Claims Examiner Cover Letter

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

In my previous role, I was responsible for support for claim payments and tracking, including: W-9 form entry and maintenance on payees or contacts, data entry and coding of claim payments, preparing correspondence with outgoing payments or other claim related communication.

Please consider my experience and qualifications for this position:

• Genuine commitment to provide a positive customer experience in every interaction, balancing value to both our members/customers and our Company
• Excellent oral and written communication skills in order to respond to internal/external customer inquiries in a timely, friendly, professional, and accurate manner
• Attention to detail to ensure accuracy in communicating correct information, creating interaction records, sending documents to customers
• Analytical and problem-solving skills to effectively respond to and resolve service inquiries
• Organization and planning skills to prioritize work and adjust to ongoing changes in systems and/or procedures
• Prior phone/customer service and office experience
• Providing mentorship to less tenured adjusters
• Taking on higher complexity claims as needed

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

In my previous role, I was responsible for exemplary claim reviews of assigned block of business within Group Disability - Special Handling Unit in a timely and an accurate manner.

Please consider my qualifications and experience:

• Knowledge of vision and/or dental coding and claims processing is preferred
• Able to work independently, organized and deadline-oriented
• Proficient using the Internet for research
• Email communication pro
• Superb attendance record
• Working knowledge of multiple systems, such as ACES, MASK, OTIS, Client Letter, Email, Imaging, TROVE, Medicare A and B systems, and numerous other related systems upon completion of training period
• Requires significant use of PC and knowledge of various software
• Experience with property estimating and construction nomenclature

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

Previously, I was responsible for timely service throughout the life of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquires according to company policy and procedures.

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

• Experience completing complex assignments
• Experience in reviewing/processing claims
• Previous work experience with this division or unit
• Experience working with Dental products highly preferred
• Computer skills, using multiple Windows applications
• Insurance Carrier, TPA and our Independent Adjusting experience helpful
• Knowledge of the Medi-Cal program
• Knowledge of HCFA, Medicare and TDI regulations

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

In the previous role, I was responsible for investigative and administrative management in support of healthcare providers subjected to administrative proceedings related to their medical license, and facilitates the procurement of legal counsel for these providers.

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

• Requires excellent data entry speed and accuracy, working with large volumes of input
• Knowledge of CPT, ICD-9 and medical terminology
• Adjusters License for a minimum of Texas and Florida
• Demonstrated ongoing self-development
• Graduate Diploma of General Insurance (or equivalent) – preferred
• Proficient computer skills including Facets/Cactus background (NPEES website, IRS website, license verification), Excel
• Strong attention to detail/analytics
• Previous experience in a parallel office environment preferred

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

In my previous role, I was responsible for advice and direction on complex death, disability waiver and annuity claim matters for individual life and annuity operations.

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:

• Experience with auto estimating and auto repair nomenclature
• Experience handling auto and property claims is preferred
• Demonstrates basic computer proficiency, including knowledge of Microsoft Office
• Completion of vocational school program in medical billing and coding preferred
• Previous claims and/or Life & Health insurance experience preferred
• Basic claims processing knowledge
• Able to recognize CMS 1500 and UB 04 forms
• Basic knowledge of CPT, ICD-9 codes and ICD-10 codes