Claims examiner CV sample - claims examiner CV formats / templates
Discussion
- RE: Claims examiner CV sample - claims examiner CV formats / templates -sonali taste (09/17/12)
Claims examiner CV sample
DEF
91 800*******
def948@example.com
Objective
Seeking a position of claims examiner in a well-established company where my skills can be used to process the lifetime investments of the people.
Core Competencies
-Impressive interpersonal skills
-Good presentation skills
-Problem solving skills.
-Positive thinking.
-Effective technical & managerial skills.
-Sound knowledge of the insurance sector.
-Well versed with the legal aspects, rules & regulations.
-Good analytical ability.
-Maintain confidentiality.
Professional Experience
Working as a Claims Examiner at MMY Inc. From 2008 – till date.
-Collection of all applications received from insured customers.
-Investigated the claims & the documents.
-Collection of the necessary information & anaylzing the evidences in relation with the laws, regulations & policies.
-Questioned the witnesses to check the viability of the claims.
-Researched additional information to clarify the evidence.
-Authority of making payments of the valid claims.
-Notifying the rejected claimants.
-Preparing the required documents & list of opinions and decisions.
-Determined existence and amount of liability of the insured claims , according to law, administrative and judicial precedents and evidence.
Worked as an Assistant Claims Processor at BTF Corp. From 2005-2008
-Assisted the Claims Officer with the processing of the claims.
-Investigating the viability of the claims.
-Researching the evidences against the fraud claims.
-Calculating the amount of claim
-Reviewing the insurance policy for the premium payments & to determine the total coverage.
-Communicating with the customers regarding their claim issues.
Worked as a Claims Advisor at MIF Insurance Co. From 2002-2005
-Collecting information to determine liability of the claims.
-Coordinating with the customers regarding their premium payments.
-Assisting the Claims Officer with the documentation of the claims of the insured customers.
-Reviewing and processing all claims to verify necessary information.
-Entering the claim data and information in the computer system.
-Preserve confidentiality of all claims files, claims reports and claims-related issues.
Educational Qualifications
-Bachelor's Degree in Commerce from BDT University with 70.33%
-HSC (Commerce) from BFX Board with 75%.
-SSC from BUK Board with 78.46%.
-In-house training program of Insurance Policy.
-Graduated in the 3 years Law course from BBU University with 58%.
Personal Details
Birthdate:21st Oct 19**
Address:KM Road, Sec-63, Nilayam,NNI.
Languages known: English, Hindi & Sindhi.
