Insurance Claims Specialist Resume

Resume Sample for Insurance Claims Specialist
 
INSURANCE CLAIMS PROCESSOR / SPECIALIST
 Broadly experienced in Worker’s Compensation Claims Management

PROFESSIONAL EXPERIENCE
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. 

EDUCATION
College, Town, XX 
B.S. Business Accounting 

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