Claim Adjuster Resume Samples - Page 2

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A Claim Adjuster investigates insurance claims by interviewing both the claimant and the witness, analyzing police and hospital records, and inspecting property damage to determine how liable the company is for the claim. Sample Claim Adjuster resumes will include such skills as multi-tasking involving liability investigations, research, phone calls, e-mails and faxes in a fast-paced environment, and identifying and investigating suspicious claims. Typically, Claim Adjuster resumes will include a four-year degree in a business-related field, as far as an educational background is concerned.

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11

System Analyst/programmer Support and Senior Claim Adjuster

  • Maintained the security and built computation rules for large group claims policy in the mainframe system.
  • Provided initial training and on-going system communications updates by supervising and training over 100 staff.
  • Solved systems support problems for users and vendors by utilizing expert knowledge of large group claim policy.
  • Managed and trained new claim adjusters with an emphasis on accuracy.
  • Maintained high claims processing productivity in making decisions on payment of medical, dental, vision, life, accidental death and dismemberment claims.
  • Resolved difficult questions and problems for insured, brokers, and others that the telephone representatives were unable to handle. Built strong reputation with outside vendors by helping them address their employees.
  • Ensured accuracy by checking the work of claim adjusters.
Candidate Info
24
years in
workforce
23
years
at this job
BA
Business Administration
12

Fast Track P.d Claim Adjuster

Determined coverage on all cases assigned.

  • Investigated, evaluated and made liability decisions on assigned claims.
  • Communicated information effectively, both written and oral.
  • Reviewed all files assigned thru the use of a regular diary system.
  • Established preliminary reserves and regularly reviewed them for adequacy.
Candidate Info
7
years in
workforce
3
years
at this job
AA
Electronics Engineering Technology
13

Claim Adjuster/claim Supervisor

Reviewed and analyzed medical data relative to negligence and liability issues to determine injury value.

  • Performed monthly review of employee quality and compliance.
  • Supervised, directed and allocated work assignments for a team of 5 claims adjusters. Also performed quarterly and annual performance appraisals.
  • Implemented customer service guidelines to improve customer satisfaction success.
Candidate Info
6
years in
workforce
6
years
at this job
BA
Business Administration
14

Adminstrator Assistant- Claim Adjuster

  • Investigated, evaluated, negotiated and settled property, casualty and workers compensation claims. Draft authority and issued checks.
  • Effectively maintained a heavy pending caseload.
  • Worked closely with underwriting department to evaluate risks.
  • Supported clerical staff when needed with busy phone lines and general office duties.
  • Self Starter Employee and full of energy.
Candidate Info
45
years in
workforce
29
years
at this job
Business
15

Claim Adjuster Lead

Investigated and administered benefits for severe, high-value workers' compensation claims across. Wrote and presented detailed reports analyzing large claim exposures and formulated appropriate resolution strategies to Risk Managers and insurance carrier representatives.

  • Served as dedicated technology trainer for new employees learning to use company software and hardware
  • Supervise 1 - 2 junior claims adjusters
  • Authored and conducted client/employer claim handling and claim investigation seminars
  • Lead employees through property/casualty license examination training
Candidate Info
12
years in
workforce
1
year
at this job
BS
Psychology
MA
Business Analysis
MA
Project Management
16

Claim Adjuster

  • Applied strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims
  • Handled over 500 calls a month while maintaining highest standards of call quality and service
  • Coordinated with insured's, claimants, repair facilities, rental car companies for timely completion of auto repair to conclude claim
  • Negotiated liability with other carriers and referred files to subrogation for collection
Candidate Info
12
years in
workforce
8
years
at this job
BA
English
17

Bodily Injury Claim Adjuster

  • Processed first and third party Bodily Injury Claims
  • Communicated effectively with internal and external customers
  • Reviewed claims for potential subrogation opportunities
  • Identified claims with potential fraudulent indications and refer to SIU referrals
  • Resolve coverage issues, assigned necessary reserves, and secured releases
  • Maintained a 1:1 closure ratio and daily diary review
Candidate Info
16
years in
workforce
5
years
at this job
Business Administration
Business Administration
18

Senior Claim Adjuster

Handled Personal lines Auto BI (80%) Commercial Auto BI (10%) and General Liability (10%) Claims.

  • Handled Litigation Claims to include the direction of Defense Counsel.
  • Reported to re-insurers and clients on cases involving serious injuries and fatalities. Attended mediations and trials as required.
  • Member of In-House Education Committee assisted in training of adjusters.
Candidate Info
7
years in
workforce
1
year
at this job
AS
Associate of Science
BA
Business
19

Senior Claim Adjuster

Investigated losses through interviews, recorded statements, data/documentation, gathering and securing and preserving evidence.

  • Evaluated liability and damages.
  • Developed strategy and negotiated claims to timely conclusion.
  • Determined need for and directed counsel or other technical experts.
Candidate Info
7
years in
workforce
7
months
at this job
BS
Finance
BA
Bachelor of Arts
20

Claim Adjuster

  • Investigated losses, evaluated liability and damages, negotiated and settled property claims.
  • Positive record of accomplishment on mediation, arbitration, litigation, settlement, assessment and valuation.
  • Served as resource and subject matter expert to policyholders, agents, underwriters, and property vendors.
Candidate Info
15
years in
workforce
3
years
at this job

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