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Claims Adjuster Resume Sample Format – Doc / PDF Template

Sample Resume Format for Claims Adjuster – Word / PDF Template

Sample 1

Resume Headline : B.B.A Graduate having 4.7 years of experience with a broad and extensive background in Claims Handling in the domain of General Insurance.
Key Skills : Claims Processing, Process Improvement, Data Analysis, Reporting
Total Experience : 4 Years, 7 Months
Salary : Rs. 4.30 Lakhs
Current Employer : Torus Business Solutions Pvt Ltd
Current Designation : Associate Claims Adjuster
Current Location : Delhi
Preferred Location : Bangalore
Education : B.B.A

CURRICULUM VITAE

Candidate Name:

Email Address;
Mobile No:
Address:

CAREER SUMMARY

A dynamic Insurance professional having 4+ years of rigorous experience with a broad and extensive background in Insurance and Reinsurance Operations, Process Improvement, Analysis, Knowledge Support , Audits, reporting and Claims Handling in the domain of General Insurance. Proven ability to expedite results by focusing on ultimate objectives. A self starter individual, learns quickly, strong perseverance, believe in empathy and harmony. Meticulous,results-oriented professional with demonstrated success directing development of organizations, during periods of tremendous growth. Expertise Include

  • Claims Management
  • Healthcare, Property and Casualty
  • Innovative Approach
  • Experience in both US and UK Market
  • Insurance and Reinsurance
  • Quality Analysis

PROFESSIONAL EXPERIENCE

TORUS BUSINESS SOLUTIONS PVT. LTD, GURGAON

Torus is a leading speciality insurer providing property, casualty and specialty insurance, operating in the Lloyd’s and London market, Europe and the U.S. Launched in 2008, Torus now has over USD 800 million gross premium income.

ASSOCIATE CLAIMS ADJUSTER                                                      APRIL 2013 to Dec 2015

Responsible for Claims Handling, Auditing, Trainings, Reporting

  • Deals in all phases of a Claim Life Cycle
  • Claims supervision and support to peers
  • Developed and maintained strong business relationships with internal and external customers
  • Co-ordinate with onshore team on weekly and monthly basis with regards to process performance and improvement ideas
  • Responsible for Peer review/Audits
  • Conducting Trainings, Refreshers and sign offs for every new joiners and providing floor support whenever required
  • Responsible for proper allocation of work to the team members as per the Individual skill sets and the volumes
  • Prepare monthly reports and dashboards for capacity utilization and Error Trends
  • Process Streamlining & Improvements
  • Ad hock Request Handling, Customer Satisfaction & Value Addition
  • Co-ordinate with Quality audit team in improving process accuracy and reducing knowledge gap among team members
  • Requirement gathering for further enhancements
  • Ensure that claims team follow Standard Operating Procedures

CLAIMS TECHNICIAN                                                    SEPTEMBER 2011–MARCH 2013

Responsible for Claims Handling, Trainings, Process Improvement

  • Set up the claims on legacy system and updating reserves and additional case reserves
  • Investigate and process insurance claims filed by policyholders
  • Set and adjust claim reserves as needed
  • Payments on claims which are submitted
  • Review files daily and update claim status
  • Conducting Trainings, Refreshers and sign offs for new joiners
  • Prepare various process related Standard Operating procedures and process manuals for claims
  • Recommend suggestions to improve quality, workflow and current procedures

CLAIMS TRAINEE                                                           JUNE 2011 – AUGUST 2011

Responsible for Claims Handling

  • Obtain understanding of how claims business operates to ensure that the data is captured and processed in accordance with the business requirements
  • Continue to enhance and develop the process through enhanced working practices that will permit the data capture to be carried out more efficiently
  • Undertake tasks as allocated and required for the process: data entry, regular and ad hoc reporting, quality control in order to achieve and aim to exceed the defined SLAs

ACHIEVEMENTS

Spot Light Awards (4) / Claim Your Star (8)/ Quarterly Award (1) / Bright Star Awards (All) / Master Blaster (3)

  •  For demonstrating individual ownership in gaining process knowledge with high on accuracy.
  • For giving trainings to every new joiners
  • For constant floor support without compromising on individual productivity and accuracy
  • For standardizing the transaction codes for Manual payments.
  • For Multiple Process Improvement Ideas
  • For Consistence Performance
  • For excellent contribution in the process streamlining
  • For Successful implementation of Guide Wire project
  • For handling Enstar audits
  • Productivity & Manager’s points for extra initiatives
  • For winning The Ice Breaker of Americas

EDUCATION

  • Graduate Diploma in Business Administration(BBA)from NIM, Bhopal in 2010

TRAININGS / WORKSHOPS

  • Email writing skills
  • Conference Call Essentials
  • Time Management
  • Corporate Etiquettes
  • Customer Centricity
  • Creativity & Out of Box Thinking
  • Team Building and Conflict Management

IT SKILLS

MS Office, ClaimCenter, OPUS, Concur, GENIUS

Download Sample 1 Resume Claims Adjuster – Word Format / PDF Format

Updated: December 26, 2017 — 3:29 pm

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2018-01-18T10:13:53+00:00