Claim Manager Resume Example With Content Sample

A Claim Manager is responsible for logging, processing, and maintaining claims. They manage the updates and progress on claims filed and deal with the clients at the front end. People work as Claim Managers operate a single or more claim processing unit. They make sure that there is a proper and timely disposition of claims based on the coverage amounts. They oversee the insurance claims for casualty, personal, or property loss according to the verifiable damage, appraisal, and coverage. They ensure sound and complete settlements, investigations, and legal reviews according to the company procedures and policies. They bear the responsibility of resolving escalated problems in the operations. 

A Claim Manager plays important functions in insurance firms, which is more than just handing claim settlement. Their importance comes in different sources, such as customer relations, damage control, and product pricing and development. Other responsibilities of Claim Managers include recording of claim reports, checking coverage, and requesting notices such as bills, medical diagnoses in case of accidents, and accident logs. Create your Claim Manager Resume by clicking on ''Use this Resume'' button.

Claim Manager Resume Example With Content Sample

Claim Manager Resume Example
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How To Effectively Write A Claim Manager Resume?

Are you having trouble writing a well-written Claim Manager Resume? Are you considering a Claim Manager career? Then, you will need the following tips for writing a resume.

Write a great summary for Claim Manager resume 
To fit the Claim Manager you are applying for, it’s a nice idea to customize your resume. In case the job description punctuates excellent customer service and familiarity with claim reserving, brokers, carriers, and deductible programs, you need to hit on these points in the summary. Feel free to add things you believe that are most pertinent to the position. You can end the summary with your certifications, licenses, or degrees.

Showcase the most relevant skills as a Claim Manager in your resume 
Another way to achieve a well-written resume and your dream position is to include relevant abilities and skills to the job position. You can include 6-12 skills and avoid soft skills because they are difficult to test. Be honest and write only the skills you actually possess.

Mention your accomplishments rather than the roles and responsibilities that match the Claim Manager job position 
One way of supporting your expertise and skill is by mentioning your accomplishments instead of focusing on the roles and responsibilities. This helps the hiring manager what you can do to the company once they hire you. Make sure to include accomplishments that are relevant to the job description.

Summary

Conscientious Claims Manager who adeptly applies managerial experience to various claims processes including staff management. Proficient at employing negotiation skills to resolve account issues. Especially skilled at processing insurance claims within a reasonable period of time.

Professional Experience

New Parkland Insurance
Aug, 2015 – Present
Claim Manager
  •  Oversaw daily policy claims issues.
  •  Administered daily office activities and agent operations.
  •  Ensured that quality standards were upheld.
  •  Established data entry procedures for agents.
  •  Worked to resolve internal and external service and performance issues. 
Riverside Insurance
Feb, 2012 – Aug, 2016
Claim Manager
  •  Supervised all claims activities.
● Ensured that management policies and procedures were followed by all agents.
● Monitored insurance and disability claims.
● Established claims processing standards.
● Developed coding procedures to ensure proper filing procedures. 

Quote

favourite quote

Only put off until tomorrow what you are willing to die having left undone.

~Pablo Picasso

Achievements

2016
Managed the Commercial andMedicare projects
  •  Built and maintained close relationships with all payer-provider representatives to insure proper claims processing.
  • Resolved Health First issue in regards to improper denials by 80%.
  • Recognized and resolved issues pertaining to contracts and improper billing procedures.
2017
Responsible for $100 million dollar property
  •  Instituted claims best practices resulting in an 8% reduction in severity payments.
  • Created accountability standards resulting in a 20% reduction in litigation costs.
  • Enhanced employee communication through the creation of monthly open forums.
  • Improved employee retention by 15% through consistent personal feedback initiatives.

Key Skills

Detail Minded
Solution Oriented
Good Team Worker
Good Communiction
Interpersonal Skills
Customer Oriented

Languages

Ilocano
(Basic)
Tagalog
(Fluent)
English
(Native)

Education

Bachelor of Science – Business Administration
University of California
May 2007 - Feb 2010
Bachelor’s Degree in Initiative
University of California
May 2005 - Jan 2007

Certifications

VSkills
Certified Claim Manager
Jul 2018
VSkills
CERTIFIED CONSTRUCTION CLAIMS SPECIALIST
May 2015

Interests

  • Pool
  • Billiards
  • Boating
  • Reading
  • Zumba
  • Clubbing

Social Media

In 3 years

Over the next 3 years, I want to develop more skills in Claim Management and to gain experience in leading projects for major clients. I will be looking for opportunities to expand my responsibilities within this role to work towards my goal.

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