Claim Examiner Resume Sample

Saturday, March 28th, 2009 at 5:38 am

This Free Claim Examiner Resume will give you an Example to write your Resume for securing the job you are looking for.

You can edit this Claim Examiner Resume Template in accordance with your Career objective, Career Summary / description, educational qualification, Professional experience, relevant skills and the Vertical / domain in which you are looking to work.

Claim Examiner Sample Resume

Brad Sandler

135, Nottingham Street
Boston, MA, 01234
Telephone: (204)4xx 7xx
Email : B.xxx@xxx.com

Resume Objective

A Challenging and Responsible position of Claims Inspector/Examiner, where my experience and Expertise as Claims examiner for Medical Assistance recipients can be made use of in corporation of company objectives.

Professional Synopsis

  • Over 7 years of Experience in Dealing with Medical Claims.
  • Strong organizational, time management and problem resolution skills.
  • Exceptional research, analysis and accounting abilities.
  • Ability to Lead and Co-ordinate with team.
  • Strong Communication as well as Interpersonal Skill.
  • Widespread client service and source communication.

Professional Experience

1) ICI Insurance Company, Denver .2004 till present.
Senior Claims Examiner.
Responsiblites

  • Responsible for reviewing the claims submitted to ensure that proper guidelines have been followed.
  • Processed Claims for 12000 Medical Assistance Recipients.
  • Awared twice by company for Putting up execllent work.
  • Trained and supervised 5 claims examiners.

2) ICI Insurance Company, Denver. 2000- 2004
Claims Examiner.
Responsibilities

  • Processed medical and dental claims, referrals, encounters, eye and prescription claims.
  • Maintained heavy telephone contact with customers.
  • Negotiated rates with providers and Health Partners administration.
  • Responsible for creating new position, developing and creating policies on behalf of a Medical Support Organization.

3) VUY Insurance Group, LA. 1998-2000
Assistant Claims Examiner.
Responsibilities

  • Services. Assisted claims adjusters and examiners with complex and complicated claims, especially when a disaster occurs and there is a sudden and large influx of claims.

Education

  • Bachelor’s Degree In Humanities, 1993-1997 - Wandell University. LA
  • Advance Diploma in Insurance Studies, 1997-1998 - Wandell School of Vocab. LA

Computer Literacy

Office Package: Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft PowerPoint, Microsoft Outlook Express
Operating Systems: Windows9X, Windows2000, Windows ME, Windows XP, Windows Vista, Linux, Unix, MS DOS.
Lotus (1-2-3).

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