Resume Sample for Insurance Claims Specialist
INSURANCE CLAIMS PROCESSOR / SPECIALIST
Broadly experienced in Worker’s Compensation Claims Management
Company, Location, XX Date – Present
INSURANCE CLAIMS PROCESSOR
• Determine and approve disability payments and research claim status.
• Communicate with case managers in regard to employees’ return to work.
• Process insurance claims in compliance with mandated guidelines.
• Review medical billings and paperwork for accuracy and completeness.
• Address and resolve issues and implements preventative action plans.
Company, Location, XX
INSURANCE CLAIMS PROCESSOR Date – Date
• Determined the validity of Worker’s Compensation compensability claims.
• Investigated and gathered incident reports and information supporting claim.
• Filed required documentation with state agencies and ensured compliance.
• Coordinated early return-to-work efforts with the case managers and employers.
• Authorized payments and managed subrogation of claims.
• Developed and maintained professional customer relationships.
College, Town, XX
B.S. Business Accounting