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Claim agent skills for your resume and career
15 claim agent skills for your resume and career
1. Customer Service
Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.
- Provide general customer service including service initiation and providing assistance throughout the service delivery process.
- Provide dealers with feedback on warranty claim concerns detected while providing exceptional customer service.
2. Inbound Calls
- Answered inbound calls from providers and customers regarding claims, and benefits, issues from all accounts and Clients Contacts.
- Received Allstate Insurance's overflow inbound calls for natural disaster insurance claims, and scheduled appointments for claims adjusters.
3. Property Damage
Property damage is the destruction or damage of tangible personal property. Property damage can be caused by negligence, irresponsible handling of the property, willful destruction, or any other destructure act of nature.
- Investigated, evaluated, negotiated, and settled property damage incidents filed against the company up to a certain dollar amount.
- Processed first and third Party Medical and Property Damage claims.
4. Insurance Policy
- Reviewed insurance claims form and related documents for completeness Reviewed insurance policy to determine coverage Transmitted routine claims for payment
- Interviewed clients to obtain the information required on new insurance policy applications.
5. Outbound Calls
An outbound call is made by the call center representative to the customers on behalf of the company. Such calls help increase sales and generate revenue for the organization.
- Assisted with escalated problems from providers and customers by making outbound calls to maintain and improve client relations.
- Performed initial contact through inbound and outbound calls with insured clients and claimants to investigate automobile accidents.
6. Medical Claims
- assisted beneficiaries with information in regards to their approved and/or denied Part A/Hospital and/or Part B/Medical claims.
- Evaluated and issued payment on medical claims from introductory level through specialized topics.
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- Resolve claims issues, all using computers.
- Researched and analyzed data to address operational challenges and customer claims issues.
8. Unemployment Claims
- File unemployment claims for unemployed claimants via Internet and phone in a call center environment.
- Handled appointments to complete and process unemployment claims and payments.
9. Computer System
- Tracked packages through the use of AS400 and PITT3 computer systems.
- Pull luggage off of carousel and put into AA computer system Inventory luggage left at the end of shift.
10. Telephone Calls
Telephone calls are a communication means through which a caller is connected to the called party. The call is done through a telecommunications device called a telephone. The caller can use a landline, mobile phone, or satellite phone to make the call.
- Call center environment, answered and transferred high volume telephone calls.
- Processed telephone calls to and from customers in accordance with Contact Center and Prime-published departmental standards.
11. District Court
- Prepared and filed criminal complaints at the district court level.
- Issued and filed claims on Circuit andDistrict Court documents placed on judgement.
12. Veterans
- Provided speeches, educational information to various veterans organizations.
- Created a Power Point presentation for the Partners to utilize during seminars aimed at Veterans & their survivors.
13. Customer Issues
- Utilized specific software tools and problem solving strategies to solve customer issues and continuously improve processes.
- Go to person for resolving highly visible customer issues.
14. Police Reports
Police reports, also known as "incident reports," are recorded by members of the police department and detail a (potentially) illegal incident or confrontation. The following information is usually found on a police report: the date and time of the incident, which officers were involved, the address of the incident, what kind of incident (theft, assault, etc.), and how the officers were alerted to the incident.
- Reviewed vehicle repair estimates and police reports.
- Investigated liability claims by taking statements, interviewing witnesses, reviewing police reports.
15. Auto Insurance Claims
- Learned how to file complex auto insurance claims.
- Processed home and auto insurance claims Provide customer follow-up to ensure accuracy of account information
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List of claim agent skills to add to your resume
The most important skills for a claim agent resume and required skills for a claim agent to have include:
- Customer Service
- Inbound Calls
- Property Damage
- Insurance Policy
- Outbound Calls
- Medical Claims
- Claims Issues
- Unemployment Claims
- Computer System
- Telephone Calls
- District Court
- Veterans
- Customer Issues
- Police Reports
- Auto Insurance Claims
- Insurance Carriers
- Employment Data
- Policy Holders
- Computer Software
- Claims Handling
- Customer Accounts
- Retrieve Data
- Medicaid
- Customer Claims
- Insurance Coverage
- Windows
- Customer Inquiries
- Open Claims
- Customer Calls
- State Laws
- Customer Support
- Customer Complaints
- Glass Claims
- Warranty Claims
Updated January 8, 2025