Claims Processor Cover Letter

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

Previously, I was responsible for feedback on claims processing errors; identifies quality improvement opportunities and initiates complex system requests related to coding or system issues.

Please consider my experience and qualifications for this position:

• Requires strong analytical negotiation and decision making skills
• Knowledge of Medical terminology, DRG, ICD-9, CPT-4 and HCPCS coding
• General knowledge of Office products
• Knowledge of authorization roles for the entire Colorado region VM, SF and KPIC
• Capacity to rapidly learn new software and processes
• Excellent Observational Skill
• Serve as back up for dental customer service, dental consultant, and reviews
• Cover switchboard when needed

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

In my previous role, I was responsible for expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims within current turnaround standards.

Please consider my qualifications and experience:

• Help gathering audit information
• Training of new procedures to peers
• Increased knowledge of financial reconciliation
• Have a positive attitude and be flexible to cross train in other processes
• Possess good decision-making skills and good judgment skills
• Processing experience in an HMO or indemnity insurance setting (HMO preferred)
• Fast Typing skills (Preference will be given to those with their WPM listed on their resume)
• Previous work experience related to claims and/or healthcare related payments and statements preferred

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

Previously, I was responsible for feedback on claims processing errors; identifies quality improvement opportunities and initiates basic and complex system requests related to coding or system issues.

Please consider my experience and qualifications for this position:

• Assist as needed in other areas
• Excellent written and verbal communications skills to effectively interact with customers on the telephone
• Excellent organizational skills and time management skills to handle multiple task simultaneously
• Functional knowledge of MS Word and MS Excel
• Make payment decisions and complete system tasks for Tax and Insurance approvals
• Draft written correspondence to agencies, officers, vendors and clients
• Able to quickly grasp and retain information and concepts
• Able to multi-task and prioritize issues

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

In the previous role, I was responsible for expertise and/or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.

Please consider my qualifications and experience:

• Understand and honor high level of confidentiality
• Working knowledge of interface systems such as EyeNet, Metastorm and ExClaim
• Take a high volume of payments related calls (40-80) per day
• Effective communication of policies any issues with claim payments
• Productivity of 75+ claims per day
• Ensure standard of work is followed on every claim payment
• Increased knowledge of the business
• Special projects – will include ad-hoc reporting, testing and new client implementation help

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

In the previous role, I was responsible for general claims support by reviewing, researching, processing and adjusting claims.

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

• Proficiency in Microsoft Office, Proficiency in Excel
• Trade promotion experience preferred
• Experience with Windows based database programs is preferred
• Operates with high standards, integrity and with impeccable judgment
• Secondary Commercial Claims for NV/AZ
• Strong understanding of standard insurance procedures (pricing, exclusions)
• Work within the framework of corporate policies and CACFP procedures
• Leadership skills, including leading by example and team building