Are you a seasoned Claims Account Specialist seeking a new career path? Discover our professionally built Claims Account Specialist Resume Template. This time-saving tool provides a solid foundation for your job search. Simply click “Edit Resume” to customize it with your unique experiences and achievements. Customize fonts and colors to match your personal style and increase your chances of landing your dream job. Explore more Resume Templates for additional options.
Briggs Clark
Claims Account Specialist
Summary
Highly skilled Claims Account Specialist with a proven track record of resolving over 1,000 claims per month with a 95% customer satisfaction rating. Possesses a deep understanding of claims processing, policy analysis, insurance policy interpretation, customer service, and underwriting. Proficient in negotiating claim settlements, managing teams, investigating complex claims, providing training, and implementing new systems to improve efficiency.
Education
Bachelor of Science in Business Administration
April 2015
Skills
- Claims Processing
- Policy Analysis
- Insurance Policy Interpretation
- Customer Service
- Communication
- Underwriting
Work Experience
Claims Account Specialist
- Investigated and evaluated complex claims, providing detailed reports and recommendations for claim resolution.
- Maintained excellent relationships with insurance companies, attorneys, and other stakeholders.
- Provided training and support to claims adjusters, improving their knowledge and skills.
- Participated in industry conferences and seminars to stay abreast of best practices and regulations.
Claims Account Specialist
- Provided exceptional customer service by resolving over 1,000 claims per month, resulting in a 95% customer satisfaction rating.
- Managed a team of 5 claims adjusters, ensuring timely and accurate claim processing.
- Negotiated claim settlements with claimants and third parties, achieving cost savings of over $500,000 per year.
- Developed and implemented a new claims management system that streamlined processes and improved efficiency by 20%.
Accomplishments
- Successfully resolved over 200 highvalue claims, achieving a 98% closure rate and minimizing financial impact on clients
- Implemented new processes to streamline claims processing, resulting in a 20% reduction in average claim handling time
- Collaborated with external legal counsel to develop innovative strategies for defending claims, resulting in significant savings for clients
- Trained and coached new hires, providing guidance and support to enhance their claims handling skills
- Consistently exceeded performance targets by 15%, demonstrating exceptional productivity and attention to detail
Awards
- Recognized as Claims Account Specialist of the Year for outstanding performance in managing complex claims and delivering exceptional customer service
- Awarded for achieving top customer satisfaction ratings in consecutive quarters, demonstrating exceptional communication and dispute resolution skills
- Honored with the Leadership Excellence Award for mentoring and developing a highperforming team of claims specialists
Certificates
- Certified Claims Executive (CCE)
- Associate in Claims (AIC)
- Fellow of the Claims and Litigation Management Alliance (FCLM)
- Certified Insurance Counselor (CIC)
Career Expert Tips:
- Select the ideal resume template to showcase your professional experience effectively.
- Master the art of resume writing to highlight your unique qualifications and achievements.
- Explore expertly crafted resume samples for inspiration and best practices.
- Build your best resume for free this new year with ResumeGemini. Enjoy exclusive discounts on ATS optimized resume templates.
How To Write Resume For Claims Account Specialist
- Highlight your relevant skills and experience in claims processing, customer service, and insurance policy interpretation.
- Showcase your ability to negotiate effectively and achieve cost savings.
- Demonstrate your leadership and management abilities by providing examples of your team management experience.
- Emphasize your knowledge of insurance regulations and industry best practices.
- Include any certifications or professional development courses you have completed to demonstrate your ongoing commitment to the field.
Essential Experience Highlights for a Strong Claims Account Specialist Resume
- Process and resolve claims in accordance with company policies and procedures.
- Negotiate and settle claims with claimants and third parties, achieving cost savings.
- Investigate and evaluate complex claims, providing detailed reports and recommendations.
- Manage and train a team of claims adjusters, ensuring timely and accurate claim processing.
- Develop and implement new claims management systems and procedures to enhance efficiency.
- Maintain excellent relationships with insurance companies, attorneys, and other stakeholders.
Frequently Asked Questions (FAQ’s) For Claims Account Specialist
What is the primary role of a Claims Account Specialist?
A Claims Account Specialist is responsible for processing and resolving insurance claims, negotiating settlements, investigating complex claims, and managing teams to ensure timely and accurate claim resolution.
What skills are essential for a Claims Account Specialist?
Essential skills include claims processing, policy analysis, insurance policy interpretation, customer service, communication, underwriting, and negotiation.
What is the earning potential for a Claims Account Specialist?
According to Indeed, the average salary for a Claims Account Specialist in the United States is $65,000 per year.
What career advancement opportunities are available for Claims Account Specialists?
With experience and additional qualifications, Claims Account Specialists can advance to roles such as Claims Manager, Claims Supervisor, or Insurance Underwriter.
What are the key qualities of a successful Claims Account Specialist?
Successful Claims Account Specialists are typically detail-oriented, analytical, empathetic, and possess strong communication and negotiation skills.
What is the job outlook for Claims Account Specialists?
The job outlook for Claims Account Specialists is expected to grow 7% by 2031, faster than the average for all occupations, due to the increasing demand for insurance services.