Claims Service Specialist Resume Sample
Orrin Raynor
58048 Connelly Plaza,
Boston,
MA
+1 (555) 463 3491
Work Experience
Claims Service Specialist
09/2015
-
PRESENT
Dallas, TX
- Investigate prior losses and other information on file and orders reports as needed at the direction of adjusters and management
- Completes all necessary forms, logs documents into the system, and routes them to the appropriate parties CLK789
- Investigating, and negotiating claims, in order to reach a fair and equitable settlement
- Handles property claim files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.)
- Starting salary: $31,200 annually (paid bi-weekly)
- Handles total loss claim files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.)
- Handles unrepresented casualty claim files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.)
- Handles personal injury/medical payment claim files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.)
- Military candidates are strongly encouraged to apply CLK789
Total Loss Claims Service Specialist
02/2012
-
08/2015
Houston, TX
- Performing review of the dispatch system to identifying more efficient ways to inspect our customers’ vehicles
- Completing pre-calls to customers to confirm inspection location and date
- Attending daily huddles and participate in problem solving sessions to support sharing and problem solving
- Researching and responding to moderately complex and occasionally complex customer communications, concerns, conflicts or issues
- Serving as point of contact for claim owners, auto technicians and Good Hands Repair Network shops on moderately complex issues related to inspection and schedule
- Managing scheduling for the auto field adjusters on a daily basis to ensure efficient completion of schedules and delivery of services to our customers
- Starting salary: $00,000 annually (paid bi-weekly)
- Starting salary:$31,200annually (paid bi-weekly)
Catastrophe Claims Service Specialist
04/2006
-
01/2012
San Francisco, CA
- Handles third party casualty claim files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.)
- Performs routine tasks of moderate to advanced complexity under general supervision
- Starting salary: $33,200 annually (paid bi-weekly)
- Prior Military are encouraged to apply CLK789
- Handles represented casualty claims files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.)
- Handles auto liability claim files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.)
- Handles casualty claims filed (contact attorneys for initial information on client injuries, processing demands for attorneys)
Education
Troy University - Pensacola
2000 - 2005
School's Degree in Management
Professional Skills
- Excellent written and verbal communication skills with a real passion for helping others
- Strong organizational, analytical, communication and computer skills
- Customer service, decision-making, analytical, problem-solving, negotiation and organizational skills
- Competitive salary, based on prior experience
- Dynamic organizational, analytical, communication and computer skills
- Starting salary range: $35,600, salary paid commensurate with experience
- Excellent benefits starting on your first day of employment, including 401K, health, dental, vision and life insurance
How to write Claims Service Specialist Resume
Claims Service Specialist role is responsible for customer, negotiation, software, insurance, research, reporting, bookkeeping, training, computer, health.
To write great resume for claims service specialist job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Claims Service Specialist Resume
The section contact information is important in your claims service specialist 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 Service Specialist Resume
The section work experience is an essential part of your claims service specialist 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 service specialist 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 service specialist position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Claims Service Specialist resume experience can include:
- Utilize critical thinking skills to discover innovative ways of working and resolve complex problems in a team environment
- Strong geographic knowledge of surrounding area
- Military strongly encouraged to apply
- Previous experience in either customer service and/or a professional work environment
- Starting salary: $31,720 annually (paid bi-weekly)
- Starting salary: $15.00 hourly / $31,200 annually (paid bi-weekly)
Education on a Claims Service Specialist Resume
Make sure to make education a priority on your claims service specialist resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your claims service specialist 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 Service Specialist Resume
When listing skills on your claims service specialist 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 service specialist skills:
- Customer service, decision making, analytical, problem-solving, negotiation and organizational skills
- Interact effectively with internal or external customers and act with empathy
- Participates in or assists in training new or less experienced employees and demonstrating work processes
- Participate in or assists in training new or less experienced employees and demonstrating work processes
- Claim handling experience in a brokerage firm or in the insurance industry
- Claims handling experience in a brokerage firm or in the insurance industry
List of Typical Experience For a Claims Service Specialist Resume
1
Experience For Total Loss Claims Service Specialist Resume
- Use Allstate’s state-of-the-art NextGen claims system to file new claims and bring existing claims to resolution
- Achieve targeted performance goals to support Allstate’s industry leading operation standard
- Be a self-starter and work independently in a fast paced environment
- Process claims payments as needed to obtain medical records
- Competitive salary and pay raises based on performance
- BENEFITS START FROM DAY 1
- Opens claims and obtains required information from insured, claimant, and other involved parties Investigates, evaluates, negotiates and settles auto and property damage claims
2
Experience For Senior Claims Service Specialist Resume
- Prepares and handles subrogation demands on non-disputed liability claims
- Explains policy language, provides coverage information and advises insured as to proper course of action (follow-up, status calls, touch base with the customer)
- Investigates, recognizes higher exposures and assigns claims above settlement authority to higher level of expertise
- Complies with all Department of Insurance regulations (multiple states) and statutory requirements: correspondence; forms; liability time frame; payments
- Function in a team and call center environment
3
Experience For Catastrophe Claims Service Specialist Resume
- Review claim photo assignments for approval and triage to adjuster for an estimate
- Explain basic claim process and provides information of a general nature to customers
- Work in a collaborative team environment to handle large call volumes to assist customers through the claims process
- Able to adhere to call center guidelines, schedules, and measurements
- Utilizes technology to approve and process claims payment and vehicle inspections
- Start Date is October 17, 2016
- Start Date is December 5, 2016
4
Experience For Encompass Claims Service Specialist Resume
- Start Date is December 11, 2016
- Start Date is February 19, 2017
- Start Date is February 20, 2017
- Start Date is April 17, 2017
- Start Date is June 11, 2017
- Start Date is July 24, 2017
- Start Date is August 6, 2017
5
Experience For Casualty Claims Service Specialist Resume
- Start Date is September 11, 2017
- Start Date is September 18, 2017
- Start Date is October 1, 2017
- Start Date is November 13, 2017
- Start Date is November 26, 2017
- $33,200 annual salary, paid bi-weekly
6
Experience For Subrogation Claims Service Specialist Resume
- Generous paid time off (with option to purchase additional days)
- Diversity, balance, innovation and providing an environment where employees can thrive. These are all core values at Allstate, and we have the awards to prove it
- The World’s Leading Top 100 Companies – Forbes magazine
- Diversity Elite - America’s Best 50 Companies for Minorities – Fortune magazine
- Top 100 Military Friendly Employers List - MilitaryFriendly.com
7
Experience For Claims Service Specialist Resume
- 50 Happiest Companies in America - CareerBliss
- Best Places to Work for Recent Grads - ConnectEDU
- Top 40 Best Companies for Hispanics to Work – Hispanic Business magazine
- Top 10 Companies for African Americans to Work – DiversityInc
- Top 100 Best Places to Work in IT – Computerworld magazine
- Adoption assistance program
- Inclusive work environment
List of Typical Skills For a Claims Service Specialist Resume
1
Skills For Total Loss Claims Service Specialist Resume
- Investigate prior losses and other information on file and order reports as needed at the direction of adjusters and management
- Completing investigations: Gather and understand facts about accidents, make decisions, and determine liability
- Service, trust & care: Focus and commit by listening to and solving members’ issues, while caring for them
- Service, trust & care: Caring for our members, by listening and helping to solve the issues they face
- Leverage Allstate’s state-of-the-art NextGen claims system to file new claims and bring existing claims to resolution
- Comprehensive health care plans, including medical, dental, vision, and tax-deferred spending accounts
2
Skills For Senior Claims Service Specialist Resume
- Paid training, tuition reimbursement, self-service training and career development opportunities
- Handle claim files (locate/request files, file paperwork, reconstruct missing files, move misfiled documents, send to other offices, etc.)
- Retrieve, print, fax, or mail supporting documentation to vendors or others as directed
- Receive, screen and route incoming telephone calls and other electronic correspondence
- Assist adjusters with more complex claim handling, analyze documentation and settle basic, straight-forward, and routine claims quickly and efficiently
3
Skills For Catastrophe Claims Service Specialist Resume
- Achieve targeted performance goals to support Allstate’s industry leading operation standards
- Accept inbound inquiry calls from customers on existing property claims
- Thrives in working in a high-paced, high volume environment
- Knowledge and expertise with agency and claims management and reporting systems
- A commitment to service excellence and caring for customers
- Continual communication: Keep claimants informed throughout the duration of their claim using various methods; phone, email, other written correspondence
4
Skills For Encompass Claims Service Specialist Resume
- Claims handling: Process a high volume of non-injury auto claims daily
- Attention to detail: Keep claims organized and moving forward to achieve a timely resolution
- Continual communication: Keep customers informed throughout the duration of their claim using various methods; phone, email, other written correspondence
- Provide back-up for any support functions in the office
- Contact or receive contact from customers or other claim related third parties to obtain and/or provide necessary file information to comply with quality and process standards
- Generate and send appropriate forms to insured/claimant for completion
- Complete all necessary forms, logs documents into the system, and routes them to the appropriate parties
- Manage a high volume of inbound calls to assist customers through the claims process
5
Skills For Casualty Claims Service Specialist Resume
- Review investigation notes and determine coverage and liability for non-complex losses
- Make contact with customers on newly esablished property claims
- Obtain medical bills and records, input medical bills and organize all records
- Open claims and obtain required information from insured, claimant, and other involved parties. Investigate, evaluate, negotiate and settle auto and property damage claims
- Experience in either customer service and/or a professional work environment
- Bilingual and military candidates are strongly encouraged to apply!
- Military strongly encourage to apply
- Bilingual applicants are strongly encouraged to apply
- Experience in a customer service role
6
Skills For Subrogation Claims Service Specialist Resume
- Bilingual applicants fluent in English and Spanish are strongly encouraged to apply
- Some claims or insurance experience
- Prepare and handle subrogation demands on non-disputed liability claims
- Explain policy language, provide coverage information and advise insured as to proper course of action (follow-up, status calls, and be in contact with the customer)
- Investigate, recognize higher exposures and assign claims above settlement authority to higher level of expertise
- Comply with all Department of Insurance regulations (multiple states) and statutory requirements: correspondence; forms; liability timeframe; payments
- Military candidates encourgaed to apply
- Bilingual candidates are encouraged to apply CLK789
7
Skills For Claims Service Specialist Resume
- Military candidates encouraged to apply CL
- Fluency in Spanish and English is plusK789
- Tuition reimbursement (starts day 1)
- Jeans Casual Dress Work Environment
- Performs routine tasks of basic complexity under general supervision=
- Proficiency in Microsoft Office applications, particularly Excel is required
- Type at least 30 WPM and multi task between different systems
8
Skills For Total Loss Claims Service Specialist Resume
- Work a variety of shifts, extended hours, holidays, and/or weekends
- Military applicants are encouraged to apply
- Manage multiple tasks via phone, email and computer
- Capability to work a variety of shifts, extended hours and/or weekends
- Claims handling: At a proficient level, adjusts to conclusion a higher volume of low to high complexity liability claims without injury exposures, multiple property damage claims, disputed liability claims and out of state losses
- Employee assistance, healthy pregnancy and wellness programs
- Continual communication: Striving to keep customers informed throughout the duration of their claim using various methods; phone, email, other written correspondence
- Handle personal injury/medical payment claim files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.)
9
Skills For Senior Claims Service Specialist Resume
- Health and wellness benefits, including: nutrition/weight management, smoking cessation program, stress management, lifestyle coaching, financial resources
- Our Total Rewards benefits package beginning on your first day of employment, including 401K, health, dental, vision and life insurance
- 100 Best Companies for Working Mothers – Working Mother magazine
- Top 100 Companies for Employee Training and Development – Training magazine
- Paid training and ongoing development opportunities
10
Skills For Catastrophe Claims Service Specialist Resume
- Retrieve, prints, faxes, and/or mails supporting documentation to vendors or others as directed
- Flexible spending accounts (FSA)
- Request and maintain medical records to assist the adjuster in assessing a bodily injury claim
- Organize medical records and input medical bills associated with the treatment to assist the adjuster in assessing a bodily injury claim
- Generous paid-time off (PTO) program up to four weeks during your first year
- Employee discounts, including Allstate auto, home and life insurance and more
- Career path/succession planning
- Retrieve, print and fax, or mail supporting documentation to vendors or others as directed
- Start Date is October 30, 2016
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