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insurance claims specialist: Resume Samples & Writing Guide

Kevin Coleman 211 Highland Drive, Passaic, MO 64730
colemankevin@outlook.com
714-527-6500

Professional Summary

 A highly motivated and organized professional with extensive experience in the insurance field. Skilled in managing insurance claims and providing excellent customer service to ensure customer satisfaction. 

Employment history

Senior Insurance Claims Specialist, Progressive Mayfield Village, Ohio
December 2011 – Present
  • Manage and track all claim activities
  • Develop and implement claims processing procedures
  • Prepare and present reports to management
Associate Insurance Claims Specialist, Travelers Hartford, Connecticut
June 2011 – November 2011
  • Prepare and submit detailed reports on claims
  • Prepare and present reports to management
  • Negotiate settlements with claimants and attorneys
Entry Level Insurance Claims Specialist, Farmers Insurance Los Angeles, California
November 2010 – May 2011
  • Participate in continuing education and training activities
  • Monitor and assess claims for fraud
  • Provide customer service to claimants and insureds

Education

Ohio State University, Columbus, Ohio
Doctor of Business Administration in Insurance, September, 2010
Ohio State University, Columbus, Ohio
Bachelor of Arts in Insurance and Accounting, September, 2006

Skills

Adaptability
Negotiation
Reporting
Collaboration
Claim Auditing
Claim Processing
Claim Adjustment
Data Entry

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Quinn Hall 511 Cypress Avenue, Garland, UT 84312
quinn.hall@icloud.com
776-905-8722

Professional Summary

 A detail-oriented and organized Insurance Claims Specialist with extensive experience in the insurance field. Skilled in managing and processing claims to ensure customer satisfaction and efficient resolution of customer disputes. 

Employment history

Lead Insurance Claims Specialist, Farmers Insurance Los Angeles, California
January 2010 – Present
  • Maintain accurate records of all insurance claims
  • Provide customer service to claimants and insureds
  • Prepare and present reports to management
Insurance Claims Specialist, Allstate Northbrook, Illinois
January 2009 – December 2009
  • Process claims payments in a timely manner
  • Manage and track all claim activities
  • Review and evaluate coverage and benefits
Entry Level Insurance Claims Specialist, Liberty Mutual Boston, Massachusetts
August 2007 – December 2008
  • Provide customer service to claimants and insureds
  • Monitor and assess claims for fraud
  • Participate in continuing education and training activities

Education

University of Illinois, Urbana, Illinois
Doctor of Arts in Insurance and Financial Services, June, 2007
University of Illinois, Urbana, Illinois
Bachelor of Business Administration in Insurance, June, 2003

Skills

Interpersonal
Documentation
Creativity
Coaching
Claim Denial Management
Insurance Policies
Medical Terminology
Microsoft Office
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Dave Thompson 779 Oakwood Road, Hemlock, NY 14466
davethompson@aol.com
697-102-6861

Professional Summary

 Highly experienced Insurance Claims Specialist with a proven track record of successfully and accurately processing insurance claims. Adept at managing high-volume claims, ensuring customer satisfaction, and resolving complex disputes. 

Employment history

Senior Insurance Claims Specialist, Allstate Northbrook, Illinois
February 2014 – Present
  • Prepare and submit detailed reports on claims
  • Investigate and analyze insurance claims to determine validity and liability
  • Participate in continuing education and training activities
Associate Insurance Claims Specialist, MetLife New York, New York
September 2012 – January 2014
  • Provide customer service to claimants and insureds
  • Prepare and submit detailed reports on claims
  • Participate in continuing education and training activities
Entry Level Insurance Claims Specialist, Nationwide Columbus, Ohio
September 2011 – August 2012
  • Resolve customer inquiries and complaints
  • Develop and implement claims processing procedures
  • Maintain accurate records of all insurance claims

Education

University of Texas, Austin, Texas
Master of Science in Risk Management, July, 2011
University of Texas, Austin, Texas
Bachelor of Arts in Insurance and Financial Services, July, 2007

Skills

Communication
Research
Collaboration
Flexibility
Claim Documentation
Data Entry
Medical Terminology
Customer Service
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Roger Upton 180 Pine Valley Avenue, Plevna, MO 63460
uptonroger94@inbox.com
604-719-5774

Employment history

Senior Insurance Claims Specialist, Progressive Mayfield Village, Ohio
February 2021 – Present
  • Prepare and submit detailed reports on claims
  • Monitor and assess claims for fraud
  • Review and evaluate coverage and benefits
Associate Insurance Claims Specialist, Liberty Mutual Boston, Massachusetts
September 2019 – January 2021
  • Prepare and submit detailed reports on claims
  • Provide customer service to claimants and insureds
  • Maintain accurate records of all insurance claims
Jr. Insurance Claims Specialist, Progressive Mayfield Village, Ohio
February 2019 – August 2019
  • Monitor and assess claims for fraud
  • Develop and implement claims processing procedures
  • Participate in continuing education and training activities

Education

Georgia State University, Atlanta, Georgia
Master of Arts in Insurance and Risk Management, December, 2018
Georgia State University, Atlanta, Georgia
Bachelor of Business Administration in Insurance, December, 2014

Skills

Research
Adaptability
Networking
Strategic Thinking
Regulatory Compliance
Data Entry
Claim Auditing
Legal Compliance.
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Dave Carter 310 Birch St., Alta Vista, IA 50603
carterdave82@protonmail.com
962-329-5725

Professional Summary

 Experienced and knowledgeable Insurance Claims Specialist with a passion for providing excellent customer service. Dedicated to resolving insurance claims efficiently and accurately to ensure customer satisfaction. 

Employment history

Chief Insurance Claims Specialist, USAA San Antonio, Texas
July 2009 – Present
  • Prepare and submit detailed reports on claims
  • Develop and implement claims processing procedures
  • Monitor and assess claims for fraud
Insurance Claims Specialist, Liberty Mutual Boston, Massachusetts
July 2008 – June 2009
  • Develop and implement claims processing procedures
  • Maintain accurate records of all insurance claims
  • Negotiate settlements with claimants and attorneys
Entry Level Insurance Claims Specialist, MetLife New York, New York
December 2007 – June 2008
  • Resolve customer inquiries and complaints
  • Prepare and present reports to management
  • Investigate and analyze insurance claims to determine validity and liability

Education

University of Wisconsin, Madison, Wisconsin
Doctor of Arts in Insurance and Risk Management, October, 2007
University of Wisconsin, Madison, Wisconsin
Bachelor of Arts in Insurance and Financial Services, October, 2003

Skills

Accounting
Documentation
Listening
Risk Management
Data Entry
Customer Service
Insurance Policies
Insurance Regulations
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insurance claims specialist Job Descriptions; Explained

If you're applying for an insurance 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.

1

insurance claims specialist

  • Determine if damages are covered by insurance policy’s.

insurance claims specialist Job Skills

For an insurance 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 Verification
  • Insurance Regulations
  • Claim Processing
  • Claim Auditing
  • Claim Adjustment
  • Claim Investigation
  • Insurance Policies
  • Claim Documentation
  • Billing and Coding
  • Medical Terminology
  • Microsoft Office
  • Data Analysis
  • Quality Assurance
  • Regulatory Compliance
  • Customer Service
  • Risk Assessment
  • Claim Denial Management
  • Claims Management Systems
  • Legal Compliance.

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 insurance 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.

Nate Long 257 Pine St., Richmond, IL 60071

Employment history

Senior Insurance Claims Specialist, Progressive Mayfield Village, Ohio
April 2018 – Present
  • Investigate and analyze insurance claims to determine validity and liability
  • Maintain accurate records of all insurance claims
  • Provide customer service to claimants and insureds
Associate Insurance Claims Specialist, MetLife New York, New York
October 2017 – March 2018
  • Monitor and assess claims for fraud
  • Resolve customer inquiries and complaints
  • Negotiate settlements with claimants and attorneys
Entry Level Insurance Claims Specialist, Nationwide Columbus, Ohio
April 2017 – September 2017

    Education

    University of Texas, Austin, Texas
    Bachelor of Science in Business Administration and Insurance, February, 2017

    Skills

    Documentation
    Networking
    Leadership
    Interpersonal
    Quality Assurance
    Data Analysis
    Claim Adjustment
    Claim Investigation

    Include your Contact Information and Job Descriptions

    Missing job descriptions lessens your chances of getting hired.

    Key Insights
    • Employers want to know what you've accomplished, so make sure to include descriptions for all of your previous jobs.
    • Keep job descriptions short but don't just list your jobs.
    • Never copy-paste a job description to post on your resume. Get inspired and use tools to help you write customized descriptions.

    How to Optimize Your insurance 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.

    Pauline Davis 735 Valleywood Drive, Quogue, NY 11959
    paulinedavis@zoho.com
    897-309-8494

    Employment history

    Entry Level Insurance Claims Specialist, Liberty Mutual Boston, Massachusetts
    September 2021 – June 2022
    • Develp and implement clains processing procedurs
    • Investgate and analyze insurance clains to determin validity and libility
    • Prepair and present report to managment

    Education

    Ohio State University, Columbus, Ohio
    Master of Arts in Insurance and Accounting, July, 2021
    Ohio State University, Columbus, Ohio
    Bachelor of Arts in Insurance and Financial Services, July, 2017

    Skills

    Relationship Management.
    Reporting
    Collaboration
    Interpersonal
    Legal Compliance.
    Data Entry
    Regulatory Compliance
    Data Analysis

    Correct Grammar and Address Gap Years in Your Resume

    Don't leave unexplained gaps in your work history.

    Key Insights
    • When explaining gaps in your employment section, start by being honest.
    • Elaborate on the gap and show that you never stopped learning.
    • Explain and elaborate any gap in your work history by highlighting new skills.

    insurance claims specialist Cover Letter Example

    A cover letter can be a valuable addition to your job application when applying for an insurance 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.



    Kevin
    Coleman     colemankevin@outlook.com
    714-527-6500
    211 Highland Drive, Passaic, MO
    64730

    Senior Insurance Claims Specialist
    Liberty Mutual
    Boston, Massachusetts

    To the Recruitment Team at Liberty Mutual


    I am writing to express my interest in the Senior Insurance Claims Specialist position at Liberty Mutual. As an Insurance Claims Specialist with 13 years of experience in Insurance myself, I believe I have the necessary skills and expertise to excel in this role.


    As someone who has always been committed to making a positive impact on the world, I have pursued opportunities to contribute to my community through my work wherever I may be. My experience in this field has equipped me with the skills and knowledge necessary to succeed throughout my life and I am confident that they will help me to bring my passion and expertise to your organization and help drive your success.


    I am elated about the opportunity to join a team that shares my passion for this field, and values collaboration and innovation. I am confident that together we can overcome whatever tests and challenges are put on our way.


    With gratitude,
    Kevin Coleman
    714-527-6500
    colemankevin@outlook.com

    Kevin Coleman






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