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Donald Patterson
Claims Coordinator
Summary
Highly accomplished Claims Coordinator with 5+ years of experience in the insurance industry. Proven ability to process over 500 claims per month, resulting in a significant reduction in outstanding claims. Demonstrated expertise in investigating and analyzing insurance claims, determining liability and coverage, and negotiating settlements with claimants and third-party providers. Possesses strong communication and negotiation skills, and is proficient in utilizing insurance software and systems to manage and process claims efficiently.
Education
Bachelor’s Degree
March 2019
Skills
- Policy Interpretation
- Claims Triage
- Subrogation
- Coverage Analysis
- Communication
- Negotiation
Work Experience
Claims Coordinator
- Communicated effectively with claimants, policyholders, and other stakeholders throughout the claims process.
- Utilized insurance software and systems to manage and process claims efficiently.
- Collaborated with legal counsel to ensure proper handling of complex or litigated claims.
- Monitored claim trends and identified areas for improvement in claims handling procedures.
Claims Coordinator
- Processed over 500 claims per month, resulting in a significant reduction in outstanding claims.
- Investigated and analyzed insurance claims, determining liability and coverage.
- Negotiated settlements with claimants and thirdparty providers, achieving favorable outcomes for the company.
- Prepared and maintained all necessary documentation for insurance claims, ensuring compliance with industry regulations.
Accomplishments
- Streamlined claim processing operations by implementing a new software system, resulting in a 25% reduction in processing time.
- Reduced claim denials by 15% through thorough policy analysis and proactive outreach to providers.
- Improved communication with policyholders by establishing a dedicated helpline, resulting in a 20% increase in customer satisfaction ratings.
- Collaborated with legal counsel to develop new strategies for handling complex claims, resulting in improved outcomes and reduced legal expenses.
- Negotiated favorable settlements for 90% of claims, saving the company millions of dollars in potential payouts.
Awards
- Received the Claims Excellence Award for consistently exceeding performance targets and providing exceptional customer service.
- Honored with the Team Player Award for demonstrating exceptional collaboration and teamwork in handling highprofile claims.
- Recognized as the Claims Champion for achieving the highest customer satisfaction rating among all claims coordinators.
- Received the Outstanding Service Award for providing exceptional support to policyholders during a major natural disaster.
Certificates
- Certified Claims Professional (CCP)
- Associate in Claims (AIC)
- Certified Insurance Service Representative (CISR)
- Certified Property and Casualty Underwriter (CPCU)
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How To Write Resume For Claims Coordinator
- Highlight your experience in processing and evaluating insurance claims, and your ability to handle a high volume of claims.
- Demonstrate your expertise in investigating and analyzing insurance claims, and your ability to determine the cause of loss and extent of damages.
- Showcase your strong communication and negotiation skills, and your ability to negotiate settlements with claimants and third-party providers.
- Emphasize your proficiency in utilizing insurance software and systems to manage and process claims efficiently.
- Highlight your ability to monitor claim trends and identify areas for improvement in claims handling procedures.
Essential Experience Highlights for a Strong Claims Coordinator Resume
- Process and evaluate insurance claims to determine coverage and liability
- Investigate and analyze insurance claims to determine the cause of loss and extent of damages
- Negotiate settlements with claimants and third-party providers to resolve claims in a cost-effective and timely manner
- Prepare and maintain all necessary documentation for insurance claims, ensuring compliance with industry regulations
- Communicate effectively with claimants, policyholders, and other stakeholders throughout the claims process
- Monitor claim trends and identify areas for improvement in claims handling procedures
- Collaborate with legal counsel to ensure proper handling of complex or litigated claims
Frequently Asked Questions (FAQ’s) For Claims Coordinator
What are the key responsibilities of a Claims Coordinator?
The key responsibilities of a Claims Coordinator include processing and evaluating insurance claims, investigating and analyzing insurance claims, negotiating settlements with claimants and third-party providers, preparing and maintaining all necessary documentation for insurance claims, communicating effectively with claimants, policyholders, and other stakeholders throughout the claims process, monitoring claim trends and identifying areas for improvement in claims handling procedures, and collaborating with legal counsel to ensure proper handling of complex or litigated claims.
What are the qualifications for a Claims Coordinator?
The qualifications for a Claims Coordinator typically include a bachelor’s degree in a related field, such as insurance, business, or finance, and 2-5 years of experience in the insurance industry. Strong communication and negotiation skills are also essential.
What are the career prospects for a Claims Coordinator?
Claims Coordinators can advance to more senior positions within the insurance industry, such as Claims Adjuster, Claims Manager, or Claims Director. With additional experience and education, Claims Coordinators may also qualify for positions in other areas of the insurance industry, such as underwriting or risk management.
What is the salary range for a Claims Coordinator?
The salary range for a Claims Coordinator varies depending on experience, location, and company size. According to Salary.com, the average salary for a Claims Coordinator in the United States is $55,000 per year.
What are the benefits of working as a Claims Coordinator?
The benefits of working as a Claims Coordinator include a competitive salary, a stable career path, and the opportunity to help people in need. Claims Coordinators also have the opportunity to learn about the insurance industry and develop valuable skills in communication, negotiation, and customer service.
What are the challenges of working as a Claims Coordinator?
The challenges of working as a Claims Coordinator include dealing with difficult customers, managing a high volume of claims, and working under tight deadlines. Claims Coordinators may also be required to work overtime or on weekends to meet deadlines.
What is the work environment for a Claims Coordinator?
Claims Coordinators typically work in an office environment. They may have their own cubicle or desk, or they may share a workspace with other employees. Claims Coordinators may also be required to travel to meet with claimants or to investigate claims.