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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in claims management processes, including data maintenance, report generation, and customer service. Exhibits strong organizational and communication skills while effectively supporting claims staff and managing documentation.
Highest-signal resume keywords
Claims Management SystemCustomer ServiceMicrosoft OfficeOrganizational SkillsClerical Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims Data MaintenanceReport GenerationDocument ManagementSettlement Payment ProcessingMedical Appointment Scheduling
Soft Skills
Oral CommunicationWritten CommunicationTeam CollaborationProblem Solving
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Claims ProcessingCustomer SupportAdministrative DutiesPerformance Competencies
About the role
Key responsibilities & impact- Provide support to claims staff and perform office tasks depending on the client program
- Input and review notes and diaries in the claims management system
- Answer and initiate telephone calls, set up medical appointments, and provide customer service as required
- Prepare and distribute computer reports
- Set up, assign, reassign, and reopen claims within the claims management system
- Maintain claim data, including policy, coverage, date of loss, date of birth, and account information
- Process letters and other claim-related correspondence
- Upload and manage claim documentation, including legal files, policy documents, and medical records requests
- Process settlement payments, expense invoices, returned checks, and vendor setup requests
- Respond to general emails, phone calls, auditor requests, and stakeholder inquiries
- Generate loss runs and other claims-related reports
- Perform administrative duties including mail processing, filing, scanning, faxing, and report distribution
- Support special projects and perform other assigned duties
Requirements
What you’ll need- Six (6) months of clerical or customer service experience or equivalent combination of education and experience required
- High school diploma or GED required
- Excellent oral and written communication
- PC literate, including Microsoft Office products
- Strong organizational skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
Benefits
Comp & perks- Medical insurance
- Dental insurance
- Vision insurance
- 401(k) and matching
- PTO
- Disability insurance
- Life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Work-life balance
- Caring culture
- Career growth opportunities
