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Claims Representative Job Description
Between the years 2018 and 2028, Claims Representative jobs are expected to undergo a growth rate described as "decline" at -4%, according to the Bureau of Labor Statistics. So if the idea "should I become a Claims Representative?" Has crossed your mind, maybe you should take the growth charge per unit into account. In addition, the number of Claims Representative opportunities that are projected to get available by 2028 is -13,000.
Claims Representatives boilerplate about $xviii.99 an hour, which makes the Claims Representative annual salary $39,494. Additionally, Claims Representatives are known to earn anywhere from $28,000 to $54,000 a year. This means that the top-earning Claims Representatives make $26,000 more the lowest earning ones.
It's hard piece of work to get a Claims Representative, but even the nearly dedicated employees consider switching careers from time to time. Whether you lot're interested in a more challenging position or simply looking for a fresh beginning, we've compiled extensive information on becoming a Property Adjuster, Insurance Adjuster, Adjuster, and Appraiser.
Claims Representative Jobs You Might Similar
12 Claims Representative Resume Examples
Janice Reed Claims Representative Contact Information Columbus, OH (970) 555-1249 jreed@instance.com Skills
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Employment History Claims Representative 2011 - Present Nationwide Mutual Insurance ... Columbus, OH
Claims Technician 2007 - 2011 Safelite AutoGlass Columbus, OH
Telephone Broker 2000 - 2007 Huntington Bancshares Columbus, OH
Education Bachelor'southward Caste Psychology 1997 - 2000 Ohio Land University Columbus, OH |
Shirley Grant Claims Representative Contact Info San Jose, CA (510) 555-0570 sgrant@example.com Skills Vendor Invoices Insurance Companies Communication Legal Liability Patient Accounts Customer Complaints Customer Accounts Policy Coverage Retail Sales Loftier Volume Employment History Claims Representative 2020 - Present Fry'south Electronics San Jose, CA
Telephone Claims Representative 2017 - 2020 Fry's Electronics San Jose, CA
Customer Service And Billing 2016 - 2017 Fry's Electronics San Jose, CA
Didactics Bachelor's Caste Concern 2013 - 2016 San Jose State Academy San Jose, CA |
Jeffrey Lewis Claims Representative
Malvern, AR
(730) 555-2727
jlewis@example.com Feel Claims Representative 2020 - Present Southern Subcontract Bureau Casualty Insurance Company • Malvern, AR
Representative 2017 - 2020 Sykes Enterprises • Malvern, AR
Underwriting Banana 2016 - 2017 MEDIA PROFESSIONAL INSURANCE Bureau • Parkville, MO
Skills Financial Statements Communication Policy Transactions Underwriting Guidelines Computer Organization Product Noesis Loan Applications Special Projects Setup Patient Care Education Bachelor'south Degree Management 2013 - 2016 Park Academy • Parkville, MO |
Wayne Lawrence Claims Representative
Employment History Claims Representative 2018 - Nowadays CNA Financial Hartford, CT
Claims Representative 2008 - 2018 Travelers Hartford, CT
Leasing Agent 2005 - 2008 Home Properties Washington, DC
Education Available's Degree Business 2002 - 2005 Strayer University Washington, DC |
Contact Information Hartford, CT (230) 555-3810 wlawrence@example.com Skills New Leases Geico Warranty Claims Insurance Companies TPA Fmla Appropriate Activeness Catastrophe Communication Legal Liability |
Julia Freeman Claims Representative
Tempe, AZ
(410) 555-5003
jfreeman@example.com Skills Sales Goals Policy Coverage Retail Sales New Claims Client Complaints Auto Claims Internet Product Knowledge Accurate Processing Legal Liability |
Employment History Claims Representative 2017 - Present Allstate • Tempe, AZ
Claims Service Assistant 2014 - 2017 State Farm • Tempe, AZ
Associate Client Service Representative (Part-Fourth dimension) 2012 - 2014 FTD Companies • San Diego, CA
Education Available's Caste Business 2011 - 2014 Ashford University • San Diego, CA |
Debra Moore
Claims Representative
Claims Representative
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United Medical Resource
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Augusta, GA
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2015 - Present
- Research and update member Coordination of Benefits information via telephone calls to members, providers, groups and other insurance companies.
- Gathered any boosted data by contacting the member, the provider, or other insurance companies in processing claims.
- Field claims adjuster, wrote estimates & processed supplements for Geico Claims.
- Explained policy coverages and settlement procedures to policyholders.
Claims Representative
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Mercury General
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Westlake Hamlet, CA
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2011 - 2015
- Handled Client service calls, complaints, and inquiries.
- Supported the claims adjusters Answered and directed calls to appropriate departments Answered policy holders inquiries into status of claims
- Provided quality claim treatment and superior customer service on machine claims while engaging in indemnity.
- Evaluated homeowner and motorcar claims from first study to conclusion.
Leasing Agent
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Career Strategies
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Chandler, AZ
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2004 - 2011
- Handled incoming and outgoing calls Assistance with receiving rent, move-in and renewal paperwork Close lease Prepared follow ups
- Maintain Craigslist Postings with electric current specials and availability
- Process applications for approvals to the Community Manager.
- Yardi
- Occupancy Rate
- Prey Claims
- Internet
- Quality Standards
- Policy Coverage
- Belongings Direction
- Market Surveys
- Computer System
- Customer Vehicles
Available's Degree
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American InterContinental Academy
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Chandler, AZ
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2001 - 2004
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Major: Business
Samantha West
Claims Representative
Washington, DC
(940) 555-5223
2020 - Present
Claims Representative / Amica Mutual Insurance / Washington, DC
- Commended for claims processing efficiency.
- Determine liability and any subrogation potential based on investigation.
- Investigated and settled automobile holding damage loss in accord with country and company guidelines.
2019 - 2020
Claims Representative / Nationwide Common Insurance ... / Washington, DC
- Determined proper policy coverage, investigated, evaluated, negotiated and settled all bodily injury and liability claims to decision.
- Lead improvements in communication systems and teamwork.
- Managed multiple acquaintance desks during Ending duty when other associates were chosen to the field.
- Observed all-time claims practices when investigating, negotiating, and settling automobile claims.
2017 - 2018
Claims Clerk / Zurich / Bronxville, NY
- Confirmed policy coverage for incoming claims.
- Worked with SIU investigator on questionable cases.
Skills
Policy Contract, Customer Complaints, Country Farm Insurance, Claims Section, Auto Claims, CSR, Telephone Calls, Computer Organization, CMS, Casualty Claims
2018 - 2019
Master'southward Degree In Business/ Strayer Academy / Washington, DC
2014 - 2017
Bachelor'due south Caste In Business/ Monroe Higher / Bronxville, NY
Katherine Butler
Claims Representative
Phoenix, AZ
(340) 555-9606
Claims Representative, Country Farm -
Phoenix, AZ
2020 - Present
- Coordinate reporting between State Subcontract and alternative insurance companies.
- Answer general questions pertaining to insurance policy coverage.
- Verified accidents that customers were involved in, also determined policy coverage and received insurance contracts.
Claims Service Banana, Canticle -
Wilberforce, OH
2017 - 2020
- Provided assistance to merits managers to process claims by sending faxes, completing copies and phone calls.
- Review and process claims if applicable using applications such equally facets and macess.
- Coordinate with other insurance (including Medicare and Medicaid) to use correct benefit for copays, coinsurance, and deductibles.
- Answer phones and ring up purchases Provide splendid Customer Service
Claims Assistant, HCR Dwelling house Care -
Bowling Green, OH
2011 - 2016
- Transport medical records asking and Industrial Commission work searches.
- Followed established departmental policies and procedures, operating memos and corporate policies to resolve claims and claims issues.
- Determined proper policy coverage and concluded cases according to company guidelines in a timely fashion.
- Analyze health insurance coverage for coordination of benefits to procedure claims monitored peers call for quality assurance.
- Customer Service
- Windows
- Adjusters
- Travel Arrangements
- Land Farm Insurance
- Authorization Level
- Procedures
- Class Letters
- Medicaid
- New Losses
Master'southward Degree Instruction
2016 - 2017
Central State Academy - Wilberforce, OH
Bachelor's Degree Educational activity
2008 - 2011
Bowling Light-green State University - Bowling Green, OH
Heather Berry
Claims Representative
Bloomington, IL
(570) 555-5906
Claims Representative
, State Subcontract
, Bloomington, IL
2016 - Nowadays
- Worked with Fire claims and Motorcar claims during Hurricane Katrina.
- Perform appropriate analysis of material harm losses and valuation of constructed total losses.
- Managed customer communication including coverage details, settlement agreements and coverage memos.
Claims Representative
, Nationwide Mutual Insurance ...
, Portland, OR
2015 - 2016
- Assigned to numerous catastrophe responses in the land of Texas.
- Provided excellent customer service via communication with policy holders for prompt render of applicable deductibles and/or out-of-pocket expenses.
- Investigated and evaluated liability and bodily injury claims Verified proper policy coverage and performed on-site inspections.
- Collaborated with coworkers and other insurance companies to resolve claims.
Merits Processing Specialist (Role-Time)
, State Farm
, Phoenix, AZ
2014 - 2015
- Contacted repair facilities to initiate vehicle repair procedures & arranged rental Issued payments and advisable property damage paperwork.
- Investigate, Evaluate, Negotiate and Resolve circuitous actual injury claims equally a result of automobile accidents.
- Maintain communication with defendants, plaintiffs, and counsel to build rapport throughout claim handling process.
- Facilitated positive marketing of Bureau and Claims department relations.
- Computer System
- Loss Reports
- State Farm Insurance
- Authority Level
- Total Loss Claims
- Customer Vehicles
- Advice
- Health Care
- Bodily Injury
- Legal Liability
2012 - 2015
Bachelor'due south Caste Finance, Arizona State University
Phoenix, AZ
Keith Johnson
Claims Representative
MetLife - Warwick, RI
2013 - Present
Claims Representative
- Audit and ready property damage estimates for homeowner claims as assigned.Estimates prepared using Mitchells automatic homeowners estimating organisation.
- Inspected holding losses and prepared a scope and estimate for repairs.
- Determined policy coverage by the usage of mathematical formulas and the review of policy rules and clauses.
Land Farm - Chicago, IL
2012 - 2013
Claims Representative
- Handled holding harm claims in Automobile Claims Central.
- Use knowledge of policies, procedures, constabulary, statutes and insurance regulations when determing coverage, liability and belongings damage.
- Interact with customers, body shops and other insurance companies.
- Position required an all lines insurance license to handle Burn and Prey claims.
The Lodge - Iowa Metropolis, IA
2008 - 2012
Leasing Consultant
- Perform market surveys and shop competitors or a regular basis.
- Assist new prospects with process of leasing a new apartment home.
- Answer any questions or concerns new prospects or current residents may have.
- Conducted belongings tours to promote amenities and features of rental listings.
University of Iowa - Iowa City, IA
2005 - 2008
Bachelor'due south Degree Marketing
Eric Russell
Telephone (300) 555-1216 Address Cleveland, OH
Progressive · Cleveland, OH
- Effect payments as needed to customers, repair shops, and insurance companies.
- Reviewed complex coverage and liability claims, personal auto claims and commercial automobile claims.
- Negotiate the settlement of non-attorney represented bodily injury claims.
- Set written estimates of vehicle and personal property damage.
- Acted as liaison between claims section and agency force.
- Work with other insurance companies to resolve liability disagreements or processing of subrogation claims.
- Received training for operation of vehicles, OSHA, and reckoner system (TPS)
- Reinforce prophylactic programs past complying with safety procedures and identify dangerous conditions and notify shop direction.
- Ensured compliance with industry regulations & bank procedures.
Associate Customer Service Representative
Walmart · Dallas, TX
- Stocked merchandise to shelves Inventory management acquaintance Inventory all merchandise in the warehouse Sales floor associate
- Determined possible causes of customer complaints.
- Demonstrate effective communication when interacting with customers, co-workers and superiors.
- Stock items on the sales floor and in the backroom.
- Assisted with new shop prepare which consisted of and non limited to visual merchandising and store re-sets for all departments.
- Responded to client questions and concerns, and resolved all front end line problems.
- Net
- Insurance Companies
- Big Book
- Communication
- High Exposure
- Claims Reviews
- Powerpoint
- Company Policies
- Process Orders
- Icd-9
Bachelor's Degree Political Science
Academy of California, Berkeley · Berkeley, CA
Betty Sims
Claims Representative
Claims Representative
2019 - Present
Nationwide Mutual Insurance ... · Columbus, OH
- Communicate with policyholders to answer questions, explain policy coverages, and address complaints.
- Field adjust property and casualty claims for eastern Due north Carolina.
- Ensured accuracy and consistency throughout the claims section by mentoring less experienced claims associates and deliver training workshops and presentations.
Claims Assistant
2009 - 2019
Blue Cross Blue Shield of Texas · Florence, SC
- Corrected/converted subscribers personal data into calculator system, maintain confidential records.
- Assisted senior adjusters past speaking with attorney offices, claimants and insurance companies to obtain disquisitional information to complete claims.
- Communicate with desk appraisers, adjusters, vendors and auditors for file updates.
- Pay company bills and postal service checks, operated switchboard, forward and directed calls to claims adjusters.
- Provided outstanding client service to claimants, insured, repair facilities, and staff.
- Generated and implemented a team template to promote teamwork, heighten morale and effectively communication with team.
Collections, Customer Service (Office-Time)
2008 - 2009
EGS Financial Care · Washington, DC
- Contacted consumers holding defaulted regime insured educatee loans.
- Received inbound calls and made outbound calls in effort to collect on delinquent accounts.
- Collect on every bit many delinquent accounts to bring current and out of collections.
Skills
Communication Fdcpa CSR Loan Applications UPC Client Service Quality Standards Actual Injury Accurate Records Coverage Analysis
Bachelor's Degree Concern
2006 - 2009
Strayer Academy · Washington, DC
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Claims Representative Skills and Personality Traits
Nosotros calculated that 20 % of Claims Representatives are skillful in Customer Service , Communication , and Insurance Companies . They're too known for soft skills such as Analytical skills , Detail oriented , and Interpersonal skills .
We break down the percentage of Claims Representatives that have these skills listed on their resume hither:
- Customer Service , 20 %
Provided optimum customer service to policyholders; daily correspondence by phone and/or post to ensure complete and accurate information about claims.
- Advice , 11 %
Recognized past management for the positive compliments received from customers for my communication skills and showing empathy while gathering initial statements.
- Insurance Companies , ix %
Managed the negotiation, arbitration, or litigation processes to recover damages from other insurance companies and uninsured motorists.
- Policy Coverage , v %
Obtained facts to evaluate coverage, negligence, medical necessity and Causation/damages to brand proper liability and policy coverage decisions.
- Medical Records , five %
Analyzed medical bills and medical records determine motor vehicle injury association, coding and charge accurateness, and prepared payments appropriately.
- Quality Standards , five %
Candy doc claims according to members Document of Coverage while coming together specific production and quality standards.
Most Claims Representatives listing "Customer Service," "Advice," and "Insurance Companies" equally skills on their resumes. We go into more details on the almost important Claims Representative responsibilities here:
See the total list of Claims Representative skills.
Before becoming a Claims Representative, 62.3% earned their bachelor'southward degree. When it comes down to graduating with a main's degree, five.0% Claims Representatives went for the extra instruction. If you're wanting to pursue this career, it may be possible to be successful with a loftier school caste. In fact, almost Claims Representatives have a college degree. But almost one out of every 7 Claims Representatives didn't attend college at all.
Those Claims Representatives who do attend higher, typically earn either Business degrees or Criminal Justice degrees. Less commonly earned degrees for Claims Representatives include Psychology degrees or Communication degrees.
When you're ready to become a Claims Representative, you lot might wonder which companies rent Claims Representatives. According to our inquiry through Claims Representative resumes, Claims Representatives are mostly hired by The Contained Traveler, Anthem, and The Travelers Companies. At present is a good time to apply as The Independent Traveler has 406 Claims Representatives job openings, and there are 397 at Anthem and 140 at The Travelers Companies.
Merely if you're interested in companies where you might earn a high salary, Claims Representatives tend to earn the biggest salaries at Jackson National Life Insurance Company, Hillsboro Canton Sheriff, and Utica National Insurance Group. Take Jackson National Life Insurance Company for instance. The median Claims Representative salary is $50,772. At Hillsboro County Sheriff, Claims Representatives earn an boilerplate of $47,430, while the boilerplate at Utica National Insurance Group is $47,108. Yous should have into consideration how hard it might be to secure a job with one of these companies.
View more details on Claims Representative salaries across the United States.
We also looked into companies who rent Claims Representatives from the top 100 educational institutions in the U.South. The top iii companies that hire the nigh from these institutions include State Farm, Nationwide Mutual Insurance .., and Allstate.
The industries that Claims Representatives fulfill the well-nigh roles in are the Insurance and Finance industries. Merely the highest Claims Representative annual salary is in the Authorities manufacture, averaging $41,529. In the Agriculture industry they make $41,371 and boilerplate about $41,223 in the Insurance industry. In determination, Claims Representatives who work in the Authorities manufacture earn a 3.4% higher salary than Claims Representatives in the Finance manufacture.
The 3 companies that rent the most prestigious
claims representative
s are:
Claims Representative Jobs You Might Like
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What Belongings Adjusters Exercise
Typically working for insurance companies, a property adjuster specializes in inspecting property amercement to assess and determine a company's financial obligations. Their responsibilities revolve effectually reaching out to clients through calls and correspondence, arranging appointments, gathering and verifying information, and traveling to dissimilar locations to meet with clients. They may also negotiate settlements and authorize payments in adherence to the visitor's policies and regulations. Furthermore, as a property adjuster, it is essential to have a deep understanding of belongings costs to ensure the accuracy of claims.
In this section, we accept a look at the annual salaries of other professions. Take Belongings Adjuster for case. On boilerplate, the Property Adjusters annual salary is $14,380 higher than what Claims Representatives make on boilerplate every year.
While the salaries between these 2 careers tin can be different, they do share some of the same responsibilities. Employees in both Claims Representatives and Property Adjusters positions are skilled in Customer Service, Communication, and Insurance Companies.
These skill sets are where the mutual ground ends though. A Claims Representative responsibility is more likely to crave skills similar "Quality Standards," "Advisable Parties," "Life Insurance," and "Procedure Claims." Whereas a Property Adjuster requires skills like "Adjusters," "Claims Process," "Belongings Losses," and "Insurance Policy." Just by understanding these dissimilar skills y'all can come across how dissimilar these careers are.
Holding Adjusters receive the highest salaries in the Insurance manufacture coming in with an average yearly salary of $62,311. But Claims Representatives are paid more in the Government industry with an average salary of $41,529.
The education levels that Holding Adjusters earn is a bit different than that of Claims Representatives. In detail, Property Adjusters are 0.9% more probable to graduate with a Main'south Degree than a Claims Representative. Additionally, they're 0.0% less probable to earn a Doctoral Degree.
What Are The Duties Of an Insurance Adjuster?
The next role we're going to wait at is the Insurance Adjuster profession. Typically, this position earns a higher pay. In fact, they earn a $xvi,764 college bacon than Claims Representatives per year.
A similarity betwixt the two careers of Claims Representatives and Insurance Adjusters are a few of the skills associated with both roles. We used resumes from both professions to detect that both utilize skills like "Customer Service," "Advice," and "Insurance Companies. "
While some skills are similar in these professions, other skills aren't so similar. For example, several resumes showed us that Claims Representative responsibilities requires skills like "Quality Standards," "Appropriate Parties," "External Customers," and "State Regulations." But an Insurance Adjuster might use skills, such as, "Adjusters," "State Farm Insurance," "Property Loss," and "Independent Insurance."
Insurance Adjusters may earn a higher salary than Claims Representatives, simply Insurance Adjusters earn the about pay in the Finance industry with an average bacon of $73,069. On the other side of things, Claims Representatives receive higher paychecks in the Regime industry where they earn an boilerplate of $41,529.
On the topic of instruction, Insurance Adjusters earn like levels of education than Claims Representatives. In general, they're ane.2% more likely to graduate with a Chief's Degree and 0.0% more likely to earn a Doctoral Degree.
How an Adjuster Compares
An adjuster is responsible for evaluating the extent of loss in the visitor by calculating the damage costs, determining the settlement payment to the customer, and managing the reputation of the visitor for claims accountability. Adjusters must accept extensive knowledge of the insurance principles and processes, post-obit the state and federal regulations to protect clients and the business organization from insurance fraud. They collect documents from different organizations, perform field inquiry, and interview witnesses to verify the accuracy of claims statement.
The Adjuster profession generally makes a college amount of coin when compared to the average bacon of Claims Representatives. The departure in salaries is Adjusters making $10,900 higher than Claims Representatives.
Past looking over several Claims Representatives and Adjusters resumes, we found that both roles utilize similar skills, such equally "Client Service," "Insurance Companies," and "Policy Coverage." Simply beyond that the careers look very different.
Equally mentioned, these two careers differ between other skills that are required for performing the work exceedingly well. For example, gathering from Claims Representatives resumes, they are more likely to have skills like "Communication," "Quality Standards," "Necessary Information," and "Social Security." But a Adjuster might have skills similar "Adjusters," "Repair Estimates," "Personal Property," and "Homeowner."
Adjusters make a very good living in the Finance industry with an average annual salary of $56,110. Whereas Claims Representatives are paid the highest bacon in the Authorities industry with the average existence $41,529.
Adjusters are known to earn similar educational levels when compared to Claims Representatives. Additionally, they're 0.6% more likely to graduate with a Master'due south Caste, and 0.2% more than likely to earn a Doctoral Degree.
Description Of an Appraiser
An appraiser is someone who assesses the budgetary value of a holding such as an auto, existent belongings, and personal claim. His/Her or her responsibilities include resolving disparities between a belongings'southward monetary values and preparing narrative reports for projects. The essential skills that an appraiser should possess to attain such responsibilities include a groovy eye for details, potent advice, analytical, and trouble-solving skills, and the ability to piece of work under pressure. The pedagogy requirements for the job vary depending on the area of focus.
Now, we'll look at Appraisers, who mostly average a higher pay when compared to Claims Representatives annual salary. In fact, the difference is about $xvi,328 per year.
While their salaries may vary, Claims Representatives and Appraisers both use like skills to perform their jobs. Resumes from both professions include skills like "Customer Service," "Insurance Companies," and "Repair Facilities. "
Even though a few skill sets overlap, there are some differences that are important to note. For one, a Claims Representative might have more use for skills like "Communication," "Policy Coverage," "Medical Records," and "Quality Standards." Meanwhile, some Appraisers might include skills like "Appraisal Reports," "MAI," "Market Research," and "Uniform Standards" on their resume.
Appraisers earn a college bacon in the Finance industry with an boilerplate of $61,617. Whereas, Claims Representatives earn the highest salary in the Government industry.
The average resume of Appraisers showed that they earn similar levels of pedagogy to Claims Representatives. So much and so that the likelihood of them earning a Master'south Degree is 2.five% more. Additionally, they're more than likely to earn a Doctoral Degree by 0.0%.
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