Health insurance claims CV sample - CV formats / templates
- RE: Health insurance claims CV sample - CV formats / templates -Ishita kispotta (09/27/12)
Insurance claim adjuster CV sample
-Highly motivated and results-driven professional, with five years of experience in legal administration, claims adjustment and business development.
-Expertise in office administration and support automotive operations.
-Excellent in utilizing strategic methods for evaluating, negotiating, and settling the claims.
-Well verse with legal systems and functions related to insurance industries.
-Wide experience of investigating claims against insurance and other loss/damages.
-Expert in finding and diligence in negotiating settlements with claimants.
-Excellent negotiation and settlement skills.
-Expertise in regulatory compliance and standards.
-Ability to process and improve the productivity.
-Expertise in handling claims and investigations.
-Proficient in computer skills like SAP, CRM etc.
-Team-focused and individual player.
-Possess creative legal mind.
-Hardworking and focused.
Company Name- XYZ
Aug 20**- Till Date
-Study the insurance claims and negotiate for it.
- Responsible for the settlement and approval for payments.
-Review the provided documents or files like photographs, videotaped or any written statements.
-Consult with accountants and lawyers for the evaluation of any claim.
Jan 20**- Dec 20**
-Investigate the claim by interacting the claimant and the witnesses.
-Consult the police, check hospital records and examine property harm to find out the extent.
-Investigate and assess the value of the insured item.
-Estimate the payments and granted payments of the claims.
-Investigate and settle the assigned health claims.
-Implement and compile the claims with policy and procedures.
-Completed Six Sigma (Black belt) in risk management.
-Recognized for adjusting maximum claims in the year 20**.
-Certified Insurance advisor from IRDA in 20**.
-MBA in Finance from “XYZ”in 20**.
-Graduate in Commerce from “XYZ” in 20**.
Date of Birth: 19 September 19**.
Languages known: Hindi and English.
- RE: Health insurance claims CV sample - CV formats / templates -Shashank Chaturvedi (09/17/12)
Insurance claim agent CV sample
-Experienced Insurance Claim Adjuster with extensive knowledge about clauses and schemes regarding different insurances claims
-Profound knowledge of client relationship standards required for Insurance Activities
-Complete adaptibilty to working for late hours even in highly pressurized situation
-Profound knowledge of various claim standards of insurance products, policies
-Expert in monitoring sales and marketing figures of insurance team
-Expert in dealing with property inspection and claims management issues
-Enthusiastic and innovative
-Proficient speaker of Hindi, English
-Self Starter Personality
Duties & Responsibilities
-Supervise insurance claims department and help agents in negotiating and approving payments
-Consult clients and other related people for evaluation of the claim
-Responsible for negotiating, maintaining proper client relationship by the method of reaching them up regulary
-Monitor Ethical & Professional standard to check any discrepancy happening to client during insurance claim
-Won 1st prize in Theatre Concert of XYZ
-RTG Insurance, CVB City (2009-Present)
-HSC (ASDF Board) 2001 Commerce Stream 78%
-SSC (ASDF Board) 2003 Commerce Stream 68%
-MBA Insurance Management (FGH University) 88%
-Date of Birth: DD/MM/YYYY
- RE: Health insurance claims CV sample - CV formats / templates -sonali taste (09/11/12)
Health insurance CV sample
Objective: To seek a position of Claims Advisor in a well reputed Insurance Company, where I will be able to utilize my skills and qualifications.
-Ability to maintain the records & review them.
-In-depth knowledge of medical terminology in relation to diagnoses and procedures
-Possess good communication and excellent listening skills.
-Strong positive attitude
-Deep knowledge of the claim processing technicalities
-Comprehensive knowledge of the Insurance terms & policies.
-Well versed with IT skills such as MS-Office (Word, Excel, PowerPoint)
-Awarded the Best Advisor reward for processing 100% claims in the quarter.
-Rewarded the Awareness reward for detecting the potential frauds in claims processing
-Participation in the National level Insurance Conference held at NUY in 2009.
-Member of National Health Insurance Federation.
-Participation in the District level Volleyball team.
POH Insurance Services, MNU. (May 2008- till date)
Working as a Medical Claims Advisor
-Entering the claims data into system
-Processing the claims after proper investigation.
-Understanding the medical history of the clients.
-Reviewing the total premiums paid by the customer.
-Resolved problems resulting from claim settlement
-Performed audit of the claims to ensure quality processing
-Followed adjudication policies and procedures to ensure proper payment of claims
-Delivered timely service to the members, providers, billing departments on the subject of claims
NHY Services, KOU (January 2006-April 2008)
Worked as Health Claims Processor.
-Collection of proper documents required for the claim processing.
-Analyzing the claim cases for the detection of fraud claimants.
-Processing the claims.
-Prioritizing the claims on the basis of the clientele requirements.
-Settlement of the claims in accordance with the norms of the Insurance policies.
-Solving the queries of the customers in the Claim settlement issues.
-Conducting Audit of the claim settlements for quality processing.
KLT Insurance Inc. PMU (March 2004-December 2005)
Worked as a Insurance Advisor
-Collection of the database of the prospective clients.
-Cold calling on the data.
-Visiting the customers & closing the leads.
-Processing the documents.
-Solving the queries of the customers.
-Reminders to the customers for the due premium amounts.
-Maintaining good relations with the clients.
-Bachelor of Commerce from VFT University with 59% marks.
-Passed HSC from BHY Board with 67% marks.
-Passed SSC from NUY Board with 72% marks.
-Certification in Insurance Advisor course of National Insurance Association.
Date of Birth:23.09.19**
Address:87, Smith Lane,Booker Colony,NYH
Languages Known:English, Hindi, Punjabi & Spanish