In order to become a claims assistant, you need at least a high school diploma or GED. Some higher degree in accounting profession will be a plus.

Required skills:

Following are some major skills a claims assistant must possess:
• Capability of operating a computer
• Proficiency in MS Office applications
• Familiarity with claims and business software
• Knowledge of workers’ compensation
• Understanding of medical records
• Knowledge of medical terminology

To obtain a Claims Assistant job, you will need an effective resume. The following duties statements of a claims assistant will help you building a good resume.

Job Description for Claims Assistant Resume

• Organized and processed paperwork, reports and all kinds of claims documentation
• Entered, recorded and reviewed claims into claims information management system
• Performed verification checks on the customer/claimant loss-claims following company’s standard policies and procedures
• Attended to clients, claimants, field appraisers and management queries regarding claims using the claims MIS
• Forwarded appropriate claims for new losses verifying data for accuracy
• Performed billing and payment processes
• Processed routine claims transactions related to reserves and issued required checks or receipts
• Resolved all kinds of issues/problems regarding claims and payments
• Regularly run and generated claims reports for management
• Gave formal presentations regarding all claims activities to the senior management at the bimonthly
• Utilizing outstanding communication and interpersonal skills maintained strong and positive relationships with the providers, the claimants and the clients
• Provided company with necessary clerical support like, handling fax, attending and making telephone calls as directed, filing and photocopying, matching checks with receipts etc.
• Prepared, updated and organized customer and client personal files
• Managed all types of correspondence preparing, reviewing and sending memos, letters, emails, reports, applications and forms
• Provided effective CSR to providers, field appraisers, agents, insurance agencies, clients and customers
• Matched incoming mails, emails and faxes with the claims records
• Arranged and set upped medical appointments for health claims
• Kept department’s office supplies stocked
• Maintained confidential claims information including correspondence with sensitive information
• Accelerated claims correspondences as well as updated claims diaries
• Worked in a team on several pilot claim projects
• Reviewed and maintained record of closed files