Claims Handler Resume Sample
Leanne Hessel
848 Rex Isle,
Detroit,
MI
+1 (555) 856 9586
Work Experience
Senior Claims Handler
03/2018
-
PRESENT
Los Angeles, CA
- Identify and manage potential fraudulent claims
- Investigate, negotiate liability & identify potential part recovery opportunities
- Proactively manage all Third Party injury claims within authority level, adhering to regulatory timescale's and guidelines and settle through negotiating the optimum claim settlement
- Establish and maintain accurate claims reserves to manage the overall expenditure throughout the life-cycle of the claim
- Settle Third Party Claims at optimum cost
- Instruct rehabilitation and medical examination suppliers at the optimum point of the claim
- Identify and refer all litigated cases requiring legal intervention, utilising our Proactive Partner – Plexus
- Experience in claims management
- High levels of organization, detail orientation and results drive, with excellent interpersonal skills and the ability to influence others to deliver toward a common goal
Claims Handler
11/2014
-
11/2017
Los Angeles, CA
- Experience in a client facing role - be able to initiate and conduct client meetings
- Dealt with large loss and technical liability claims in the past
- Experience working in a Claims Handler, Loss Adjusting role
- Work on own initiative solely and as part of a team
- Identify weaknesses and strengths in processes
- APA/CIP - desirable
- Proactive and highly motivated to continue exams in the Insurance Industry
Junior Claims Handler
06/2010
-
10/2014
New York, NY
- Excellent analytical tasks
- Adapt, adjust and multi-task in a fast-paced environment
- Clear and effective social skills with senior business leaders and project teams
- Ready to embrace what we value: customer passion, distinctive engineering, and personal growth
- Fluent in English is an advantage
- Proven track record of managing large and complex claims
- Ideally hold relevant skills and qualifications. APA ot CIP is desireable but not essential
Education
University of Minnesota, Morris
2006 - 2010
Mba's Degree in Management
Professional Skills
- Demonstrate excellent communication and interpersonal skills, with a particular requirement for high quality telephony skills
- Strong communication and interpersonal skills and a real focus towards excellent customer experience
- Excellent communication skills to include negotiation and objection handling
- Excellent customer service & stakeholder management skills
- Strong interpersonal skills including verbal and written communication, relationships and teamwork
- Demonstrate effective negotiation skills, and have the ability to cope with varying workloads and pressures
- Communicate effectively with the Underwriting team prior to either confirming or declining cover
How to write Claims Handler Resume
Claims Handler role is responsible for negotiation, customer, insurance, administrative, english, interpersonal, planning, telephony, retail, swedish.
To write great resume for claims handler job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Claims Handler Resume
The section contact information is important in your claims handler resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Claims Handler Resume
The section work experience is an essential part of your claims handler resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous claims handler responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular claims handler position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Claims Handler resume experience can include:
- Fluent in Swedish well as solid English skills are required. Additional skills in another Nordic language would be a valuable asset
- Good negotiation skills and excellent attention to detail
- Effective workload organisation skills, with the ability to work under pressure,
- Have strong customer service skills both face to face and over the phone
- Fluent in the Swedish language as well as solid English skills are required
- Good administrative and computer keyboard skills
Education on a Claims Handler Resume
Make sure to make education a priority on your claims handler resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your claims handler experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Claims Handler Resume
When listing skills on your claims handler resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical claims handler skills:
- Possess strong policy language skills enabling accurate and consistent policy wording interpretation
- Good communication and interpersonal skills and takes initiative when assisting team members. MS office proficiency and eligibility to work in the UK
- Co-operate with colleagues within the GSCG team, contribute to good teamwork and a good working environment
- Excellent communication and influencing skills to be able to negotiate at all levels
- Good communication and negotiation skills, ability to present claims to suppliers in a professional, credible and balanced manner
- Strong negotiation and influencing skills along with the ability to listen and reason compassionately
List of Typical Experience For a Claims Handler Resume
1
Experience For Senior Claims Handler Resume
- A strong, working knowledge of Disease and Liability / Casualty Claims, ideally with TPA management and experience of bordereau files
- Some prior experience of insurance claims although not essential
- Communicates effectively with all stakeholders, such as customers, brokers, claimants, experts, underwriters and claim colleagues
- Additional skills in another Nordic language is desirable
- Liaise effectively on behalf of the client with insurers, external brokers and other parties
- Able to multi task and priories your work whilst meeting business targets
- Strong understanding of the Motor Insurance Industry
- Previous experience in a similar working environment or within the claims unit of an insurance company
- Assist with referrals for less experienced staff to ensure correct decisions are made in respect of liability and quantum
2
Experience For Motor Claims Handler Resume
- Maintain and manage an excellent relationship with the client
- Effective communication with all key stakeholders
- Build and manage effective internal and external relationships with all involved parties
- Gather relevant evidence and information to accurately assess the value of the claim and to recognise potential fraud/recovery indicators
- Experience of tort law investigations
- Effective completion of follow-on activity to include adherence to three/four strike process
- Training and sharing best practice with other team members
- Working to targets and deadlines while ensuring the highest standard of customer service
- Ensuring underwriter requirements are checked in respect of the submission of household claims
3
Experience For Personal Injury Claims Handler Resume
- Undertaking special projects, as required
- Handling a portfolio of motor and Liability PI cases from notification to settlement
- Providing quick and accurate advice to clients
- Providing firm quotations and budget insurance premiums to clients where required as appropriate
- Confident working on a computer and working across a variety of in house systems (full training provided)
- Advise and update clients on all meaningful events and discussions during the claim ensuring complete customer happiness
- Responsible for handling and negotiating claims up to a value of £20,000
- Provide claims advice to clients managing expectations and ensuring that they are kept informed and advised of all necessary developments
- Actively participate in developing the claims value proposition – processes, working procedures, fraud detection rules, litigation prevention and recovery
4
Experience For Liability Claims Handler Resume
- Accurately recording and updating information on our system
- To work tenaciously to achieve outstanding results. To set high standards for self and others whilst acting a sense of urgency
- Accurately checking all details of a claim after every call
- Supervisory/coaching responsibilities as required
- Maintain a database of first choice vendors and suppliers and develop a positive working relationship with these vendors and suppliers
- Manage new claim registration by capturing accurate and relevant data for the investigation and/or settlement of claims
5
Experience For Technical Claims Handler Resume
- Maximise cost control through negotiating the optimum claim settlement
- To proactively handle claims aiming to settle cases within optimum time scales
- Confirm policy existence by identifying coverage on all applicable policies
- Follow established claims handling procedures for both personal and commercial line claims to ensure consistency and quality in claims services
- Identify and resolve problems by referring to policies, procedures, and standards to ensure consistency and quality of solutions
6
Experience For Junior Claims Handler Resume
- Determine when to solicit input from more senior colleagues or managers for more complex issues, to ensure quality and promote continuous learning
- Update insurers, experts and our clients with any additional information acquired during the claims process
- Have a technical knowledge and understanding of related products and services
- Have an understanding of litigation procedures and protocols
- Be looking to progress towards your CII qualifications
- Be logical, organised and efficient in handling your workload especially when under pressure
- Own the activity of the claims outsourcing company, SLA`s, service quality
- Handle third party claims taking responsibility to investigate and evaluate coverage and liability, and resolve all enquiries from both customers and claimants
- Handle Financial Lines claims including primarily Professional indemnity, Directors & Officers Liability and Crime
7
Experience For Claims Handler Financial Lines Resume
- Tact and assertiveness when dealing with customers
- Flexibility to support the operating model and ensure consistent advice to the business
- Accurate and relevant data capture during the lifecycle of a claim to achieve optimum settlement of claims and their recovery where appropriate
- Coordinate the day to day performance of a team of Bodily Injury Handlers, ensuring all KPIs & SLAs are monitored, maintained and achieved
- Support the Lines of Business heads by providing a highly credible claims proposition to our policyholders and brokers
- Strive for continuous improvement on claim file handling with feedback and support through the Quality Audit processes
- Flexible and adaptable approach to work, with the ability to respond to change and learning opportunities
- Assist the Manager in marketing the services of Carillion Insurance Advisers Ltd when required
8
Experience For Motor Bodily Injury Claims Handler Resume
- Knowledge of Pre Action Protocols, CPR, Practice directions and relevant statute and case law as well as relevant regulations relating to accidents at work
- Reserve accurately and in accordance with the Company reserving policy
- Willingness to deliver a range of messages to our key partners, presenting ideas and decisions, or wider business concepts
- Process all claim notifications, further advices and collections in accordance with the Claims Division’s procedures
- Review insurer’s queries and resolve wherever possible
- Process all claim notifications, further advices and collections in accordance with the Claims Department’s procedures
9
Experience For Trainee Claims Handler Resume
- Worked to targets within a regulated, measurable framework and achieved SLA’s
- Identify, act upon and empathise with Client’s needs
- Review insurer’s queries and resolve same wherever possible
- Comprehensive knowledge of applicable insurance laws and statutory regulations related to Workers' Compensation
- Proficient use of office equipment
- Liaising with our Third Party Suppliers to ensure they have all the relevant information to handle a claim, chasing for responses if required, and ensuring all relevant documentation is returned to us at claim settlement
- Reviews, resolves more complex cases and proactively finalises claims within authority limits ensuring settlement at an optimum level with consideration to business implications
- Be a good ambassador and contribute to a solid foundation of GSCG inside and outside GSCM organization
10
Experience For EL / PL Claims Handler Resume
- Validate policy cover to verify indemnity status
- Excellent telephone manner and a passion for customer service
- Previous experience in an Insurance/Financial Services environment would be preferable
- Producing ad-hoc claims reports for stakeholders as required
- Maximise productivity and profitability within the department
- Litigation procedures and protocols
- Progress towards CII qualifications desirable
- Process all claim notifications, further advices and collections (including bordereaux and loss funds) in accordance with the Claims Division’s procedures
- Regularly assess the status of claims with clients / insurers / recovery agents/solicitors (as applicable) and ensure that all parties are informed of progress or chased for updates as necessary
List of Typical Skills For a Claims Handler Resume
1
Skills For Senior Claims Handler Resume
- Solid verbal and written communication skills in Swedish and English is required
- We’re looking for candidates with relationship skills, commercial understanding, drive, adaptability and the ability to analyse the business
- Solid experience and knowledge of claims handling
- Has persuasion and influencing skills
- Natural Investigating skills
- Proven experience working with a multi track caseload
- Exceptional time management & organisational skills
- Work under pressure with attention to detail and manage time effectively
- Experience in the insurance market, and a few years’ experience within Claims
2
Skills For Motor Claims Handler Resume
- Starting Salary of £17,000-£22,000 pa (Pro-rata and depending on experience) with potential to reach up to £ £28,650 via our pay progression scheme
- Starting Salary of £17,000-£22,000 pa (depending on experience) with potential to reach up to £ £28,650 via our pay progression scheme
- Validating policy cover, investigation, negotiation and identification of fraudulent claims and liability stance. Seek part recovery opportunities
- Manage the customer experience, ensuring adherence at all times to the principles of Treating Customers Fairly (including Complaint Handling guidelines)
- Accurately triaging and managing claim files through to settlement, prioritising new and existing work appropriately
- Previous binding authority claims handling experience required
- Previous experience within the insurance industry with specific liability claims handling focus, together with handling historic disease claims
- Relevant experience of working either in general insurance or a customer facing environment
- Have broad experience of handling motor claims involving credit hire and liability disputes
3
Skills For Personal Injury Claims Handler Resume
- Advise and update clients on all meaningful events and discussions during the claim, ensuring good customer outcomes
- Demonstrates quick learning capabilities and an aptitude for understanding the variable elements of insurance products
- Mentor less experienced consultants through coaching and development
- Experience of using case management system
- Experience of handling occupational disease claims would be desirable
- Is quick to adjust your work priorities to meet changing demands
4
Skills For Liability Claims Handler Resume
- Demonstrate an advanced standard of technical claims competence for handling moderate to high complexity bodily injury claims
- To work with clients specifically on disease claims, in order to validate the applicable insurers in force during the claimed exposure period
- A thorough understanding and ability to settle credit hire claims in a cost effective manner
- Have a good knowledge understanding of claims agreements
- Previous experience within the insurance industry with specific claims handling focus desirable, but not essential
- Previous Claims handling experience is not essential but would be advantageous
- Demonstrate an advanced standard of technical claims competence for handling moderate to high complexity boldily injury claims
- Previous experience of EL / PL claims handling preferable, either within an insurance company or law firm environment
5
Skills For Technical Claims Handler Resume
- Previous Motor Claims experience is essential
- Previous experience within Bodily Injury would be desirable
- Validate policy cover, investigation, negotiation and identification of fraudulent claims and liability stance. Seek part recovery opportunities
- Previous experience of Bodily Injury would be beneficial
- £17,000 pa depending on experience with the potential to reach £22,000+ via our pay progression model
- Experience of managing own case load
- Previous experience within Motor Claims and/or Bodily Injury would be beneficial (but not essential)
6
Skills For Junior Claims Handler Resume
- Previous experience within Motor Claims and Bodily Injury
- Strong technical ability with practical knowledge of multi track procedures
- Proven ability to mentor and coach colleagues
- Experience working with a multi track caseload
- Previous experience of Motor Claims and Bodily Injury
- Previous experience of Bodily Injury and Motor Claims is essential
- Good literacy and numerical ability
7
Skills For Claims Handler Financial Lines Resume
- Experienced Legal Executive or Solicitor
- Work with experienced team colleagues to develop both professional and personal goals
- Previous claims handling experience essential
- Deliver superb customer service along with a strong commitment to do the right thing for your customers
- Excellent flexi-benefits package to include a matching share save scheme
- Deliver excellent customer service, both internally and externally
8
Skills For Motor Bodily Injury Claims Handler Resume
- Handle multiply priorities and change
- Previous claims handling experience required
- A strong commitment to do the right thing for your customers
- Strong desire to progress in a commercial in house claims department
- Review and proof read own work, ability to learn from experienced lawyers
- Able to build excellent relationships with internal and external customers
- Identifying and referring all litigated cases (non MOJ) requiring legal intervention, utilising our Proactive Partner - Parabis
9
Skills For Trainee Claims Handler Resume
- Identifying, owning, and managing the risks involved in running our business appropriate to my role, in line with the DLG risk framework
- Identifying, owning and managing the risks involved in running our business appropriate to my role, in line with the DLG risk framework
- Working knowledge of other functions within MRAm’s reinsurance operations (underwriting, accounting, treasury services)
- Working knowledge of other functions within reinsurance operations (underwriting, accounting, treasury services)
- Settling Third Party Claims through negotiating the optimum claim settlement
- Meeting and exceeding departmental quality targets
10
Skills For EL / PL Claims Handler Resume
- Writing and responding to emails efficiently
- Being part of a market-leading claims team with a focus on quality customer service
- Responding to high volume of tasks including inbound telephone calls from customers
- Identifying any potential elements of Fraud
- Sharing knowledge and expertise, contribute to continuous development of co-workers by transfer of competence within the group
- Understanding of the business and its values
- Delivering a world class service to customers
- Handling all claims competently to ensure that they are adequately reserved and settled as economically and fairly as possible
List of Typical Responsibilities For a Claims Handler Resume
1
Responsibilities For Senior Claims Handler Resume
- Ensure market / insurance / legislation and other technical knowledge is developed and maintained to enable efficient claims handling and that Business systems are updated regularly and that data held is 100% accurate at all times, to facilitate accurate claims reporting
- Update insurers and recovery agents and inform of any additional information acquired during the claims process. Review insurer’s, recovery agents and solicitors queries and resolve wherever possible
- Demonstrate an ability and desire to deliver excellent customer service
- Respects and works well with others by communicating effectively within your team and the wider department
- Strong Data Protection and Consumer Protection experience
- Good levels of literacy, numeracy and Microsoft Windows experience
2
Responsibilities For Motor Claims Handler Resume
- 1-3 yrs. experience with claims, sales, and/or negotiation experience
- Knowledge of law and experience of case handling
- Claims handling experience
- Motor Claims experience essential
- Previous claims experience would be preferable
- A strong academic record at GCSE and A Level
- Have a good knowledge of Occupational Disease products and services
3
Responsibilities For Personal Injury Claims Handler Resume
- Be able to demonstrate a knowledge of claims agreements and interpret policy cover
- Disease specific claims, protocol, procedure and legislation experience
- We are looking for someone with public liability or employer’s liability experience
- Manage the day to day organisation of the team to include the prioritisation of workloads
- Experienced Claims handler, Legal Executive or Solicitor
- Good market awareness would be advantageous. The ability to explore trends and report to stakeholders is a requirement
- Support the strategic development of the department and firm by developing best practice and the client experience through continuous improvement initiatives
- Is able to prioritise and work to deadlines
4
Responsibilities For Liability Claims Handler Resume
- Strong ability to negotiate with external third party solicitors
- Good organisational capability
- Upholds a good company image
- Previous Motor Claims experience is desirable
- Establishing and maintaining accurate claim reserve to manage the overall expenditure throughout the life-cycle of the claim
- Advise and update clients on all relevant events and discussions during the claims process, ensuring complete customer satisfaction
- Regularly assess the status of claims with clients and/or insurers, recovery agents, solicitors (as applicable) and ensure that all parties are informed of progress / chased for updates as necessary
- Respond to all correspondence relating to claims including telephone queries
- Raise and manage external payments using the company’s corporate accounting systems
5
Responsibilities For Technical Claims Handler Resume
- Comfortable with manipulating data and producing reports with ability to use MS Office applications, Word and Excel
- Provide a first class service, showing empathy, understanding and compassion when our customers need us most
- Make a difference, whether this is be when speaking to customers or making the workplace an even better place to be
- Make a difference, whether this is when speaking to customers or making the workplace an even better place to be
- Provide a first class service, showing empathy and understanding when our customers need us most
- Liaise with Line Manager regarding any issues, that require escalation,(in addition to following the company’s general complaints procedure)
- Provide a first-class service, showing empathy, understanding and compassion when our customers need us most
- Conduct a thorough investigation of each case, liaising with the customer and other parties as appropriate both in writing and over the phone
- Has an innovative approach to work, training and problem solving
6
Responsibilities For Junior Claims Handler Resume
- Identify and refer all litigated cases (non MOJ) requiring legal intervention, utilising our Proactive Partner - Parabis
- Update insurers and recovery agents and inform of any additional information acquired during the claims process
- Liaise with supply chain and appointed contractors exercising the contracts subrogation rights
- Enthusiastically seeking to establish liability and indemnity on all claims
- Partner with Claims Management, Claim Handlers, Accounting, etc. for coverage/account assistance as needed
- Receive telephone calls from drivers or fleet contacts regarding damage to vehicles as a result of a road traffic accident or damage
- Manage all ongoing tasks for claims and be the point of contact for all external or internal contacts
7
Responsibilities For Claims Handler Financial Lines Resume
- Liaise with customer contacts, repairers and insurance companies to progress claim keeping all parties informed of progress
- Communicate with customers via telephone, writing, email and in some departments, web-chat
- Manage an allocation of customer claims, involving elements of both customer, third parties or suppliers
- Manage allocation of customer claims, involving elements of both customer, third parties or suppliers
- Communicate confidently with customers via telephone, writing, email and in some departments, web-chat
- Assist the Manager in monitoring the advice provided to Carillion companies by external brokers
- Manage allocation of claims, involving elements of both customer, third parties or suppliers
- Produce a written response for the customer ensuring a high standard of communication is achieved at all times
8
Responsibilities For Motor Bodily Injury Claims Handler Resume
- Flexibility to work afternoon - evening schedule (i.e. 12 - 9 pm)
- Day 1 triage of claims to establish capture opportunities, considering the best economic settlement
- Proactively manage all Third Party injury claims within authority level, adhering to regulatory timescales and guidelines
- Settle Third Party Claims through negotiating the optimum claim settlement
- Proficiency in working with MS Word, Excel and Outlook
- Enjoys working within a close team network
- Review insurer’s, recovery agents and solicitors queries and resolve wherever possible
- Secure materials from suppliers at best cost, quality and urgency of need
- Review, process and track invoices for payment in accordance with negotiated terms
9
Responsibilities For Trainee Claims Handler Resume
- Prepare monthly revenue report and analysis of claims
- Call center based customer service or claims management
- Familiarity with Microsoft Office products such as Word and Outlook
- Make an accurate liability assessment based on the information provided to manage customer expectations
- Maintain accurate claim reserve
- Identify and refer litigated cases to our dedicated panel of solicitors
- Pro-actively and professionally communicate with our customers and colleagues to manage expectations and achieve the appropriate outcome
10
Responsibilities For EL / PL Claims Handler Resume
- Clear and professional communicator
- Obtain information and documentation
- Evaluate supplier terms, conditions and framework agreements
- Communication with internal and external resources
- Insurance settlements, cargo claims
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