Claims Adjuster Cover Letter

In response to your job posting for claims adjuster, I am including this letter and my resume for your review.

In the previous role, I was responsible for professional, technical and strategic guidance for the management of claims using regulatory knowledge, familiarity with company policies and Human Resources practices.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Able to use MS Office applications, Word
• Experience with Microsoft Office suite of programs (Word, Excel, Access)
• Well developed/Advanced expertise and knowledge in Specialty Marine/Property (LOB) most technically complex claims topics
• Experience of disease advantageous
• Identifies and communicates processing/systems problems promptly
• Able to communicate clearly both oral and written
• Attendance/Punctuality – is consistently at work on time
• Whilst meeting tight deadlines

I am excited to be applying for the position of claims adjuster. Please accept this letter and the attached resume as my interest in this position.

Previously, I was responsible for superior service to our customers by listening, analyzing problems, and guiding them through the claims process.

Please consider my qualifications and experience:

• Requires an advanced level of organizational/ time management skills
• Enthusiasm to use creative problem solving skills in a fast paced environment to reach win-win solutions
• A professional, proactive demeanor
• Computer literacy on PC based software programs, including Microsoft Excel, Access & Word
• Understand AB1455 regulations including process and requirements of provider dispute resolution (PDR)
• Understand and interpret Health Plan Division of Financial Responsibility (DOFR)
• Comprehensive knowledge of various fee schedules, including, but not limited to DRG, APC, ASC, RBRVS
• Quality and Customer Centric Orientation

I would like to submit my application for the claims adjuster opening. Please accept this letter and the attached resume.

Previously, I was responsible for technical and managerial oversight to the assigned staff by encouraging the timely, professional and appropriate handling of all reported claims in accordance with applicable contract provisions, legal regulations and guidelines, and company claim handling policies and procedures.

My experience is an excellent fit for the list of requirements in this job:

• Proficiency with Claims Management System and reporting software
• Negotiations and settlements
• Knowledge of applicable claims procedures, statutes, compliance, insurance laws and insurance coverage
• Experience working with attorneys, investigators, vendors, experts, and lien holders
• Excellent communication skills, both written and verbal, along with analytical skills for independent
• Practical thinker and intuitive decision maker
• A minimum of 1+ of BI experience handling injury claims is preferred
• Manage a caseload of EL/ PL claim files to a financial value of £100k

I submit this application to express my sincere interest in the claims adjuster position.

In the previous role, I was responsible for general claim support to the Risk claims team to learn various lines of business with a focus on process and program improvements.

Please consider my experience and qualifications for this position:

• Ideally also competent in handling of first party Commercial property claims to £100K
• Negotiate EL/PL claim settlement on claims valued in excess of £25k or otherwise excluded from the MOJ portal
• Ideally negotiate settlement of first party Commercial Property claims to £100K
• Take telephone calls and action letters
• Develop and maintain an in depth knowledge of legal & regulatory matters
• Understand the nature of Personal injury claims, MOJ, CPR and CRU
• Exposure to health care environment and knowledge of CMS 1500 and UB04 Claim forms
• CPT-4 and ICD9/ICD10 knowledge

I am excited to be applying for the position of claims adjuster. Please accept this letter and the attached resume as my interest in this position.

In the previous role, I was responsible for leadership and direction to staff within the Homeowner function, overseeing the investigation, processing and conclusion of all Homeowner claims as it relates to subrogation.

My experience is an excellent fit for the list of requirements in this job:

• Windows based PC Knowledge
• Access claims for payment experience
• Proficient in navigating through systems
• Basic specialist knowledge in (LoB) technical claims topics
• Familiar with CLASS/ECF2 and Excel
• Georgia State Adjuster License
• On-call = Occasional
• Knowledge of industry labor guides, Alldata, Mitchell, Factory Labor Guides