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Jorge Lee
Claims Technician
Summary
Highly motivated and experienced Claims Technician with a proven track record of success in investigating, analyzing, and resolving complex property and casualty claims. Demonstrated expertise in policy interpretation, negotiation, and subrogation. Proficient in claims processing software and industry best practices. Committed to providing excellent customer service and ensuring timely and accurate claim resolution.
Education
Bachelor’s degree
July 2018
Skills
- Claims Processing
- Policy Interpretation
- Fraud Detection and Prevention
- Underwriting Guidelines Analysis
- Subrogation
- Negotiation
Work Experience
Claims Technician
- Utilized claims processing software and databases to streamline claim handling and improve efficiency
- Participated in training and development programs to stay abreast of industry best practices
- Communicated effectively with policyholders, attorneys, and other stakeholders to facilitate claim resolution
- Maintained detailed claim files and documentation to ensure compliance with regulatory requirements
Claims Technician
- Investigated and resolved over 1000 complex property and casualty claims, reducing claim resolution time by an average of 15%
- Conducted thorough investigations, analyzed evidence, and prepared detailed reports to support claim decisions
- Negotiated and settled claims, achieving favorable outcomes for both policyholders and insurers
- Managed a portfolio of highvalue claims, ensuring timely and accurate resolution
Accomplishments
- Successfully managed a highvolume caseload of complex claims, achieving a 95% resolution rate within SLA targets.
- Implemented a new claims processing software that streamlined operations, reducing claim processing time by 25%.
- Developed and executed a training program for new team members, improving their productivity and adherence to company policies.
- Collaborated with underwriting to identify and mitigate potential claim risks, reducing claim frequency by 10%.
- Established and maintained strong relationships with insurance brokers and policyholders, resolving inquiries efficiently.
Awards
- Received the Claims Technician of the Year award for consistently exceeding performance metrics.
- Recognized with Excellence in Claim Handling award for delivering highquality settlements and reducing claim cycle times.
- Awarded Team Player of the Month for consistently supporting colleagues and fostering a positive work environment.
- Recognized by the company for Outstanding Customer Service based on positive client feedback.
Certificates
- Certified Insurance Claims Professional (CIC)
- Associate in Claims (AIC)
- Fellow of the Society of Claim Professionals (FSCP)
- Certified Fraud Examiner (CFE)
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How To Write Resume For Claims Technician
Highlight your skills and experience.
Claims adjusters need a strong understanding of insurance policies, claims processes, and investigation techniques. Be sure to highlight these skills in your resume, and provide specific examples of your experience.Quantify your accomplishments.
Whenever possible, quantify your accomplishments to show the impact of your work. For example, you could mention the number of claims you’ve resolved, the amount of money you’ve saved your company, or the percentage by which you’ve improved claim resolution times.Use keywords.
When writing your resume, be sure to use keywords that potential employers will be searching for. These keywords should include your skills, experience, and certifications.Proofread carefully.
Before you submit your resume, be sure to proofread it carefully for any errors. A well-proofed resume will make a good impression on potential employers.Tailor your resume to each job you apply for.
Take the time to tailor your resume to each job you apply for. This means highlighting the skills and experience that are most relevant to the specific job requirements.
Essential Experience Highlights for a Strong Claims Technician Resume
- Investigate and resolve property and casualty claims, including coverage analysis, liability determination, and damage assessment.
- Conduct thorough investigations, gather evidence, and prepare detailed reports to support claim decisions.
- Negotiate and settle claims with policyholders and claimants, achieving favorable outcomes for both parties.
- Manage a portfolio of high-value claims, ensuring timely and accurate resolution within established timeframes.
- Utilize claims processing software and databases to streamline claim handling and improve efficiency.
- Stay abreast of industry best practices through ongoing training and development programs.
- Communicate effectively with policyholders, attorneys, and other stakeholders to facilitate claim resolution and ensure satisfaction.
Frequently Asked Questions (FAQ’s) For Claims Technician
What is the role of a Claims Technician?
A Claims Technician is responsible for investigating, analyzing, and resolving claims. They work with policyholders, claimants, and other stakeholders to gather information, assess damages, and determine coverage. Claims Technicians also negotiate settlements and ensure that claims are processed in a timely and efficient manner.
What are the qualifications for a Claims Technician?
Most Claims Technicians have a bachelor’s degree in a related field, such as business, finance, or insurance. They also typically have several years of experience in the insurance industry. Claims Technicians must be able to work independently and as part of a team. They must also have strong communication and negotiation skills.
What are the career prospects for a Claims Technician?
Claims Technicians can advance to more senior roles, such as Claims Adjuster or Claims Manager. They may also move into other areas of the insurance industry, such as underwriting or risk management.
What is the salary range for a Claims Technician?
The salary range for a Claims Technician varies depending on experience, location, and company size. According to Salary.com, the median annual salary for a Claims Technician is $56,000.
What are the benefits of working as a Claims Technician?
Claims Technicians enjoy a number of benefits, including: job security, a competitive salary, and the opportunity to help people in need.