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Claims assistant skills for your resume and career
15 claims assistant 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.
- Assisted Claims Managers in preparing, investigating and recording general liability claims * Provided customer service support for claimant inquiries.
- Enhance claim assistant daily tasks with time management organization Demonstrate excellent customer service to internal associates and clients Strengthened team productivity
2. Data Entry
Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.
- Required data entry skills to create injury report by entering claimants' information into system and issue claimants temporary disability payments.
- Improved information accuracy, efficiency of data entry and retrieval, and overall coordination of accounting systems.
3. Photocopying
- Provided claim support to adjuster's including photocopying, filing, and created files manually and electronically.
- Answered emails, letters, and phone calls and handled filing, photocopying, and faxing.
4. Insurance Claims
- Assisted customers setting up initial car insurance claims, gathered information and investigated facts of loss to determine liability exposure.
- Assisted group manager and the claims processing unit with investigations and determination of automobile insurance claims.
5. Insurance Adjusters
- Examine medical claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
- Deal tactfully and effectively with challenging insurance adjusters.
6. Veterans
- Authored a comprehensive training document, detailing the processes evolved in transferring claim records within the Veterans Benefits Administration.
- Provided support for the Veterans Service Center by establishing actions for veterans filing for military service connected disabilities.
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A medical appointment is a scheduled / specific day and time for a person to be examined or treated by a physician, nurse, or other licensed healthcare professional. The aim of the medical appointment is for the physician to be able to identify health problems or illnesses at an early stage.
- Performed other general office and administrative duties including, filing, setting up medical appointments and generating correspondence.
- Schedule medical appointments, arrangement for transportation of claimant, and setup diagnostic and physical therapy appointments.
8. Form Letters
- Provided secretarial assistance to Claims Representatives updating Coverage Summary sheets and typing free form letters.
- Complete daily To Do s and requests for the Claims Representative, i.e form letters and documents to Guests.
9. Medical Terminology
- Assisted in claims management, using medical terminology, clinical procedures and compliance with special medical regulation.
- Demonstrated a good knowledge of CPT codes, ICD-9 codes and medical terminology.
10. Medical Bills
- Reviewed and prioritized the delivery of incoming medical bills, legal documentation and claim information for processing.
- Utilized quality control measures to verify information located on a variety of medical bills.
11. Claims Processing
Claims Processing is the entire workflow involved within the insurance company to evaluate a claim before it gets approved. It has many administrative layers such as assessing insurance eligibility, investigating the medical treatments taken, and reviewing medical codes before it settles or denies a claim with the insured healthcare provider.
- Retain senior claims processing role for complex claims requiring significant processing experience and high dollar draft authorization.
- Maintained knowledge of regulations, policies and procedures relative to civilian medical entitlements and claims processing.
12. Clerical Support
Clerical support performs activities that must be done in every workplace in order to support the company going forward. These duties, which come within the category of clerical support, are typically delegated to entry-level employees since they are simple and easy to learn. Even though clerical duties like printing and filing are easy, they require time and in many instances, other workers are preoccupied with other activities and unable to keep up with all that needs to be accomplished. As a result, many businesses employ clerical support staff who are solely responsible for these duties.
- Provide clerical support for the examiner and assist in processing interior and exterior damage claims for multifamily dwellings and commercial businesses.
- Provide clerical support to claims adjusters to facilitate timely and accurate management of workers compensation claims.
13. PowerPoint
- Manage Microsoft Word and Excel documents along with preparing PowerPoint presentations.
- Created and provided weekly/monthly reports and PowerPoint presentations.
14. Process Payments
- Verify policy information and process payments for assigned claims as appropriate.
- Audit reimbursement requests and process payments as deemed necessary.
15. Inbound Calls
- Scanned documentation and maintained paperless claim file system to assist Claim Representatives increasing capacity for inbound calls.
- Handle inbound calls, answering coverage/claims inquiries from insureds, claimants, insurance companies, attorneys, etc.
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List of claims assistant skills to add to your resume
The most important skills for a claims assistant resume and required skills for a claims assistant to have include:
- Customer Service
- Data Entry
- Photocopying
- Insurance Claims
- Insurance Adjusters
- Veterans
- Medical Appointments
- Form Letters
- Medical Terminology
- Medical Bills
- Claims Processing
- Clerical Support
- PowerPoint
- Process Payments
- Inbound Calls
- Workers Compensation Claims
- Claims Adjusters
- Claims Management Systems
- State Forms
- Computer System
- Claims Examiners
- Provide Clerical Support
- Police Reports
- Claims Handling
- Administrative Tasks
- Office Equipment
- Medical Claims
- Social Security
- Auto Claims
- Indemnity Payments
- DWC
- CPT
- ISO
- Commercial Property
- Subpoenas
- Acknowledgement Letters
- Customer Inquiries
- Medical Reports
- Medical Treatment
- EDI
- Insurance Policies
- Medical Payments
- Benefit Payments
- Travel Arrangements
- Date Stamps
- ICD-9
- Medical Facilities
Updated January 8, 2025