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claim representative: Resume Samples & Writing Guide
Employment history
Senior Claim Representative, Farmers Insurance Los Angeles, California
October 2018 – Present
- Prepare and submit claims reports
- Monitor claims to ensure timely resolution
- Analyze and resolve complex claims
Associate Claim Representative, MetLife New York, New York
May 2017 – October 2018
- Prepare and submit claims reports
- Maintain accurate records of claims activities
- Coordinate with other departments for resolution of claims
Junior Claim Representative, Travelers Hartford, Connecticut
October 2016 – April 2017
- Analyze claims data to identify trends and opportunities
- Coordinate with other departments for resolution of claims
- Analyze and resolve complex claims
Education
Florida State University, Tallahassee, Florida
Doctor of Science in Risk Management, September, 2016
Florida State University, Tallahassee, Florida
Bachelor of Arts in Insurance and Risk Management, September, 2012
Skills
Reliability
Visualization
Emotional Intelligence
Project Management
Claims Adjustment
HIPAA Compliance
Insurance Regulations
Data Analysis.
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Employment history
Senior Claim Representative, Allstate Northbrook, Illinois
February 2021 – Present
- Prepare and submit claims reports
- Maintain knowledge of relevant laws, regulations, and best practices
- Coordinate with other departments for resolution of claims
Associate Claim Representative, Nationwide Columbus, Ohio
July 2020 – January 2021
- Prepare and present claims reviews
- Respond to inquiries from claimants and other parties
- Negotiate settlements with claimants
Junior Claim Representative, Travelers Hartford, Connecticut
February 2019 – June 2020
- Prepare and present claims reports to management
- Prepare and submit claims reports
- Communicate with claimants and other parties
Education
University of California, Berkeley, California
Doctor of Science in Business Administration and Insurance, December, 2018
University of California, Berkeley, California
Bachelor of Science in Insurance, December, 2014
Skills
Mentoring
Networking
Accounting
Negotiation
Claim Denial Management
Claim Processing
Data Analysis.
Medical Coding
Professional Summary
Highly organized and detail oriented Claim Representative with extensive experience in the insurance industry. Proven track record of successfully handling complex claims and providing excellent customer service.
Employment history
Lead Claim Representative, Allstate Northbrook, Illinois
August 2012 – Present
- Prepare and present claims reports to management
- Communicate with claimants and other parties
- Ensure compliance with insurance policies and procedures
Associate Claim Representative, Farmers Insurance Los Angeles, California
January 2012 – July 2012
- Maintain knowledge of relevant laws, regulations, and best practices
- Maintain accurate records of claims activities
- Provide customer service to claimants
Junior Claim Representative, MetLife New York, New York
August 2010 – December 2011
- Ensure compliance with insurance policies and procedures
- Provide customer service to claimants
- Analyze and resolve complex claims
Education
University of Pennsylvania, Philadelphia, Pennsylvania
Master of Arts in Insurance and Financial Services, June, 2010
University of Pennsylvania, Philadelphia, Pennsylvania
Bachelor of Science in Insurance and Financial Services, June, 2006
Skills
Public Speaking
Customer Service
Relationship Management.
Time Management
Document Review
HIPAA Compliance
Data Analysis.
Claims Investigation
Employment history
Chief Claim Representative, Progressive Mayfield Village, Ohio
December 2015 – Present
- Ensure compliance with insurance policies and procedures
- Monitor claims to ensure timely resolution
- Analyze claims data to identify trends and opportunities
Claim Representative, Liberty Mutual Boston, Massachusetts
June 2014 – November 2015
- Prepare and present claims reviews
- Prepare and present claims reports to management
- Respond to inquiries from claimants and other parties
Junior Claim Representative, Progressive Mayfield Village, Ohio
June 2013 – May 2014
- Maintain knowledge of relevant laws, regulations, and best practices
- Analyze claims data to identify trends and opportunities
- Prepare and present claims reports to management
Education
Florida State University, Tallahassee, Florida
Bachelor of Science in Accounting and Insurance, May, 2013
Skills
Written Communication
Documentation
Interpersonal
Professionalism
Claim Denial Management
Claim Processing
Claims Auditing
Claims Investigation
Professional Summary
Highly organized and detail-oriented insurance professional with extensive knowledge in the field of claims. Skilled in accurately evaluating and resolving claims in a timely manner.
Employment history
Senior Claim Representative, MetLife New York, New York
October 2014 – Present
- Investigate and evaluate insurance claims
- Coordinate with other departments for resolution of claims
- Prepare and submit claims reports
Associate Claim Representative, Travelers Hartford, Connecticut
March 2014 – September 2014
- Analyze and resolve complex claims
- Communicate with claimants and other parties
- Prepare and present claims reviews
Jr. Claim Representative, Liberty Mutual Boston, Massachusetts
October 2012 – March 2014
- Maintain knowledge of relevant laws, regulations, and best practices
- Provide customer service to claimants
- Monitor claims to ensure timely resolution
Education
University of Wisconsin, Madison, Wisconsin
Bachelor of Science in Insurance and Financial Services, August, 2012
Skills
Networking
Emotional Intelligence
Mentoring
Accounting
Claims Investigation
Data Analysis.
Medical Terminology
Healthcare Laws
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claim representative Job Skills
For an claim representative 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
- Claim Processing
- Claims Adjustment
- Claims Investigation
- Claims Auditing
- Claims Analysis
- Medical Billing
- Medical Coding
- HIPAA Compliance
- Microsoft Office
- Claim Denial Management
- Claim Reimbursement
- Document Review
- Regulatory Compliance
- Insurance Regulations
- Claim Documentation
- Medical Terminology
- Claim Appeal Process
- Healthcare Laws
- Data Analysis.
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 claim representative 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.
Xaviera Smith
378 Holly St., Covington, GA 30014Employment history
Chief Claim Representative, MetLife New York, New York
January 2015 – May 2022
- Maintain knowledge of relevant laws, regulations, and best practices
- Communicate with claimants and other parties
- Coordinate with other departments for resolution of claims
Associate Claim Representative, Progressive Mayfield Village, Ohio
January 2014 – December 2014
- Maintain accurate records of claims activities
- Maintain knowledge of relevant laws, regulations, and best practices
- Analyze and resolve complex claims
Junior Claim Representative, State Farm Bloomington, Illinois
July 2012 – December 2013
- Analyze and resolve complex claims
- Prepare and submit claims reports
- Investigate and evaluate insurance claims
Education
Florida State University, Tallahassee, Florida
Bachelor of Science in Business Administration and Insurance, May, 2012
Skills
Collaboration
Visualization
Process Improvement
Financial Management
Claims Investigation
Document Review
Claim Documentation
Claim Processing
Provide your Contact Information and Address Year Gaps
Always explain any gaps in your work history to your advantage.
Key Insights- Employers want to know what you've accomplished, so make sure to explain any gaps using a professional summary.
- Adding extra details and context to explain why you have a gap in your work history shows employers you are a good fit for the position.
How to Optimize Your claim representative 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.
Professional Summary
A detail-oriented and experienced professional with a successful track record in insurance claims resolution. Proven ability to handle complex claims and negotiate settlements to the satisfaction of all parties.
Employment history
Chief Claim Representative, State Farm Bloomington, Illinois
July 2012 – Present
- Respond too inquiries from claimants and other parties
- Ensure compliance with insurance policies and procedure's
- Prepare and presents claims reviews.
Associate Claim Representative, Farmers Insurance Los Angeles, California
July 2011 – June 2012
- Co-ordinate with other departments for resolution of clains
- Prepare and submit clains reports
- Respond to enquries from claiments and other partys
Entry Level Claim Representative, USAA San Antonio, Texas
January 2011 – June 2011
- "I went to the store to buy groceries
- I went to the store, too buy groceries.
Education
Florida State University, Tallahassee, Florida
Insurance Agency Management, November, 2010
Skills
Critical Thinking
Leadership
Interpersonal
Presentation
Claims Auditing
Data Analysis.
Regulatory Compliance
Claim Documentation
Include Job Descriptions and Avoid Bad Grammar
Avoid sending a wrong first impression by proofreading your resume.
Key Insights- Spelling and typos are the most common mistakes recruiters see in resumes and by simply avoiding them you can move ahead on the hiring process.
- Before submitting your resume, double check to avoid typos.
claim representative Cover Letter Example
A cover letter can be a valuable addition to your job application when applying for an claim representative 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.
Senior Claim Representative
MetLife
New York, New York
MetLife
New York, New York
To the respected MetLife Hiring Team
I am a passionate Claim Representative with 7 years of experience in Insurance. I am excited to submit my application for the Senior Claim Representative position at MetLife, where I believe my skills and expertise would be a great asset to your team.
My diverse life experiences have taught me the importance of adaptability, creativity, and resilience. Whether it was on the job, or simply on my day to day, I have learned to navigate challenges and find innovative solutions. I am confident that I possess the skills and expertise necessary to excel in the position at MetLife and I am excited about the opportunity to grow with a team that values these qualities and contribute to your organization's growth and success.
Thank you for considering my application for the Senior Claim Representative role. I am very passionate about this field and possess a deep understanding of the industry so, I am thrilled about the opportunity to contribute to your organization's success.
Respectfully,
Richard White
635-690-0586
[email protected]
Richard White
Showcase your most significant accomplishments and qualifications with this cover letter.
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Build your Resume in 15 minutes
Give yourself the best chance of standing out from the competition!
Create an awesome resume that meets the expectations of potential employers with our selection of professional, field-tested resume templates.
Create an awesome resume that meets the expectations of potential employers with our selection of professional, field-tested resume templates.