Claims Specialist Cover Letter

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

Previously, I was responsible for training on claim matters to both Operating Companies and within Claims and Insurance.

Please consider my experience and qualifications for this position:

• Understands the value of Customer Service
• Flexibility to adapt to new methodologies for processing work
• Adapt to changes in procedures and maintain quality standards Communication skills - email correspondences
• Knowledge of Long Term Care and Claims functions
• Previous experience with Unemployment Insurance and the Unemployment Claims process
• Fluent level of English and Spanish
• Prefer experience working in the insurance industry
• Entering data on computer terminal and talking on telephone

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

In my previous role, I was responsible for crude oil and product loss analysis, product quality claim analysis, commercial claims advice, shipping casualty and insurance claims advice, negotiations and resolution for Shell Trading, Downstream and other Trading & Supply entities.

Please consider my experience and qualifications for this position:

• Thorough understanding of mortgage default-related processes, including collections, foreclosure, bankruptcy and REO (HUD-1 analysis)
• Working knowledge of e-mail (preferably Outlook), Word, Excel and Access applications
• Requires current knowledge of payor sources, including managed care and commercial insurance
• Familiarity with ICD-9, ICD-10, CPT Coding
• A team player, able to work collaboratively within the group
• Extremely proficient at Excel, Word, and PowerPoint
• Extensive understanding of insurance and reinsurance coverage interpretation, loss report analysis, claim reserving, litigation management and account relationship interaction
• Proficiency with Microsoft software (Word, Outlook, Excel) and other computer applications

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

In my previous role, I was responsible for input, advice and relevant information to lawyers and claims consultants when losses and claims arise and work together with insurance brokers throughout the claim recovery process to maximize recoveries under all insurance policies;.

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

• Hear and speak clearly by telephone
• Meet frequent deadlines and tight schedules
• Customer service call center, or provider contracting and relations and medical billing
• Familiarity with DMHC and DHS regulations
• Familiarity with CPT, ICD-9-CM diagnoses and procedures codes any other billing guidelines
• Experience with the IDX Managed Care application
• Specialist or Procedure Coding System Specialist
• Certified in medical terminology and/or medical billing/coding

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

In my previous role, I was responsible for oversight, guidance and direction to TPA claim adjusters on all major phases of claim handling including coverage, investigation, medical management, disability management, evaluation/reserving, recovery, and resolution.

Please consider my qualifications and experience:

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or Procedure Coding System Specialist
• Strong personal work ethics with commitment to build credibility and trust
• Assist with the insurance renewal process
• Plan and coordinate claim reviews and claims summits
• Microsoft Word, Excel, Access, Outlook
• Multiline experience with emphasis in Workers Compensation Casualty Insurance with an insurance carrier or Third Party Administrator (TPA) with experience directly negotiating multi-line claims
• Empathetic and sensitive to our community while executing on assigned tasks
• Operate with high standards, integrity and with impeccable judgment

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

In my previous role, I was responsible for actionable Claims' insights to internal stakeholders, including studies, reviews and analysis relating to claims, emerging risks, legal, regulatory and societal developments and other industry topics.

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:

• Demonstrated commitment to continuing education and skill development
• Under technical direction, works within significant limits and authority on assignments of higher technical complexity and coordination
• Follows appropriate procedures for system documentation to preserve data integrity
• Monitors and maintains accuracy of reserves over the life of the claim
• Creates and executes action plans needed to bring case to closure
• Completes detailed settlement evaluations and recommends appropriate settlement value, within authority
• Maintains regular contact with injured workers, employers and agents to develop positive relationships and establish credibility
• Basic workers’ compensation claims knowledge