Claim Specialist Cover Letter

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

In my previous role, I was responsible for guidance and interpretation of University policies and procedures to employees and leaders, ensuring equitable, consistent and correct application and administration of policies, and compliance with state and federal employment regulations.

Please consider my experience and qualifications for this position:

• Experience in managing and supervising commercial and claims staff, preferably including on behalf of a Contractor
• Highly developed written and oral communication and presentation skills in English
• Very good demonstrable understanding of construction and engineering contracts, contract law and contract interpretation
• Experience in the administration of construction and engineering contracts
• Knowledge of change management procedures pertaining to requests for information , change notices, change orders and contract, amendments
• Experience in supervising personnel, workload distribution and execution of the work, administration of personnel actions
• Preferably experience of working in the G.C.C or Middle East
• Experience of working on Rail or Metro projects would be beneficial but is not essential

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

In the previous role, I was responsible for declaration page from insurance policy to verify current coverage of liability and property damage at no less than $50,000 per person / $100,000 per occurrence / $50,000 property damage.

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:

• Submits accurate electronic and CMS 1500 paper claims in accordance with company and payer guidelines
• Adherence to established productivity and quality thresholds
• Provides recommendations for continued improvement to the billing process
• Adhere to departmental and company policies and procedures
• A solid level of customer service (written and verbal)
• Fair, equitable, and consistent treatment of claims is necessary for accurate financial payments and policyholder retention and satisfaction
• Organizes all work files including claim review work papers, claim response packages, communications to external payers, generated reports, work sheets, databases to ensure transparency and accessibility by other department members and to ensure proper records management procedures are followed
• Maintains current knowledge of operational and billing policies, practices, and references related to ESRD regulations

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

Previously, I was responsible for exceptional and ethical performance according to published quality and compliance standards including Performance Guarantees and consistent with governing laws and regulations.

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

• Mortgage Default experience, especially in the claims and/or invoicing arena is preferred
• Experience with LoanSphere technology such as LS Invoicing and LS Desktop
• Familiarity with Microsoft Office Suite, AWD, VB Root CMS
• Graduate level of qualification (or equivalent) and/or experience in law, psychology, nursing or other relevant discipline
• Excellent customer service skills, including a strong knowledge of troubleshooting and account maintenance
• Proven history of customer satisfaction and de-escalation skills
• At least Tier 2 trained – Tier 3 or 4 preferred
• Supervisor recommendation

I submit this application to express my sincere interest in the claim specialist position.

In the previous role, I was responsible for managers with interpretation and guidance regarding HR policies and laws/regulations to ensure fair and consistent application.

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:

• Comprehensive understanding of all relevant laws, regulations and legal terminology
• Solid analytical and issue resolution skills
• Reviews claims for accuracy prior to claim submission
• Identifies and resolves claim rejections
• Identifies and resolves claim denials
• Maintains a working knowledge of the payer's appeals process
• Mark accounts for no bill when irregular conditions cannot be resolved before billing/timely filing date
• Identification and recommendation for resolution for payer trends preventing or delaying payment working with management to resolve

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

In the previous role, I was responsible for first level of response to incoming questions from associates and managers and provide guidance and interpretation of policies, ensuring fair and consistent administration of policies and compliance with state and federal employment regulations.

Please consider my experience and qualifications for this position:

• Knowledge of billing and reimbursement in Medicare Part A & B, Medicaid, and Commercial
• Experience in ESRD billing and reimbursement
• Clinical knowledge preferable but not essential
• Fully knowledgeable in AAR Circulars, Pamphlets, GIS, and AAR Field manual of interchange rules as they apply to approved loading and the AAR Principles and Practices and legal claims procedures
• Knowledgeable in dynamic ride quality within the rail environment
• Experience in damage prevention or freight claims sufficient to ensure a solid understanding of policies and processes
• Understanding of normal rail induced forces versus packaging & securement
• Moderate technical understanding in rail equipment, cargo loading laws in multi modes of transit including rail, highway and sea