Claims Support Cover Letter

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

Previously, I was responsible for coaching and training to Coding Specialist staff on processes, procedures and systems used within Coding services; works with management team to ensure staff is working efficiently and effectively; provides user support to team on contract specific software programs.

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

• Applies advanced knowledge of problem solving and preparation of reports for analysis
• May work within complex and occationally highly complex assignments requiring specialized knowledge in breadth and/or depth area of expertise
• High School Diploma or GED equivilant
• Demonstrated process/people leadership
• Experience with significantly improving processes and leading change
• Experience leading teams through change
• Experience or knowledge in managed care claims processing and customer service
• Strong knowledge of data mining

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

In my previous role, I was responsible for application production support for ad hoc requests requiring configuration, coding and development of QlikView, JIRA and other research software applications.

Please consider my qualifications and experience:

• SAP systems
• Work experience in a Senior Claims, Provider Relations, and Provider Network management role
• Demonstrated experience with workforce management principles
• Experience communicating to cross-functional groups within an organization
• Demonstrated experience creating, manipulating, and analyzing data in MS Excel using vLookups, pivot tables
• Demonstrated skillset in conflict resolution
• Experience with Medicare/Medicaid programs and reimbursement methodologies for facility and professional claims
• Experience with implementation and support of Guidewire Claim Center insurance framework

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

In my previous role, I was responsible for thorough, timely and accurate review of ICD and/or CPT code assignments.

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

• Strong knowledge of Excel, Power Point, Outlook
• Microsoft Office Suite – Excel – Pivot tables, Freeze
• Inbound Call Center for misdirected calls
• Use scripted response to assist insured, claimants, agents, providers & State Farm employees
• Provide contact information for the claims adjuster/and or team that's handling the Auto/Home/Boat/Commercial Claim
• Identify customers concerns to transfer calls to the appropriate party
• Send detailed phone messages to the Adjuster if unavailable
• Provide "Remarkable" Customer Service Experience

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

In my previous role, I was responsible for guidelines for coding to insure consistency across organization and implement policies to insure proper and timely handling of invoices.

Please consider my experience and qualifications for this position:

• Obtain/Maintain appropriate licensing
• Authority to design and develop training program coursework, create policies and procedures and make logical decisions independently
• Is an independent contributor to cost effective processing for the department
• Function independently in the areas of auditing and provide feedback to staff
• Assists in hiring, firing, coaching and discipline of staff
• Assist supervisor in the management of work flow, deadlines, and work projects
• Advanced knowledge in data acquisition and manipulation applications (MS Access, Business Objects, Excel)
• Proficients in Windows environment and MS Word and Excel highly preferred

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

Previously, I was responsible for technical guidance to assigned customers in the form of infrastructure and implementation reviews, installation and upgrade support, coding review best practices and other Premium Care assistance.

Please consider my qualifications and experience:

• Experience with developing and troubleshooting in Siebel, .Net, Java applications
• Experience in HTML, CSS, JavaScript, ASP, SOAP, Web services and XML
• Strong development and/or Production support experience on various Guidewire components such as
• Familiarity with insurance products and claims desirable
• Hands on experience in the areas of Effort Estimation, Project Planning and Tracking, Onsite-Offshore co-ordination for executing projects on timely basis
• Guidewire Claim Center platform upgrade
• Experience with SQL (Oracle, DB2) and relations database is preferred
• Experience with Guidewire plugins