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claims specialist: Resume Samples & Writing Guide

Gus Smith 919 Cedarwood Avenue, Franklinton, LA 70438
smithgus65@zoho.com
628-222-7780

Employment history

Senior Claims Specialist, Liberty Mutual Boston, Massachusetts
October 2021 – Present
  • Ensure compliance with state and federal regulations
  • Process and review insurance claims
  • Prepare and present reports to management
Associate Claims Specialist, AIG New York, New York
October 2020 – September 2021
  • Stay up-to-date on changes in insurance regulations
  • Ensure compliance with state and federal regulations
  • Communicate with claimants, insurance adjusters, and other parties involved in the claim
Entry Level Claims Specialist, Progressive Mayfield Village, Ohio
March 2020 – September 2020
  • Review and analyze claim data to identify trends
  • Process and review insurance claims
  • Develop and implement strategies for improving claims processing

Education

University of Pennsylvania, Philadelphia, Pennsylvania
Doctor of Science in Business Administration and Insurance, January, 2020
University of Pennsylvania, Philadelphia, Pennsylvania
Bachelor of Science in Insurance and Financial Services, January, 2016

Skills

Reporting
Training
Conflict Resolution
Communication
Claim Documentation
Claim Denials
Insurance Policies
Claims Auditing

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Ian Young 759 Ridgeview Drive, Rock Island, WA 98850
ianyoung@aol.com
756-682-3603

Employment history

Senior Claims Specialist, AIG New York, New York
January 2019 – Present
  • Participate in audits and reviews of claims operations
  • Negotiate settlements and resolve disputes
  • Prepare and submit claims to insurance carriers
Associate Claims Specialist, AIG New York, New York
July 2018 – December 2018
  • Stay up-to-date on changes in insurance regulations
  • Investigate and evaluate claims to determine coverage, liability, and damages
  • Provide customer service to claimants
Jr. Claims Specialist, Allstate Northbrook, Illinois
December 2017 – June 2018
  • Prepare and submit claims to insurance carriers
  • Provide customer service to claimants
  • Monitor and manage the progress of claims

Education

Georgia State University, Atlanta, Georgia
Insurance Agency Management, November, 2017

Skills

Self-Motivation
Analytical
Attention to Detail
Leadership
Microsoft Office
Data Analysis
Claim Investigation
Quality Control
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Abe Evans 741 Creekview Drive, Glenmont, OH 44628
abe-evans@mail.com
767-171-7217

Professional Summary

 A highly motivated and experienced Claims Specialist with a proven track record in the insurance industry. Skilled in claims processing, customer service, and data analysis. Committed to providing excellent customer service and accurate claim processing. 

Employment history

Lead Claims Specialist, USAA San Antonio, Texas
October 2014 – Present
  • Stay up-to-date on changes in insurance regulations
  • Communicate with claimants, insurance adjusters, and other parties involved in the claim
  • Monitor and manage the progress of claims
Claims Specialist, Progressive Mayfield Village, Ohio
October 2013 – September 2014
  • Review and analyze claim data to identify trends
  • Maintain accurate records of claims activity
  • Process and review insurance claims
Entry Level Claims Specialist, USAA San Antonio, Texas
April 2012 – September 2013
  • Stay up-to-date on changes in insurance regulations
  • Investigate and evaluate claims to determine coverage, liability, and damages
  • Process and review insurance claims

Education

University of California, Berkeley, California
Insurance Business, February, 2012

Skills

Training
Decision Making
Organization
Visualization
Subrogation
Claim Investigation
Claims Auditing
Insurance Policies
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Frank Miller 347 Pleasantview Drive, Frenchtown, NJ 08825
frank_miller@yandex.com
650-903-3856

Employment history

Senior Claims Specialist, State Farm Bloomington, Illinois
October 2018 – Present
  • Communicate with claimants, insurance adjusters, and other parties involved in the claim
  • Prepare and submit claims to insurance carriers
  • Train and mentor new claims staff
Associate Claims Specialist, State Farm Bloomington, Illinois
October 2017 – September 2018
  • Ensure compliance with state and federal regulations
  • Investigate and evaluate claims to determine coverage, liability, and damages
  • Develop and implement strategies for improving claims processing
Entry Level Claims Specialist, Farmers Insurance Los Angeles, California
October 2016 – September 2017
  • Provide customer service to claimants
  • Negotiate settlements and resolve disputes
  • Maintain accurate records of claims activity

Education

Florida State University, Tallahassee, Florida
Insurance Fraud Investigation, August, 2016

Skills

Stress Management
Research
Financial Management
Planning
Claims Adjustment
Claims Auditing
Claims Verification
Reinsurance
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Andrew Fox 869 Woodland Avenue, Clayton, WA 99110
andrewfox47@yandex.com
711-129-1911

Employment history

Entry Level Claims Specialist, Nationwide Columbus, Ohio
May 2022 – February 2023
  • Review and analyze claim data to identify trends
  • Investigate and evaluate claims to determine coverage, liability, and damages
  • Maintain accurate records of claims activity

Education

University of Texas, Austin, Texas
Bachelor of Science in Risk Management, March, 2022

Skills

Relationship Management.
Planning
Innovation
Strategic Thinking
Problem Solving
Subrogation
Risk Management
Medical Terminology
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claims specialist Job Descriptions; Explained

If you're applying for an claims specialist position, it's important to tailor your resume to the specific job requirements in order to differentiate yourself from other candidates. Including accurate and relevant information that directly aligns with the job description can greatly increase your chances of securing an interview with potential employers.

When crafting your resume, be sure to use action verbs and a clear, concise format to highlight your relevant skills and experience. Remember, the job description is your first opportunity to make an impression on recruiters, so pay close attention to the details and make sure you're presenting yourself in the best possible light.

6

claims specialist

  • File insurance claims accurately, and timely 
  • Input new frames to the system
  • Return exchanged contacts
  • Help patients with any questions they have
7

claims specialist

  • Replying to claimants’ queries
  • Calculating damages and making payment decisions
  • Handling appeals
  • Uploaded the necessary claims documents into the Oasis claims system
8

claims specialist

  • Critical thinking and problem solving: understanding what a policy holder needs and form a solution.
  • Compassion and patience: during moments of trauma or crisis.
  • Communication Skills: listening and speaking. 
  • Review work done by others to check for correct accuracies to ensure that company format policies are followed, and recommend revisions.
9

claims specialist

  • Troubleshoot device and web-related issues
1 2

claims specialist Job Skills

For an claims specialist position, your job skills are a key factor in demonstrating your value to the company and showing recruiters that you're the ight fit for the role. It's important to be specific when highlighting your skills and ensure that they are directly aligned with the job requirements, as this can greatly improve your chances of being hired. By showcasing your relevant skills and experience, you can make a compelling case for why you're the best candidate for the job.

How to include technical skills in your resume:

Technical skills are a set of specialized abilities and knowledge required to perform a particular job effectively. Some examples of technical skills are data analysis, project management, software proficiency, and programming languages, to name a few.

Add the technical skills that will get hired in your career field with our simple-to-use resume builder. Select your desired resume template, once you reach the skills section of the builder, manually write in the skill or simply click on "Add more skills". This will automatically generate the best skills for your career field, choose your skill level, and hit "Save & Next."

  • Data Entry
  • Insurance Claims Processing
  • Claims Adjustment
  • Claim Investigation
  • Reinsurance
  • Claims Auditing
  • Claims Resolution
  • Claims Verification
  • Data Analysis
  • Problem Solving
  • Regulatory Compliance
  • Insurance Policies
  • Medical Terminology
  • Medical Coding
  • Claim Documentation
  • Microsoft Office
  • Quality Control
  • Regulatory Requirements
  • Claim Denials
  • Subrogation
  • Risk Management

How to include soft skills in your resume:

Soft skills are non-technical skills that relate to how you work and that can be used in any job. Including soft skills such as time management, creative thinking, teamwork, and conflict resolution demonstrate your problem-solving abilities and show that you navigate challenges and changes in the workplace efficiently.

Add competitive soft skills to make your resume stand-out to recruiters! Simply select your preferred resume template in the skills section, enter the skills manually or use the "Add more skills" option. Our resume builder will generate the most relevant soft skills for your career path. Choose your proficiency level for each skill, and then click "Save & Next" to proceed to the next section.

  • Communication
  • Interpersonal
  • Leadership
  • Time Management
  • Problem Solving
  • Decision Making
  • Critical Thinking
  • Creativity
  • Adaptability
  • Teamwork
  • Organization
  • Planning
  • Public Speaking
  • Negotiation
  • Conflict Resolution
  • Research
  • Analytical
  • Attention to Detail
  • Self-Motivation
  • Stress Management
  • Collaboration
  • Coaching
  • Mentoring
  • Listening
  • Networking
  • Strategic Thinking
  • Negotiation
  • Emotional Intelligence
  • Adaptability
  • Flexibility
  • Reliability
  • Professionalism
  • Computer Literacy
  • Technical
  • Data Analysis
  • Project Management
  • Customer Service
  • Presentation
  • Written Communication
  • Social Media
  • Troubleshooting
  • Quality Assurance
  • Collaboration
  • Supervisory
  • Risk Management
  • Database Management
  • Training
  • Innovation
  • Documentation
  • Accounting
  • Financial Management
  • Visualization
  • Reporting
  • Business Acumen
  • Process Improvement
  • Documentation
  • Relationship Management.

How to Improve Your claims specialist Resume

Navigating resume pitfalls can mean the difference between landing an interview or not. Missing job descriptions or unexplained work history gaps can cause recruiters to hesitate. Let's not even talk about the impact of bad grammar, and forgetting your contact info could leave your potential employer hanging. Aim to be comprehensive, concise, and accurate.

Dale Richards 884 Maple St., Jugtown, PA 16662
richardsdale@gmail.com
853-596-5694

Employment history

Senior Claims Specialist, MetLife New York, New York
June 2017 – May 2022
  • Negotiate settlements and resolve disputes
  • Ensure compliance with state and federal regulations
  • Prepare and submit claims to insurance carriers
Associate Claims Specialist, AIG New York, New York
January 2016 – June 2017
  • Provide customer service to claimants
  • Review and analyze claim data to identify trends
  • Process and review insurance claims
Jr. Claims Specialist, AIG New York, New York
January 2015 – December 2015

    Education

    University of Texas, Austin, Texas
    Doctor of Science in Accounting and Insurance, November, 2014
    University of Texas, Austin, Texas
    Bachelor of Science in Business Administration and Insurance, November, 2010

    Skills

    Coaching
    Flexibility
    Mentoring
    Supervisory
    Risk Management
    Claim Investigation
    Claims Auditing
    Problem Solving

    Unexplained Year Gaps and Missing Job Experiences are a No-no

    Gaps in your resume can prevent recruiters from hiring you if you don't explain them.

    Key Insights
    • It's okay to have gaps in your work experience but always offer a valid explanation instead of just hiding it.
    • Use the gap to talk about positive attributes or additional skills you've learned.
    • Be honest and straightforward about the gap and explain it using a professional summary.

    How to Optimize Your claims specialist Resume

    Keep an eye out for these resume traps. Neglecting to detail your job roles or explain gaps in your career can lead to unnecessary doubts. Grammar blunders can reflect negatively on you, and without contact information, how can employers reach you? Be meticulous and complete.

    Roger Kelly 994 Willow Avenue, Larned, KS 67550

    Employment history

    Senior Claims Specialist, Progressive Mayfield Village, Ohio
    July 2016 – Present
    • Prepair and preasent report to managment
    • Develope and implement stratagies for improoving claims processsing
    • Proccess and reviw insurrance claims
    Claims Specialist, AIG New York, New York
    January 2015 – June 2016
    • Procces and review insurance cliams
    • Investigate and evaluate cliams too determin coverage, liabillity, and damages
    • Develop and implement strategys for improving cliams proccesing
    Jr. Claims Specialist, AIG New York, New York
    January 2014 – January 2015
    • Prepear and submitt claims too insurance carriers
    • Stay up-to-date on changes in insurance regulationss
    • Review and analyse claim data too identify trends.

    Education

    University of Washington, Seattle, Washington
    Bachelor of Business Administration in Insurance, December, 2013

    Skills

    Listening
    Time Management
    Troubleshooting
    Organization
    Data Analysis
    Claim Investigation
    Subrogation
    Quality Control

    Avoid Spelling Mistakes and Include your Contact Information

    Missing contact information prevents recruiters from understanding you're the best fit for the position.

    Key Insights
    • Make sure you're not missing contact information on your resume. That should include your full name, telephone number and email address.
    • Make sure to use a professional email address as part of your contact information.
    • Highlight your contact information and double check that everything is accurate to help recruiters get in touch with you.

    claims specialist Cover Letter Example

    A cover letter can be a valuable addition to your job application when applying for an claims specialist position. Cover letters provide a concise summary of your qualifications, skills, and experience, also it also gives you an opportunity to explain why you're the best fit for the job. Crafting a cover letter that showcases your relevant experience and enthusiasm for the Accounts Payable role can significantly improve your chances of securing an interview.



    Gus
    Smith     smithgus65@zoho.com
    628-222-7780
    919 Cedarwood Avenue, Franklinton, LA
    70438

    Senior Claims Specialist
    Allstate
    Northbrook, Illinois

    Esteemed Allstate Hiring Team


    I am writing to express my interest in the Senior Claims Specialist role at Allstate. As a Claims Specialist with 3 years of experience, I am confident that I possess the necessary skills and qualifications to excel in this position.


    Growing up, I always had a fascination with Underwriting. As I pursued my education and gained experience in this field, I realized that this was where I could make the most impact. I have had the opportunity to work on things throughout my career like personal projects and voluntary work, which have developed in me a deep understanding of the challenges and opportunities in this field. I am excited to bring my passion and expertise to the role at and help your organization achieve its goals.


    Thank you for considering my application for the Senior Claims Specialist position. With my skills and the amazing team at this organization, I am assured that I can contribute to your organization's success and make a meaningful impact. Looking forward to a future where we can work together.


    Thank you for your time,
    Gus Smith
    628-222-7780
    smithgus65@zoho.com

    Gus Smith






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