Claims Manager Resume Samples - Page 3

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A Claims Manager processes insurance claims for payment and answers questions about those claims or forwards concerns on to their supervisor or to an investigator. Depending on the type of insurance that is being handled, the process can become more or less complicated. Skills commonly found on a sample Claims Manager's resume include the ability to review, analyze, and settle different kinds of commercial and personal claims, and experience in working with multimillion dollar losses. A Bachelor's degree in business, business administration, or finance is the minimum educational requirement on a Claims Manager's resume.

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21

Work Comp Claims Manager

Managed small staff of adjusters for company's work comp self-insurance and wrap around coverage in multiple states.

  • Personally handled complicated claims, including litigation and catastrophic claims.
  • Provided testimony in various depositions and hearings.
  • Negotiated insurance renewals.
  • Attended and mediated numerous claims in multiple jurisdictions.
  • Responsible for return to work program, fitness for duty, and electrodiagnostic functional assessment programs.
  • Wrote training manual for various jurisdictions to be used by staff.
Candidate Info
28
years in
workforce
21
years
at this job
BBA
Economic
22

Claims Manager

Primary responsibilities include the management of staff for the timely and accurate processing of claims in accordance with contracted prisons/jails and provider network, as well as monitoring the provider relations telephone lines and correspondence, and weekly Company check run for providers.

Major Accomplishments:

  • Consistently meeting department performance goals for processing claims with a minimum of 98.5% accuracy and 95% timeliness.
  • Successfully reduced a two-month claims backlog within one month with the implementation of a performance management project.
  • Implemented Provider relations Specialists call log and correspondence protocol.
  • Created positive relations with supporting areas if the Company to improve claims processing.
Candidate Info
29
years in
workforce
3
years
at this job
BA
Public Relations
Sales Skill School
23

Claims Manager

Processed an average of 30-50 property and injury claims weekly

  • Completed recorded statements from claimants and insureds as necessary
  • Analyzed claims to determine extent of company's liability on $500k insurance policy
  • Made approval or denial decisions and negotiated settlements with claimants in accordance with policy
  • Collaborated with insurance agents and interviewed claimants to correct errors, rectify omissions and investigate questionable issues
  • Managed litigation files, attended depositions, hearings, and trials.
  • Communicated with excess insurer on any claims exceeding deductible or self-insured retention.
Candidate Info
14
years in
workforce
8
years
at this job
AA
Legal Assistant/paralegal
BA
Political Science

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