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Create ResumeJo Rodrigo
123 Fake Street | City, State, Zip Code
Cell: 000-000-0000
email@email.com
Professional Summary
Extremely productive Claims Manager effectively applying extensive managerial experience to facilitate the claims process and motivate support staff. Proven ability to efficiently oversee staff and apply strong problem-solving skills to expeditiously deal with claims-related issues. Committed to executing a hands-on management style to ensure optimal office operations.
Core Qualifications
- Claims processing
- Payment disbursement
- Insurance regulations
- Data evaluation
- Conflict resolution
- Task prioritization
- Interdepartmental communications
Experience
Claims Manager, September 2013 – Present
Company Name – City, State- Oversee daily agent operations.
- Resolve complex claims-related issues.
- Verify that required claims data is properly logged into the system.
- Confirm compliance with state and federal insurance regulations.
- Evaluate hiring recommendations from HR.
- Ensure the implementation of claims processing guidelines.
- Conduct internal audits to determine staff efficiency.
Claims Manager, August 2010 – September 2013
Company Name, City, State
- Established performance review guidelines.
- Prepared monthly reports to evaluate claims activities.
- Confirmed that claims data was entered under the proper codes.
- Responded to inquiries from claimants.
- Monitored agents’ handling of claims.
- Implemented a more efficient process for identifying questionable claims.
- Established training guidelines for new hires.
- Initiated what proved to be an effective mentoring program by pairing new hires with experienced agents.
Education
2010 Bachelor of Science, Business Administration
University of California – City, State