Claims Consultant Cover Letter

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

Previously, I was responsible for an excellent service across all divisions of TJX Europe Companies that will Develop and maintain strong effective cross-functional business partnerships, working with Stakeholders to identify solutions that will secure and protect our business from known liability.

Please consider my qualifications and experience:

• Knowledge/understanding of claims and/or delegation laws, regulations and accreditation requirements
• Knowledge of Financial Protection products
• Willingness to work flexible work schedule as needed
• Exposure to all lines of Insurance claims would be highly regarded
• Exhibits creativity and delivers new ideas
• Web Conferencing (WebEx)
• Windows/Personal Computer
• Experience in writing high-level, strategic communications

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

Previously, I was responsible for timely and accurate claims administration in keeping with client contracts and within applicable state laws.

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:

• Experience in using MS Excel to analyze data and create reports
• Experience with UNET claims processing platforms
• MBA with a quantitative focus, or advanced degrees in Operations Management
• Expert level knowledge of death and/or medical claim administration and operations pertinent laws and regulations
• Knowledge of healthcare products and benefit structures
• Intermediate to advanced skills with MS Word, Excel, Outlook, and PowerPoint
• Good technical knowledge of overall claims management
• Excellent knowledge of Quality Assurance programs

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

Previously, I was responsible for information to support labor negotiations and assists with interpretation of the compensation provisions of labor contracts.

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

• Reporting to MLC Nominees Pty Limited Board, NULIS Nominees (Australia) Limited, and PFS Nominees Pty Limited
• Identification and reporting of systemic issues and Trustee risks
• Conduct reviews of the insurer in relation to member files
• Conduct sampling of work performed by the Trustee Claims team and report to the COO
• Technical escalation point for any recommendations/representations to the Insurer on denied claims
• Identify training needs of the Trustee Claims team and review training development schedules
• Facilitate trustee forums for discussion of live member files in order to develop and educate Trustee case managers
• Develop strong working relationships and communication lines with key stakeholders and business interaction

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

Previously, I was responsible for advice to Laboratory management/employees regarding the interpretation and application of union contract provisions, employment laws, internal Requirements and Policies Manual (RPM) provisions and procedures with the intent to prudently minimize the incidence of employment litigation and arbitrations.

Please consider my experience and qualifications for this position:

• Influence policy directives during the development stage and prior to implementation
• Facilitate procedural changes that affect the Trustee Claims team in fulfilling Trustee obligations
• Manage the relationship with external insurers
• Legal qualification is preferable as is Compliance experience
• Detailed understanding of the claims processing lifecycle
• Proven track record in communication skills – written and verbal
• Excellent problem solving and decision making capacity
• Experience in using MS Visio to create process maps

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

In my previous role, I was responsible for legal advice to underwriters regarding contractual provisions, bond provisions and federal and local law as they affect the company’s obligations under bonds and its rights under indemnity agreements and collateral arrangements.

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:

• PC literate with firm understanding of Microsoft Office applications
• Experience in evaluating and setting reserves on complex claims
• Experience in Medicare Set-Aside agreements
• Experience in subrogation
• Experience in developing audit criteria
• Experience in analyzing vendor services
• Extensive insurance experience including knowledge of legislation and regulations affecting the life industry
• CRMS system experience desirable