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Francisco Kelly
Claims Correspondence Clerk
Summary
Highly skilled and experienced Claims Correspondence Clerk with a proven track record of resolving complex insurance claims efficiently and effectively. Possesses in-depth knowledge of insurance policies, regulations, and claim processing procedures. Proven ability to communicate clearly and effectively with claimants, insurance agents, adjusters, and third-party vendors. Proficient in claim management software and adept at investigating claims, determining liability, and preparing clear and concise claim correspondence. Demonstrated success in collaborating with underwriting and policy issuance teams to ensure accurate and consistent claims processing. Seeking a challenging role where I can utilize my expertise to contribute to the success of an organization.
Education
Bachelor’s degree
November 2014
Skills
- Claims Processing
- Correspondence Management
- Customer Service
- Data Entry
- Insurance Knowledge
- Microsoft Office Suite
Work Experience
Claims Correspondence Clerk
- Performed thorough investigations to determine liability and coverage under insurance policies.
- Prepared clear and concise claim correspondence, including settlement letters, denial letters, and subrogation requests.
- Worked closely with underwriting and policy issuance teams to ensure accurate and consistent claims processing.
- Collaborated with legal counsel to review and interpret insurance contracts and case law.
Claims Correspondence Clerk
- Resolved over 200 complex claims per week, utilizing knowledge of insurance policies and regulations.
- Assisted policyholders through the claims process, providing guidance and resolving their inquiries.
- Communicated effectively with claimants, insurance agents, adjusters, and thirdparty vendors to gather and verify claim information.
- Utilized claim management software to record, track, and process claims efficiently.
Accomplishments
- Proactively identified and resolved claims with potential fraud, saving the company an estimated $100,000.
- Reduced claim processing time by 20% through implementing a streamlined communication process.
- Developed and implemented a new system for tracking and managing claim status, resulting in a 15% increase in efficiency.
- Consistently exceeded performance goals by processing over 50 claims per day with a 99% accuracy rate.
- Established a positive rapport with customers, earning a 95% satisfaction rating for customer service.
Awards
- Recognized by the Claims Management Association for outstanding customer service in claims handling.
- Received the Presidents Award for exceptional performance in claims resolution.
- Named Claims Correspondence Clerk of the Year for three consecutive years.
- Presented with the Team Excellence Award for outstanding contributions to the claims team.
Certificates
- Associate in Claims (AIC)
- Fellow, Claims and Litigation Management (FCLM)
- Certified Insurance Claims Professional (CIC)
- Certified Claims Service Professional (CCSP)
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How To Write Resume For Claims Correspondence Clerk
- Highlight your strong communication and interpersonal skills, as these are essential for success in this role.
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- Quantify your accomplishments and provide specific examples of your work.
- Proofread your resume carefully before submitting it.
Essential Experience Highlights for a Strong Claims Correspondence Clerk Resume
- Resolved over 200 complex claims per week, utilizing knowledge of insurance policies and regulations.
- Assisted policyholders through the claims process, providing guidance and resolving their inquiries.
- Communicated effectively with claimants, insurance agents, adjusters, and thirdparty vendors to gather and verify claim information.
- Utilized claim management software to record, track, and process claims efficiently.
- Performed thorough investigations to determine liability and coverage under insurance policies.
- Prepared clear and concise claim correspondence, including settlement letters, denial letters, and subrogation requests.
- Worked closely with underwriting and policy issuance teams to ensure accurate and consistent claims processing.
Frequently Asked Questions (FAQ’s) For Claims Correspondence Clerk
What is a Claims Correspondence Clerk?
A Claims Correspondence Clerk is responsible for handling and processing insurance claims. They communicate with claimants, investigate claims, and determine liability and coverage.
What are the educational requirements for a Claims Correspondence Clerk?
Most Claims Correspondence Clerks have a high school diploma or equivalent. Some employers may prefer candidates with a bachelor’s degree in business, insurance, or a related field.
What are the key skills for a Claims Correspondence Clerk?
Key skills for a Claims Correspondence Clerk include communication, customer service, data entry, insurance knowledge, and Microsoft Office Suite.
What is the job outlook for Claims Correspondence Clerks?
The job outlook for Claims Correspondence Clerks is expected to grow faster than average over the next few years.
What is the average salary for a Claims Correspondence Clerk?
The average salary for a Claims Correspondence Clerk is around $40,000 per year.
What are the career advancement opportunities for Claims Correspondence Clerks?
Claims Correspondence Clerks can advance to roles such as Claims Adjuster, Claims Supervisor, or Claims Manager.