Claims Assistant Job Description and Skills for Resume

Updated on: April 16, 2021

In order to obtain a Claims Assistant job, you will need an effective resume. The following duties statements of a claims assistant will help you build a good resume.

Job Description to Include in a Claims Assistant Resume

• Organized and processed pa, 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 the 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’s 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 emails, mails, and faxes with the claims records
• Arranged and set up 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 kept the record of closed files

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

The following are some major skills a claims assistant must possess:

• The 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