Job Summary: 

• Initiating electronic claim file setup
• Obtaining and organizing relevant medical records
• Obtaining and editing medical chronologies
• Organizing and maintaining document repositories
• Obtaining and processing legal, expert and vendor invoices
• Obtaining and organizing vendor payment information (i.e. W9 tax forms)
• Reporting claim outcomes to administrative bodies (i.e. National Practitioners’ Data Bank)
• Organizing claim data and presentation material
• Organizing and facilitating six to eight Claim Committee meetings annually
• Loss Intake Coordinator for newly reported claims

Skills on Resume: 

• Electronic Claim File Setup (Hard Skills)
• Medical Records Management (Hard Skills)
• Medical Chronology Creation (Hard Skills)
• Document Management (Hard Skills)
• Invoice Processing (Hard Skills)
• Vendor Payment Administration (Hard Skills)
• Reporting Skills (Hard Skills)
• Meeting Coordination (Soft Skills)

Job Summary: 

• Handling low-severity caseload from inception to resolution
• Maximizing productivity through the use of technology
• Assisting efforts to compile and analyze claim data
• Periodic support for and/or attendance at company functions
• Providing feedback on the efficiency of administrative processes
• Performing administrative tasks for other departments as work capacity permits.
• Maintains flexibility in a changing, high speed and demanding team environment
• Identifies process improvements to increase efficiencies and streamline processes
• Actively participates in departmental team meetings and other open forums
• Assists with department projects and initiatives 
• Enhance the efficiency and team environment in the Claim Department through collaboration and positive interactions with other claim personnel.

Skills on Resume: 

• Case Management (Hard Skills)
• Technology Utilization (Hard Skills)
• Data Analysis (Hard Skills)
• Event Support (Soft Skills)
• Process Improvement (Hard Skills)
• Administrative Support (Hard Skills)
• Adaptability (Soft Skills)
• Team Collaboration (Soft Skills)

Job Summary: 

• Drafting letters and reports, processing payments on differing client systems, updating the policyholders and client
• Supporting the Claims Manager with their caseload and to be able to assist in progressing claims
• Ensuring completion of all tasks within service level agreement timescales as specifically set by the client or the company
• Assisting the Claims Manager in the resolution of issues and encouraging others to do the same
• Ensuring cases meet all required SLAs and that claims progress efficiently
• To be able to handle all policy queries and ensure the correct application of policy terms
• Supporting the subsidence team with any complaints to ensure they are dealt with correctly and within SLAs and client requirements
• Responsible for producing a quality service to internal and external loss adjusters and insurer clients
• Providing support to other less experienced administrators
• Empathise and engage with the customer to ensure that they are treated as an individual whilst maintaining confidentiality and high personal ethical standards throughout

Skills on Resume: 

• Drafting Letters and Reports (Hard Skills)
• Processing Payments (Hard Skills)
• Managing SLAs (Hard Skills)
• Claims Management Support (Hard Skills)
• Policy Knowledge (Hard Skills)
• Customer Engagement (Soft Skills)
• Complaint Handling (Hard Skills)
• Quality Service Delivery (Hard Skills)

Job Summary: 

• Processes Client requests in a timely and accurate manner
• Adhere to all compliance and state-regulated requirements
• Prepare and present write-ups on Complex Claims
• Work with internal partners such as legal and compliance and provide support and follow through on Complex Claims when required
• Adjudicate Disability Claims by reviewing medical records and determining their eligibility for approval
• Provide support to other tasks that are not Claims related
• Meets established quality control measures
• Meets individual productivity requirements
• Communicates with clients through written and oral correspondence
• Provide follow-up on requests that cannot be immediately resolved
• Builds relationships with staff from other departments to ensure queries are responded to on time
• Escalates issues to management when needed
• Work with management to set daily priorities to ensure prompt and efficient service

Skills on Resume: 

• Claims Processing (Hard Skills)
• Compliance Adherence (Hard Skills)
• Complex Claims Write-ups (Hard Skills)
• Internal Collaboration (Soft Skills)
• Disability Claims Adjudication (Hard Skills)
• Quality Control (Hard Skills)
• Productivity Management (Hard Skills)
• Communication (Soft Skills)

Job Summary: 

• Central point of distribution for incoming emails to the department
• Attach emails and correspondence to claims and deal with basic queries.
• Chase clients for return of witness statements, locus report and or any other evidence.
• Take incoming calls and deal with basic inquiries.
• Establish disputes of non-payment delays, investigating and resolving where able to do so.
• Chase for information or further documents.
• Update the BackOffice system with accurate, clear records of discussions, next steps and time frames
• Ensure the BackOffice system is updated in line with all protocols
• Reinforce payment criteria set out by ABI to drive performance
• Achieve objectives and targets set
• Carry out reasonable tasks as requested by the line Manager

Skills on Resume: 

• Email Management (Hard Skills)
• Communication Skills (Hard Skills)
• Documentation Management (Hard Skills)
• Dispute Resolution (Hard Skills)
• Follow-up and Coordination (Hard Skills)
• Data Entry and Record-Keeping (Hard Skills)
• Protocol Adherence (Hard Skills)
• Performance and Target Achievement (Hard Skills)

Job Summary: 

• Investigate general liability, auto liability and property damage claims
• Interviewing the claimant and witnesses, reviewing relevant records, and valuing property damage to determine the extent of the company's liability.
• Investigate claims by interviewing claimants, employers and witnesses.
• Determine compensability and the total value of the claim.
• Maintain adequate reserves for the life of the claim.
• Convey a positive attitude and team spirit for optimum provision of services to customers.
• Take responsibility for attending client meetings
• Determine subrogation potential and pursue recovery where applicable.
• Maintain an acceptable claim closure ratio.
• Negotiate settlement of claim if warranted.
• Take responsibility for arranging travel for claim staff, ordering and maintaining office supplies

Skills on Resume: 

• Claims Investigation (Hard Skills)
• Claim Valuation (Hard Skills)
• Reserve Management (Hard Skills)
• Customer Service (Soft Skills)
• Meeting Attendance (Hard Skills)
• Subrogation Knowledge (Hard Skills)
• Negotiation Skills (Hard Skills)
• Administrative Competence (Hard Skills)

Job Summary: 

• Contact Center Customer Service Inbound/Outbound
• Responsible for the organization, imaging, processing and overall knowledge of the claims process. 
• Responsible for answering phone calls from claimants regarding their claims.
• Take responsibility for data entry in the company’s database
• Perform analytical review of documentation received
• Review and verify data entered into the system
• Following detailed written instructions to make independent decisions on the next steps
• Recognize and report discrepancies to Supervisors and Management
• Organize travel-related expense accounts for claim staff
• Draft documents and provide support to claims professionals 
• Continuous claims process and operational improvement.

Skills on Resume: 

• Contact Center Customer Service (Hard Skills)
• Claims Processing Knowledge (Hard Skills)
• Data Entry and Database Management (Hard Skills)
• Analytical Review (Hard Skills)
• Attention to Detail (Soft Skills)
• Decision Making (Soft Skills)
• Reporting and Communication (Soft Skills)
• Administrative Support (Hard Skills)

Job Summary: 

• Claims Management – perform follow-with stores/providers to help confirm employee work status
• Receive claim information and review to ensure completeness
• Communicate with store management to gather missing information
• Enter new property & casualty claims to third-party administrators (TPAs)
• Enter new work injury claims using appropriate TPA proprietary software
• Report location acquisitions, divestitures and other location/property changes to Insurers annually
• Be available during standard business hours to assist internal customers by phone and in person
• Gather specific information needed by the carrier for annual Insurance Renewals
• Maintain and update Lithia’s internal safety and insurance documents, annually
• Produce and distribute content for Lithia’s monthly internal safety communication newsletter
• Receive incoming department mail and triage inter-company or to the correct store

Skills on Resume: 

• Claims Management (Hard Skills)
• Communication Skills (Soft Skills)
• Data Entry (Hard Skills)
• Organizational Skills (Soft Skills)
• Customer Service (Soft Skills)
• Insurance Knowledge (Hard Skills)
• Document Management (Hard Skills)
• Newsletter Production (Hard Skills)

Job Summary: 

• Allocate inventory, swap devices and ensure proper collateral is included in claims for fulfillment
• Communicate daily with the Vendor Relations Team and the Mobile Support Team
• Receive and distribute inquiries and escalations to the appropriate teams
• Resolve customer escalations in a timely manner
• Manage return exceptions through quarantine to bring to a resolution
• Reconcile internal system and Service Power system are in sync and ensure correct status sequence compliance
• Update Service Power with notes and other status updates 
• Work closely with the Production Supervisors and Parts Manager to ensure sufficient inventory available to fulfill claims
• Return completed seed stock into inventory daily
• Take responsibility for the process invoices 
• Sort, order, index and file claim-related mail
• Take responsibility for creating and organizing ImageRight folders

Skills on Resume: 

• Inventory Management (Hard Skills)
• Communication Skills (Soft Skills)
• Customer Escalation Resolution (Hard Skills)
• Process Management (Hard Skills)
• System Reconciliation (Hard Skills)
• Documentation and Updates (Hard Skills)
• Collaboration and Coordination (Soft Skills)
• Administrative Skills (Hard Skills)

Job Summary: 

• Providing excellent customer service and assistance
• Making sure that all documentation is correct and fully completed
• Calculating claims and processing the documentation accurately and on time
• Raising any potential fraudulent claims for further investigation
• Ensuring any cheques or Bacs payments raised are accurately calculated and checked
• Liaising with claimants and 3 rd parties at all times to enable the claim to be processed
• Answering written communication and telephone queries related to the administration of the claims
• Identifying any problems/issues with claim processing or system issues
• Monitoring workload, ensuring all work is completed within SLA
• Take responsibility for scanning and filing documents

Skills on Resume: 

• Customer Service Excellence (Soft Skills)
• Attention to Detail (Hard Skills)
• Claims Processing and Calculation (Hard Skills)
• Fraud Detection and Investigation (Hard Skills)
• Payment Accuracy (Hard Skills)
• Effective Communication (Soft Skills)
• Problem Solving (Hard Skills)
• Time Management and Prioritization (Hard Skills)

Job Summary: 

• Handle preparation of quotations and invoices
• Manage and prepare an accident report
• Liaise with claims adjusters, brokers, insurance companies and others for claims settlement
• Perform general administrative duties such as filing, reply emails, etc.
• Take responsibility for clearing emails daily
• Investigating claims within an allocated time frame
• Advise customers of approval/decline of claims
• Prepare for payments or on-charges when required
• Prepare the weekly Stat and Action report to the Auckland Management Team
• Answering the phone for any general customer inquiries
• Manage daily phone calls and email inquiries and handle correspondences on claims and payment status and attend to walk-in policyholders/claimants

Skills on Resume: 

• Administrative Skills (Hard Skills)
• Communication Skills (Soft Skills)
• Customer Service (Soft Skills)
• Claims Handling (Hard Skills)
• Quotation and Invoicing (Hard Skills)
• Report Preparation (Hard Skills)
• Time Management (Soft Skills)
• Attention to Detail (Hard Skills)

Job Summary: 

• Assist the team with monthly & quarterly claims reporting for stakeholders, ensuring any work assigned is carried out in a timely and accurate manner.
• Maintain a professional and working relationship with clients.
• Ensure that the company’s claims administration standards and time service requirements are applied to the handling of all business received.
• Assist in providing data for claims audits.
• Assist in providing data for quarterly valuation claims reporting.
• Ensure documents that provide input to regular management information are completed in a timely and accurate manner
• Issue and follow up on requests for missing documentation
• Communicate with customers regarding the status and investigation of claims
• Work with brokers regarding coverage questions
• Review claims on hold and follow up on needed information to approve or deny

Skills on Resume: 

• Claims Reporting (Hard Skills)
• Client Relationship Management (Soft Skills)
• Claims Administration (Hard Skills)
• Data Management (Hard Skills)
• Documentation Management (Hard Skills)
• Documentation Coordination (Hard Skills)
• Customer Communication (Soft Skills)
• Collaboration with Brokers (Soft Skills)

Job Summary: 

• Assisting with the preparation of end-of-month insurance claims reporting
• Quality-controlling completion paperwork before it is issued to clients, as well as peer-reviewing reports whenever required
• Managing insurance claim email inboxes and efficiently answering client queries both through email and phone
• Providing excellent client service experience to all clients
• Displaying empathy to clients during situations of difficulty. e.g. claims, financial hardship
• Liaising and maintaining relationships with stakeholders, including insurers, master administrators and trustees
• Managing/overseeing the internal claims processes
• Critically evaluating and challenging claim decisions made by insurers
• Date stamp and verify submitted claim forms and attached documents to approve or deny claims.
• Monitor claims for which premium payments have not been received

Skills on Resume: 

• Insurance Claims Processing (Hard Skills)
• Quality Control and Review (Hard Skills)
• Client Service Excellence (Soft Skills)
• Empathy and Customer Support (Soft Skills)
• Stakeholder Management (Soft Skills)
• Claims Process Management (Hard Skills)
• Critical Thinking and Decision-Making (Hard Skills)
• Claims Monitoring and Compliance (Hard Skills)

Job Summary: 

• Manually inputting external incoming claims into the system until the system automation is up and running down the road details might be the personal information of the claimant, policy information, premiums, etc
• Verifying the information, seeing if anything is missing, and flagging it if it is missing.
• Respond to customer requests via telephone or email, providing excellent service to MetLife’s internal and external customers
• Research requests regarding various product aspects, policy provisions, claim status, administrative procedures, etc., and track responses to ensure completion
• Efficiently access and navigate multiple electronic systems 
• Provide a complete and integrated response to the customer’s inquiry or meet the customer’s needs and support overall team processes
• Prepares correspondence to be provided to claimants and medical providers to facilitate claim review
• Performs a variety of tasks requiring critical thinking and research skills

Skills on Resume: 

• Data Entry and System Navigation (Hard Skills)
• Attention to Detail (Hard Skills)
• Customer Service (Soft Skills)
• Research Skills (Hard Skills)
• Communication (Soft Skills)
• Problem-Solving (Hard Skills)
• Organizational Skills (Soft Skills)
• Adaptability (Soft Skills)

Job Summary: 

• Setting up new claim files, providing claim notifications to insurers and tracking insurers’ coverage responses
• Obtaining status updates on workers’ compensation and automobile claims from Adjusters and Brenntag Operating Companies
• Review Third Party Administrator charges for workers’ compensation and automobile claims and allocate costs to Brenntag Operating Companies on a per-claim basis
• Monitoring the TPA’s subrogation efforts in pursuing recoveries for workers’ compensation and automobile claims
• Participating in quarterly workers’ compensation and automobile claim review meetings with the TPA and Brenntag’s insurance broker
• Acting as a resource for Regional Company risk personnel in facilitating the resolution of insurance-related matters
• Assisting with the compilation of quarterly reserve information for open workers’ compensation, automobile and general liability claims
• Tracking and maintaining support for all legal charges incurred relative to the defense of insurance claims
• Collect annual insurance policy renewal information for all operations including property insurance values, vehicle, payroll and headcount data, and loss information.
• Updating Excel schedules on an interim basis

Skills on Resume: 

• Claim File Management (Hard Skills)
• Communication Skills (Soft Skills)
• Claims Administration (Hard Skills)
• Financial Acumen (Hard Skills)
• Subrogation Monitoring (Hard Skills)
• Meeting Facilitation (Soft Skills)
• Risk Management Support (Soft Skills)
• Data Management (Hard Skills)

Job Summary: 

• Date stamp and verify submitted claim forms and attached documents to approve or deny claims.
• Monitor claims for which premium payments have not been received
• Issue and follow up on requests for missing documentation
• Communicate with customers regarding the status and investigation of claims
• Work with brokers regarding coverage questions
• Review claims on hold and follow up on needed information to approve or deny
• Supporting Claims Handlers to administer the claims process
• Meeting the agreed standards of service, volumes and performance levels, in line with
• Efficient processing of specific sections of the claims process, including ECF and diary management, physical and/or electronic
• Escalating claims to Claims Handlers/ Advocacy following agreed SLAs
• Setting up first advice and managing movement on VF/ECF/Class
• Prepare and manage the claims payment process, in conjunction with IBA 

Skills on Resume: 

• Claim Documentation Verification (Hard Skills)
• Payment Monitoring (Hard Skills)
• Documentation Management (Hard Skills)
• Customer Communication (Soft Skills)
• Broker Collaboration (Soft Skills)
• Claims Review and Follow-Up (Hard Skills)
• Claims Process Support (Hard Skills)
• Adherence to Service Standards (Hard Skills)

Job Summary: 

• Providing general clerical and accounts payable support to the Injury Assist Claims Managers and Regional Manager. 
• General clerical assistance to Injury Assist Claims & Injury Managers and Regional Manager 
• Answering general telephone inquiries
• Distribution and management of incoming and outgoing mail
• Complete cheque/EFT process – sending out cheques/EFT remittances
• Creating new vendors and updating payment details on “soul injury”
• Attending to all account queries
• Payment and processing of all accounts related to workers' compensation claims
• Processing timesheets to assist with determining weekly benefits entitlements to injured workers
• Payment of income support to injured workers
• Maintaining accuracy to avoid errors and omissions. 

Skills on Resume: 

• Accounts Payable Processing (Hard Skills)
• Clerical Support (Hard Skills)
• Telephone Etiquette (Soft Skills)
• Mail Handling (Hard Skills)
• Cheque/EFT Processing (Hard Skills)
• Vendor Management (Hard Skills)
• Account Query Resolution (Hard Skills)
• Workers' Compensation Administration (Hard Skills)

Job Summary: 

• Calculating worker's pre-injury average weekly earnings figures
• Creating new vendors in the ISS accounts system
• Filing claims documentation into the claims database
• Coordinating medical/travel bookings and liaising with third-party providers
• Follow-up essential forms and documents required from claimants and external providers
• Assisting in the preparation, management and finalization of claims management
• Collating documentation and ongoing administrative support to external providers
• Take responsibility for the management of the shared electronic mailbox
• Prepare and analyze loss history, experience modifications and claim reports. 
• Maintain internal and external relationships with professionalism.

Skills on Resume: 

• Claims Management (Hard Skills)
• Data Analysis (Hard Skills)
• Vendor Management (Hard Skills)
• Administrative Support (Hard Skills)
• Booking Coordination (Hard Skills)
• Communication Skills (Soft Skills)
• Attention to Detail (Soft Skills)
• Organizational Skills (Soft Skills)

Job Summary: 

• Receive claims to process as delegated by attorney or other designated person
• Share contact information with the client and request supporting documents to process the claim
• Process claim application and send an application for client review and approval
• Submit the claim in the system and mail the required original documents
• Work with the Attorney group to make sure that all questions related to the cases are answered properly
• Respond to requests for missing or additional information on time
• Maintain and update all relevant case tracking spreadsheets and other resources with changes in status
• Send related emails to update the team when the client is contacted or changes to status
• Make proactive client calls after a claim is submitted while awaiting a determination

Skills on Resume: 

• Claims Processing (Hard Skills)
• Client Communication (Hard Skills)
• Documentation Management (Hard Skills)
• Collaboration (Soft Skills)
• Information Management (Hard Skills)
• Case Tracking and Updates (Hard Skills)
• Email Communication (Soft Skills)
• Client Relationship Management (Soft Skills)