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This question is about claim processor resumes.
What are the duties of a claims processor?
The duties of a claims processor are both administrative and customer service-related. All processor duties focus on the validation and fulfillment of customer insurance claims.
Many of the duties of a claims processor are administrative and may not be in direct response to a claim. Processors are responsible for maintaining and updating customer records. This requires that they interact with customers to update client information and inform customers of company policy changes.
Data entry is also an extension of recording customer information. Claims processors are responsible for keeping digital records of client information and policy changes.
Because claims processors depend on valid customer information, it is their duty to keep in contact with clients. They are responsible for making customers aware of law and company policy changes that affect client policies.
The primary role of the claims processor is to review policies for which claims have been submitted and determine payment based on coverage.
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