Insurance Claims Cover Letter

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

Previously, I was responsible for expertise and / or general claims support to teams in reviewing, researching, processing and adjusting claims.

Please consider my qualifications and experience:

• BCP, PGI, ComGI and HI
• Experience adjusting lower level complexity claims for Warranty and Personal Property claims topics
• Professional and tactful negotiation skills to achieve objectives
• Current adjusting license in Minnesota and or Wisconsin
• Consultative selling expertise
• Strong business acumen and understanding of business issues across multiple focus sectors
• Project management skills with demonstrated expertise in project leadership within IT and/or Digital
• Analytics experience (comfort using data to build business cases or tell compelling stories)

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

In my previous role, I was responsible for proper guidance to beneficiaries on questions pertaining to the claims process and assist in resolving any open Claims issues.

Please consider my experience and qualifications for this position:

• Advanced computer literacy with Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
• Experience reviewing insurance claims submitted by providers from physician offices and hospitals for payment
• Deny or approve for payment
• Working knowledge of insurance products and applicable policies, procedures, and guidelines
• Proactively conduct Insurance market intelligence activities including industry, supply market and supply chain research/analytics, category sourcing and outsourcing trends and best practices and share knowledge, insight and advice with business in a way that contributes to their long term business strategies
• Knowledge of Canadian Insurance market with a strong understanding the Sourcing environment
• Admitted to practice law in US Licensed to practice law in good standing
• Exhibits sound management practices

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

Previously, I was responsible for claims advice to clients and internal stakeholders in relation to: reporting & monitoring of claims activity, claims reviews/audits.

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:

• Capable with creation and manipulation of Exel based worksheets
• Driven to be successful
• Effectively translates strategic goals into specific operating and resource plans
• Demonstrates a keen understanding of financial and business principles and industry/job knowledge
• Organizes and leads individuals and teams toward the pursuit of a common vision and goal attainment
• Proactively participates in key company initiatives and demonstrates skill in communication, collaboration, and consensus-building
• Computer proficiency, including the use of Word and Excel programs Willingness to work in a team atmosphere with direct supervision
• Strong analytical math skills (algebra, trigonometry, basic statistics)

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

In my previous role, I was responsible for support on claims reporting, handling, coverage questions, and tracking and reporting claims expenses and insurance reimbursements/settlements.

Please consider my experience and qualifications for this position:

• Leadership experience in production & quality environment
• Experience would likely be reflected in insurance, managed care or TPA employment
• Identifying and defining claims errors and discrepancies, developing criteria, reviewing and analyzing contracts and health plan reimbursement regulations
• Developing and implementing new concepts that will recognize incorrect payments and generate high quality recoverable claims
• Experience with insurance policy forms and exclusions
• Experience with worker’s compensation laws and reporting procedures
• Strong accounting skills, experience with SAP and Lawson preferred
• Collaborative working style and strong interpersonal skills

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

In my previous role, I was responsible for feedback, trending, and root-cause-resolution of claims issues by partnering with key internal partners (managed care contracting, IT, medical management), providers, vendors, and leadership team ensuring claims are billed and processed timely and accurately.

Please consider my qualifications and experience:

• Fully knowledgeable of assigned product/functional area
• Experience/knowledge of P&C Insurance software applications, especially Duck Creek Claims
• Ownership of the development effort of the DCT Claims solution throughout the delivery cycle, from planning through maintenance
• Responsibilities will also include planning and estimating activities for each phase, managing work effort across teams in multiple locations, and sharing of detailed status – including escalation and resolution of issues
• Previous experience as a claims handler
• Strong motor technical knowledge is essential
• Empathy and understanding to deal with distressing situations to find the right solutions for our clients and provide reassurance throughout the lifecycle of the claim
• Performing audits to ensure all stop loss claims have been filed reimbursements received