Claims Assistant Cover Letter

Please consider me for the claims assistant opportunity. I am including my resume that lists my qualifications and experience.

Previously, I was responsible for guidance and reviews (complex) escalated events/claims in order to determine coverage and what policies will be impacted by a claim and provides resolution where possible, otherwise refers claim to Claims Advocate.

Please consider my qualifications and experience:

• Handling complaints within the agreed timeline
• Managing the customer services and claims team
• Ensure accuracy and review the claims procedures for continuous improvement
• Reply enquiries from agents, brokers and customers in a timely manner
• Provide administrative support to group & individual medical clients through handling claims cheque & reject letter, dispatching claims statement / correspondence to the clients
• Participate in Claims Ad hoc projects
• University grauduate
• Knowledge of the AS400 system

Please consider me for the claims assistant opportunity. I am including my resume that lists my qualifications and experience.

In the previous role, I was responsible for management Oversight and direction to the claim units in the adjudication of workers compensation claims.

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:

• Unrestricted work authorization to work in the U.S. For U.S. employment opportunities, Risk Placement Services, inc. hires U.S. citizens, permanent residents, asylees, refugees, and temporary residents
• Flexible when it comes to the workload
• Knowledge of Excel, Word, strong keyboard skills
• Flexible work hours where possible
• Experience in working with or managing the Network service providers / Third Party Administrators (TPA)
• Proven track record of working with IT, vendors and stakeholders on product development and claims projects which involve developing user requirements and test cases and conducting UAT
• Full Microsoft Office literacy
• Foundational knowledge in data entry

Please consider me for the claims assistant opportunity. I am including my resume that lists my qualifications and experience.

In my previous role, I was responsible for input to policies, systems, and procedures for effective internal control and accuracy of incoming and outgoing claims.

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:

• Good command of both spoken and written English and Chinese, Mandarin is an advantage & PC skills
• Previous experience in the medical industry is preferred
• Actively working towards CIP designation preferred
• Proficient in Microsoft Office, Excel and performance management software
• Attention to detail, organization and communication skills
• Professionally handle confidential and sensitive documents
• Knowledge of professional and facility claims
• General HMO claims processing

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

In my previous role, I was responsible for information, deadlines, and reminders to departments on personnel procedures in areas such as hiring, performance appraisals, and workers compensation claims.

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:

• Knowledge of compliance and audit regulations and industry standards
• Working knowledge of developing and maintaining Excel spreadsheets
• Good customer service skills, in person and by telephone
• WCCA, SIP preferred
• Set-up and enter new claims into claims management system
• Review, prepare, create and/or send letters, reports and forms
• Answer and initiate telephone calls
• High school or industry equivalent

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

In my previous role, I was responsible for instruction to providers’ billing staff and services regarding claims submission policies and procedures to ensure prompt and accurate claims adjudication.

Please consider my experience and qualifications for this position:

• Adeptness in benefits administration
• Comprehensive knowledge of medical claims
• Demonstrated attention to detail and sound judgment
• Excellent communication (oral and written) and administrative skills
• Knowledge of workers' compensation forms and medical terminology preferred
• Experience with paperless filing system helpful
• Experience working in an environment where attention to detail and accuracy are critical
• Expertise in insurance claims