Insurance Claims Adjuster Resume Sample


Insurance Claims Adjuster Resume Sample

Complete Name
Complete Address
Phone # / Cell Phone #
E-mail Address

SUMMARY OF QUALIFICATIONS

Highly motivated, analytical, and results-driven professional, with comprehensive years of experience in legal administration, claims adjustment, cash management, and business development, complemented with expertise in office administration and support as well as automotive operations. Flexible interpersonal styles; able to utilize strategic methods in evaluating, negotiating, and settling assigned claims and tasks. In-depth familiarity of legal system and functions related to insurance industries. Ability in investigating claims against insurance and other organizations for personal, casualty, and property loss/damages. Capable in preparing report findings and diligence in negotiating settlements with claimants. Problem-solving capabilities and out-of-the-box thinking approach to capture key issues and formulate competitive actions plans. Skilled at establishing solid relationships with professionals and individuals while maintaining high ethical and quality standards, professional demeanor, and a cooperative attitude.

 AREAS OF EXPERTISE

  • Contract Negotiation and Settlement
  • Problem Solving and Decision Making
  • Regulatory Compliance and Standards
  • Process and Productivity Improvement
  • Organizational Administration and Functions
  • Time Management and Prioritization
  • Customer Service and Relations
  • Communication and Coordination

EDUCATION AND CREDENTIALS

Professional Legal Assistant Certificate | Legal Assistant Certificate
RST College,Calgary,AB

Coursework in Business Office Skills
RST College,Calgary,AB

RELEVANT EXPERIENCE

Xyz | Calgary,AB
Direct Cash | 2011–Present

  • Closely supervise and monitor ATMs across the country while administering reports.
  • Initiate and develop strong rapport with external or internal customers by providing quality service.
  • Sustain constant communication with customers by promptly addressing queries and conducting assessment needs related to investigations and settlement process.
  • Establish open communication channels with Legal Department; effectively liaise between inside and outside sales, management, and other representatives in troubleshooting technical and administrative issues.
  • Exemplify versatility and multitasking skills in performing diverse tasks, such as customer service, inside and outside sales support, and telephone follow-ups.
  • Handle the preparation of legal files and numerous administrative tasks, such as faxing and filing.

Highlights:

  • Employed and leveraged investigative skills in gathering and compiling information to support legal case; conducted thorough analysis of various reports while managing risk evaluations.
  • Ensured overall compliance with professional and corporate standards through detailed monitoring and assessment of employee performance.
  • Utilized relationship-building skills in cultivating and maintaining productive business relationships with organizational contracts; generated referrals and repeat business, bringing additional revenue for the company.

Nop | Calgary,AB
Claims Adjuster | 2008–2009

  • Served as subject matter expert in investigating, identifying, and settling relatively complex international health claims.
  • Expertly administered health care claims and international student health insurance.
  • Comprehended, implemented, and regularly complied with policy and procedures.

Highlight:

  • Provided quality service while delivering efficient and equitable settlement of claims in compliance with corporate policies and standards.

Cde Agency | Calgary,AB
General Administrative Assistant, Human Resources – Western Area Office | 2006–2008

  • Developed productive relationships with human resources manager by rendering administrative support.
  • Arranged report analysis and completion of departmental expenses and monthly budgets.
  • Organized and carried out travel arrangements for more than 40 department staff; coordinated the orchestration and submission of their travel claims.
  • Assumed full accountability in handling incoming/out coming mail; collaborated closely with couriers while coordinating the distribution of faxes across the entire department.
  • Led and facilitated all department affairs, such as repairs, installations, and supplies ordering.

Highlight:

  • Managed the completion and maintenance of purchasing contracts, including consultants, maintenance contracts, and other outside services.

OTHER EXPERIENCE

Def Consultants | Calgary,AB
Medical Receptionist and Nuclear Laboratory Liaison | 2009–2010

  • Oversaw and managed the check-in of more than 120 patients daily; ensured and administered the verification of all patient’s medical backgrounds, medications, and requisitions.
  • Collaborated closely with patients while arranging their schedules for cardio tests.
  • Interfaced, cooperated, and regularly communicated with physicians and laboratory technicians to ensure appropriate patient testing and procedures in compliance with all requirements.

Highlights:

  • Spearheaded the timely completion and distribution of nuclear reports to physicians.
  • Made use of exceptional analysis skills in identifying and resolving questions and concerns regarding all types of procedures.

Stuv HealthCare | Calgary,AB
Service Coordinator, Mobility Vehicle – Institutional Lift Department | 2001–2006

  • Worked collaboratively with the Vehicle Department and commercial/residential installers in coordinating mobility installations.
  • Rendered efficient assistance in arranging work orders, presenting estimates to customers, and completing invoices.
  • Built and maintained long-term quality relationships with sales staff, managers, shop staff, vendors, and customers by employing hands-on approach and initiatives.

Highlights:

  • Guaranteed credible and licensed vendors for both institutional and automotive divisions through creation and implementation of a quality control / preventative maintenance program.
  • Meticulously managed the evaluation and process of warranty claims in collaboration with several manufacturers and dealers; oversaw and ensured proper payment.

PROFESSIONAL TRAINING

St. JohnAmbulance,Calgary,AB
First Aid Training
Cardiopulmonary Resuscitation – C
Automated External Defibrillator

TECHNICAL SKILLS

Microsoft Office Suite

PageMaker, Adobe Acrobat Professional and Photoshop, HTML, and Kurzweil

 

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