Profile Driven and Self - motivated
professional Claim Representative with a career of 21 years of experience within the insurance industry.
Not exact matches
Alison, who has been appointed by British Dressage as their
representative on the British Equestrian Federation Appeals Board, specialises in equine litigation issues, and advises on liabilities related to horses, sale and purchase disputes as well as negligence
claims against veterinary
professionals and other equine industry workers.
Acting as legal
representative for the owner of a property business with a substantial
professional negligence
claim against the company's former accountants for advice given regarding VAT.
We act as Insurers
Representative on big ticket
claims against
professional services organisations around the world.
Their
representative was courteous and
professional, and began processing my
claim instantaneous.
I have not filed a renters insurance
claim, but the process seems easy, fast and clear enough and the
representatives seem nice and
professional.
We support our distributors with a dedicated sales team, in - house marketing, and
professional and courteous
claims and customer service
representatives.
When you ask your Maryland
representative to handle a renters insurance
claim for you, you want to know they have the
professional experience to handle it properly.
If you want to have some
professionals on your side who are familiar with all types of
claims, then you should consult with a Lexington renters insurance
representative to see what they have to say.
Writing the
Claims Representative Resume Template Create Resume When a client calls an insurance company, that first point of contact needs to be a helpful
professional.
QUALIFICATIONS Dedicated insurance
professional with more than 20 years of experience as an inbound / outbound customer service agent,
claim re-price
representative and effectively managing multiple high priority projects.
Professional Summary Responsible Patient Account
Representative proficient in medical
claims process...
Experienced insurance
professional with strong investigative skills, as well as effective research abilities, looking to re-enter the job force as a
claims representative.
Professional Experience Sherman - Williams (Dacula, GA) 2007 — 2008 Store Associate Warranty Corporation of America (Norcross, GA) 2002 — 2006 Senior Account Manager Warranty Corporation of America (Norcross, GA) 2001 — 2002 Account Analyst Warranty Corporation of America (Norcross, GA) 2000 — 2001
Claims Adjuster Equifax (Atlanta, GA) 1999 — 2000 Customer Service
Representative Maurexpo LTDA (Columbia, South America) 1997 — 1999 Export Coordinator
Tags for this Online Resume: Communitcation, Casualty
Claims,
Claims Representative, Ohio, Insurance
Professional, Negotiation
Director of Human Resources / HR Consultant —
Professional Duties & Responsibilities Oversee the planning, direction, and management of all HR - related activities including staff recruiting, candidate tracking, personnel screening and testing, and hiring processes in accordance with Affirmative Action and Equal Opportunity Employment regulations Support senior management to develop and maintain personnel policy and ensure compliance with all standards, authoring and implementing new policies and procedures as needed along with creating HR procedure manual Serve as lead analyst for compensation reviews, performance and pay - scale benchmarking, market studies, and salary structure decisions, also creating organizational / staff planning charts for all departments and all positions Create and deliver firm - wide staff new - hire orientation, training and development programs, and performance evaluations utilizing a competency - based appraisal system which leads to focused training and development programs based on common and individual areas of performance deficiency Manage all aspects of workers compensation and unemployment claims on behalf of employer, attending hearings and participating actively in all related meetings Hold responsibility for all benefit negotiations, administration, and plan reviews, promoting compliance with and effective execution of IRS / DOL regulations, ERISA, HIPPA, and all audit - related processes Implement and sustain safety programs while performing regular safety - policy trend analyses to identify critical issues, developing corrective action plans to ensure compliance with applicable safety, health, and environmental regulations including OSHA and other applicable laws Consult with management regarding employee - and labor - related issues to resolve conflicts in a professional manner, conducting grievance hearings and negotiation agreements with worker representatives within the provisions of any applicable contract Provide relevant guidance and administration to the development of human resources site on firm intranet, housing online - employment forms, manager resources, job postings, and HR - related forms and documents Develop valuable staff relationships to improve workplace morale as well as maintain positive business relationships with all related brokers
Professional Duties & Responsibilities Oversee the planning, direction, and management of all HR - related activities including staff recruiting, candidate tracking, personnel screening and testing, and hiring processes in accordance with Affirmative Action and Equal Opportunity Employment regulations Support senior management to develop and maintain personnel policy and ensure compliance with all standards, authoring and implementing new policies and procedures as needed along with creating HR procedure manual Serve as lead analyst for compensation reviews, performance and pay - scale benchmarking, market studies, and salary structure decisions, also creating organizational / staff planning charts for all departments and all positions Create and deliver firm - wide staff new - hire orientation, training and development programs, and performance evaluations utilizing a competency - based appraisal system which leads to focused training and development programs based on common and individual areas of performance deficiency Manage all aspects of workers compensation and unemployment
claims on behalf of employer, attending hearings and participating actively in all related meetings Hold responsibility for all benefit negotiations, administration, and plan reviews, promoting compliance with and effective execution of IRS / DOL regulations, ERISA, HIPPA, and all audit - related processes Implement and sustain safety programs while performing regular safety - policy trend analyses to identify critical issues, developing corrective action plans to ensure compliance with applicable safety, health, and environmental regulations including OSHA and other applicable laws Consult with management regarding employee - and labor - related issues to resolve conflicts in a
professional manner, conducting grievance hearings and negotiation agreements with worker representatives within the provisions of any applicable contract Provide relevant guidance and administration to the development of human resources site on firm intranet, housing online - employment forms, manager resources, job postings, and HR - related forms and documents Develop valuable staff relationships to improve workplace morale as well as maintain positive business relationships with all related brokers
professional manner, conducting grievance hearings and negotiation agreements with worker
representatives within the provisions of any applicable contract Provide relevant guidance and administration to the development of human resources site on firm intranet, housing online - employment forms, manager resources, job postings, and HR - related forms and documents Develop valuable staff relationships to improve workplace morale as well as maintain positive business relationships with all related brokers and vendors
Professional Experience Blue Cross of California (Pomona, CA) 2005 — Present
Claims Examiner / Customer Service Representative • Research, analyze, code, and process claims for payment in a timely, accurate, and organized manner • Adjust, void, and reopen claims as needed to ensure proper adjudication • Resolve inquiries, issues, and adjustments regarding benefits, policies and contracts • Oversee and support special customer service and claims related initiatives • Provide exceptional in person, telephone, and email customer service ensuring client satisfaction • Train junior team members in industry best practices and corporate protocols • Offer additional administrative support including filing, data entry, and inventory mana
Claims Examiner / Customer Service
Representative • Research, analyze, code, and process
claims for payment in a timely, accurate, and organized manner • Adjust, void, and reopen claims as needed to ensure proper adjudication • Resolve inquiries, issues, and adjustments regarding benefits, policies and contracts • Oversee and support special customer service and claims related initiatives • Provide exceptional in person, telephone, and email customer service ensuring client satisfaction • Train junior team members in industry best practices and corporate protocols • Offer additional administrative support including filing, data entry, and inventory mana
claims for payment in a timely, accurate, and organized manner • Adjust, void, and reopen
claims as needed to ensure proper adjudication • Resolve inquiries, issues, and adjustments regarding benefits, policies and contracts • Oversee and support special customer service and claims related initiatives • Provide exceptional in person, telephone, and email customer service ensuring client satisfaction • Train junior team members in industry best practices and corporate protocols • Offer additional administrative support including filing, data entry, and inventory mana
claims as needed to ensure proper adjudication • Resolve inquiries, issues, and adjustments regarding benefits, policies and contracts • Oversee and support special customer service and
claims related initiatives • Provide exceptional in person, telephone, and email customer service ensuring client satisfaction • Train junior team members in industry best practices and corporate protocols • Offer additional administrative support including filing, data entry, and inventory mana
claims related initiatives • Provide exceptional in person, telephone, and email customer service ensuring client satisfaction • Train junior team members in industry best practices and corporate protocols • Offer additional administrative support including filing, data entry, and inventory management
Professional Experience Progressive Insurance (Roseville, MN — 2000 to 2010) Senior
Claims Manager — MN
Claims Unit (2003 — 2010)
Claims Manager — MN
Claims Unit (2003 — 2010) Country / MSI Insurance (Arden, MN — 1991 to 2000)
Claims Supervisor (1996 — 2000) Commercial Casualty
Claims Representative (1994 — 1996) Casualty
Claims Representative (1992 — 1994)
Claims Representative (1991 — 1992) Deluxe Corporation, Inside Sales Consultant (Shoreview, MN — 1989 to 1991)
High Point Insurance (Red Bank, NJ) 6/2003 — 5/2005
Claims Service Associate • Consistently recognized for excellence in customer service and team leadership • Research and resolve customer questions and concerns in a timely and effective manner • Prepare 2,000 microfiche documents for image scanning using the Mekel Index System • Update and maintain claims for 200 representatives using the Attachmate system • Responsible for handling 500 customer account records for auto, home, and water craft policies • Build and strengthen professional relationships with clients resulting in referrals and client l
Claims Service Associate • Consistently recognized for excellence in customer service and team leadership • Research and resolve customer questions and concerns in a timely and effective manner • Prepare 2,000 microfiche documents for image scanning using the Mekel Index System • Update and maintain
claims for 200 representatives using the Attachmate system • Responsible for handling 500 customer account records for auto, home, and water craft policies • Build and strengthen professional relationships with clients resulting in referrals and client l
claims for 200
representatives using the Attachmate system • Responsible for handling 500 customer account records for auto, home, and water craft policies • Build and strengthen
professional relationships with clients resulting in referrals and client loyalty