Claims Manager Resume

Samantha Gray

North Highlands CA 95660

(916) 987-6543

[email protected]

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Job Objective

Dedicated Claims Manager looking for an opportunity to work for reputable company where my skills and experience will be of value.

Highlights of Qualifications:

  • Exceptional experience in managing claims for all automobile and associate products
  • Outstanding knowledge of ACE coverage and products
  • Sound knowledge of claims management
  • Ability to analyze data and establish all requirements
  • Ability to monitor tools as per quality assurance processes
  • Remarkable communication and negotiation skills
  • Good computer skills
  • Ability to deal with various types of customers in professional environment
  • Ability to identify and resolve all issues

Professional Experience:

Claims Manager

Harleysville Insurance, Bloomfield, IA

October 2008 – Present

  • Administered everyday operations and processed all claims.
  • Monitored working of staff and ensured compliance to quality.
  • Managed work of all subcontractors according to required quality standards.
  • Provided required training to all data entry personnel according to management policies and procedures.
  • Participated in all employee performance reviews and assisted hiring appropriate candidates.
  • Assisted all staff members to resolve all issues for internal and external customers.

Claims Supervisor

Gaston & Associates, Inc., Bloomfield, IA

August 2003 – September 2008

  • Supervised all claim examiners to process claims for one product lines.
  • Prepared various reports for claim adjudication for various examiners.
  • Provided required actions for various processes.
  • Monitored all disability claims and ensured compliance to all audit requirements.
  • Reviewed claim files and ensure appropriate coding for all claims.
  • Determined all performance development plans.
  • Conducted interview with various prospective clients and assisted to hire appropriate personnel.

Claims Specialist

Radian Group Inc., Bloomfield, IA

May 1998 – July 2003

  • Ensured confirmation to all claim coverage and provided support to all claims.
  • Performed regular investigation on all third party damages and various loss facts.
  • Coordinated with experts and monitored all assignments and assisted defense counsel with various claim cases.
  • Prepared reports for all reinsurers.
  • Provided facilitation in various reinsurance issues and maintained accountability.
  • Managed all travel arrangements for various conferences and trails.


Bachelor’s Degree in Business Administration

Amherst College, Amherst, MA