BGCL-80

Education :  Bachelor of Business Management

Claims Specialist

• Handle standard and challenging claims issues.
• Investigate coverage questions and problems.
• Works closely with clients, account executives, producers, managers and insurance carriers.
• Identify and resolves problems
• Oversee the claims process and assists in the brokerage business
• Compared data on claim form with insurance plan to ascertain completeness and validity of claim.
• Examine claim form and other records to determine insurance coverage.
• Proactively work to resolve claim as expeditiously as possible.
• Review and analyze detailed medical records.
• Calculate reimbursement of benefits according to the schedule of coverage.
• Cultivate relationships. Incrementally increase productivity without jeopardizing quality
• Approve claims at the appropriately demonstrated assigned authority level.
• Handle difficult phone calls.
• Composed special correspondence.

For additional information or to obtain a resume on this Insurance Professional...

Contact Fred Gorman at 1-631-588-4200 Between 8AM & 9PM or Email Fred@GormanPersonnel.com

Or Terry Sanders day or evening call -516-496-4573 or email arielpc@optonline.net