claims. I possess a strong ability to analyze claims data and collaborate effectively with various stakeholders, including clients, adjusters, and legal teams, to ensure timely and accurate resolutions. My commitment to exceptional service and continuous process improvement has consistently contributed to enhanced operational efficiency and client satisfaction. I thrive in dynamic environments where attention to detail and strategic problem-solving are essential for success.
Draft and manage documentation related to damage claims, billing inquiries, and service complaints to ensure compliance with company policies.
Analyze and compile data from various sources to generate comprehensive periodic reports for management review.
Provide clear explanations of claims processes and regulations to clients and stakeholders, enhancing understanding and compliance.
Assess incoming correspondence to determine the nature of inquiries and prioritize responses effectively.
Generate acknowledgment letters and maintain organized correspondence records for efficient follow-up.
Review and ensure the accuracy of correspondence formats and typographical elements before submission for approval.
Maintain detailed files and control records to track correspondence activities and claim progress.
Experience
2-5 Years
Level
Executive
Education
B.S. in BA
Claims Administrator III Resume
Summary : A seasoned Claims Administrator with a decade of experience, I am adept at navigating intricate claims processes and ensuring timely resolutions. My strong analytical skills and collaborative approach with clients, adjusters, and legal teams drive successful claims management. I have consistently implemented process improvements that enhance operational efficiency and client satisfaction. With a focus on building and maintaining robust relationships, I excel in high-pressure environments while adapting to the dynamic nature of claims administration.
Skills : Microsoft Office Suite, Client Relations Management, Administrative Operations, Claims Processing, Data Analysis
Description :
Processed and updated all claims filed by customers, ensuring accuracy and compliance with regulations.
Managed the entire claims process from initiation to settlement, maintaining a high level of customer service.
Coordinated with various insurance companies to facilitate the claims submission process.
Developed training materials and assisted in decision-making for claims processing improvements.
Cross-trained employees on claims procedures to enhance team performance and efficiency.
Responded promptly to inquiries from stakeholders, ensuring clear communication and resolution of issues.
Documented and analyzed inquiries, comments, and complaints to identify areas for improvement.
Experience
7-10 Years
Level
Management
Education
B.S. in BA
Claims Administrator II Resume
Summary : With a robust background in claims administration spanning ten years, I possess a deep understanding of the intricacies involved in managing and resolving insurance claims. My strong analytical capabilities and collaborative approach enable me to effectively liaise with clients, adjusters, and legal teams, ensuring timely and accurate claim resolutions. I have successfully implemented process enhancements that not only streamline operations but also elevate client satisfaction levels. My commitment to excellence and proactive problem-solving equips me to thrive in dynamic environments, consistently delivering successful outcomes in claims management.
Processed incoming insurance claims for loss and damages, ensuring accurate documentation and compliance with company policies.
Input all claims data into the database for reporting and analysis, maintaining a high level of accuracy.
Facilitated weekly conference calls with insurance representatives to discuss claim statuses and resolutions.
Monitored assigned claims from initiation through to payment, ensuring timely follow-up and resolution.
Coordinated transportation requests, including obtaining quotes and tracking shipments for claims-related logistics.
Created comprehensive training materials to assist in the onboarding of new team members, enhancing their understanding of departmental processes.
Experience
7-10 Years
Level
Management
Education
B.S. in BA
Claims Administrator I Resume
Summary : Accomplished Claims Administrator with ten years of specialized experience in managing diverse claims processes and ensuring swift resolutions. My proficiency in analyzing claims data and collaborating with adjusters, legal teams, and clients fosters effective communication and optimal outcomes. I have a strong track record of implementing process improvements that enhance operational efficiency while maintaining high standards of service. My adaptability and strategic problem-solving skills enable me to thrive in fast-paced environments, consistently driving success in claims management.
Skills : Claims Management Software, Data Analysis and Reporting, Documentation and Reporting, Claims Processing Systems
Description :
Maintained regular communication with clients to ensure accurate and up-to-date information for claims processing.
Processed third-party claims online, ensuring compliance with manufacturer requirements.
Provided cross-departmental support to enhance operational efficiency.
Led various projects to improve claims processing workflows and outcomes.
Trained new employees on company policies and claims procedures to ensure compliance and efficiency.
Coordinated appointments and meetings to facilitate workflow and client interactions.
Organized and managed mass mailing projects to ensure timely delivery to clients and stakeholders.
Experience
7-10 Years
Level
Management
Education
B.S. in BA
Claims Administrator/Processor Resume
Headline : Bringing over seven years of specialized experience in claims administration, I adeptly navigate the complexities of insurance claims to ensure timely and accurate resolutions. My strong analytical skills, coupled with a collaborative approach, enhance communication with clients, adjusters, and legal teams, resulting in optimal claims management. I am dedicated to implementing process improvements that drive operational efficiency and elevate client satisfaction. My proactive problem-solving abilities empower me to thrive in dynamic, fast-paced environments while maintaining high service standards.
Skills : Microsoft Office Suite, Microsoft Word, Microsoft Excel, Claims Processing, Data Analysis
Description :
Managed the complete claims process from initiation to resolution, ensuring compliance with industry regulations.
Collaborated with Accounts Payable to reconcile claims-related invoices and maintain accurate financial records.
Facilitated monthly safety meetings and maintained records for compliance and recognition programs.
Processed daily check deposits while ensuring accuracy and timely reporting.
Assisted legal counsel in gathering necessary documentation and responding to discovery requests.
Analyzed billing discrepancies and provided management with detailed reports to aid in decision-making.
Participated in cross-departmental meetings to develop policies regarding workplace injuries and claims management.
Experience
5-7 Years
Level
Executive
Education
B.S. in BA
Claims Administrator/Specialist Resume
Summary : Analytical Claims Administrator with a focus on data-driven decision-making. Developed reporting tools that provided insights into claims trends, leading to strategic improvements and a 10% reduction in claim disputes.
Investigated, evaluated, and settled diverse claim exposures with a focus on accuracy.
Analyzed and identified suspicious claims, enhancing fraud detection efforts.
Recorded file notes, compiled supporting documents, and maintained a comprehensive diary system.
Coordinated appointments and facilitated seamless communication between vendors and clients.
Advised clients regarding claim-related facts and clarified liability issues effectively.
Informed customers of client decisions and provided transparent updates throughout the claims process.
Organized client and vendor data, developing efficient contact sheets for improved retrieval.
Experience
10+ Years
Level
Senior
Education
B.S.B.A.
Claims Administrator/Representative Resume
Summary : Bringing a decade of experience in claims administration, I am proficient in navigating complex claims landscapes to deliver timely resolutions. My strong collaborative skills enable effective communication with clients, adjusters, and legal teams, ensuring a seamless claims process. I have a track record of optimizing operational workflows and enhancing service quality, consistently contributing to improved client satisfaction.
Facilitated the collection and processing of guest and third-party donations for stays, ensuring accurate record-keeping.
Managed insurance modules within the guest database, maintaining up-to-date guest insurance information.
Prepared statistical data for the House and Guest Services Supervisor to enhance service delivery.
Collaborated with Children's Services to secure authorization for lodging and support services for families.
Entered and tracked all guest referrals in the guest services program for effective follow-up.
Liaised with insurance companies to coordinate travel and lodging logistics for families, ensuring smooth transitions.
Worked closely with the accounting department to collect and reconcile guest invoice payments, improving financial accuracy.
Experience
7-10 Years
Level
Management
Education
B.S.B.A.
Claims Administrator Resume
Headline : Possessing over seven years of dedicated experience in claims administration, I have honed my skills in efficiently managing and resolving complex claims. My role has involved close collaboration with insurance adjusters, legal teams, and clients, ensuring clear communication and effective resolution strategies. I am recognized for my ability to streamline processes that enhance operational efficiency and improve client satisfaction. My commitment to excellence and proactive problem-solving enables me to thrive in fast-paced environments, consistently delivering successful outcomes in claims management.
Skills : Microsoft Office Suite, Claims Processing, Insurance Regulations, Data Analysis for Claims, Stakeholder Engagement
Description :
Managed all phone communications related to claims, ensuring prompt responses to customer inquiries.
Resolved customer and insurance adjuster concerns through effective communication and problem-solving strategies.
Coordinated claims distribution to appropriate departments, ensuring timely follow-ups and updates.
Collaborated with cross-functional teams, including management and marketing, to enhance claims processing efficiency.
Generated job management and marketing reports weekly, providing insights for strategic decision-making.
Reviewed claim details to verify proper medical treatment coordination and investigation processes.
Proposed innovative solutions for claim resolution based on specific case facts.
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