Insurance Claims Processor CV template - Free Download
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Insurance Claims Processor CV template
Insurance Claims Processor CV template
J essica J ones
1234 Mockingbird Way ! Sydney NSW ! (0400) 555-555 ! jessicajones@somedomain.com
Profile
INSURANCE CLAIMS PROCESSOR AUTOMOBILE LINE SPECIALTY
Dedicated insurance professional with more than 10 years of experience investigating
and processing automobile insurance claims. Excel in analysing damages/causes,
interpreting policies and negotiating payment solutions. Effectively manage multiple,
high-priority projects and take pride in providing exemplary customer service.
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Key Skills
" Claims Handling and Investigations
" Risk Assessment and Mitigation
" Damage Assessment
" Evaluation of Liability Exposure
" Claims Reports and Documentation
" Policy Interpretation
" Confidential Records Management
" NYS Auto Insurance Regulations
Experience
ABC INSURANCE COMPANY Forest Hills, NSW
Claims Processor, 7/02 to present
Analyze claims to determine extent of company’s liability, make approval or denial
decisions and negotiate settlements with claimants in accordance with policy provisions.
Collaborate with insurance agents and interview claimants to correct errors, rectify
omissions and investigate questionable issues.
Outcomes:
" Completed more than 2,500 claims throughout tenure. Provided optimum service to
policyholders, negotiated fair settlements and identified fraudulent claims.
" Achieved the highest number of inspection appointments (out of 162 colleagues) in
2007. Surpassed goal by averaging 45 appointments monthly (33% above quota).
" Selected by supervisor to assist with file closures; resolve complex claims-processing
issues; participate in quality-control audits; and monitor claim status updates.
" Maintained a superior quality rating of 94% in file handling and claims resolution
from 2003 to 2007, exceeding the 85% departmental goal.
DEF INSURANCE COMPANYAstoria, NSW
Associate Claims Adjuster, 6/98 to 7/02
Supported claims adjusters in processing hundreds of first- and third-party auto
insurance claims. Analyzed and determined completeness and validity of claims.
Assisted policyholders in a busy call-center environment.
Outcomes:
" Accompanied underwriters and insurance agents in the field to investigate claims
and determine cause and extent of damages.
" Uncovered fraudulent claims scheme; provided evidence leading to the recovery of
thousands of dollars in insurance overpayments.
" Developed a strong understanding of insurance policies and legal issues through
completion of a series of INS classes coupled with in-depth, multi-week claims training.
Education
Bachelor of Science, Major in Business, 5/02 ! ABC UNIVERSITY NSW
Training: Completed extensive training in auto insurance terminology (parts, repair and
medical procedures), NYS regulations; and customer service delivery.
Computers
SAP CRM; Vast; OnBase; Microsoft Excel, Word, Access, Outlook
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