Use This Template 
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.
health insurance specialist: Resume Samples & Writing Guide
Employment history
Senior Health Insurance Specialist, Allstate Northbrook, Illinois
September 2021 – Present
- Monitor changes in the insurance industry
- Process insurance claims and review for accuracy
- Develop and implement strategies to reduce costs
Health Insurance Specialist, Liberty Mutual Boston, Massachusetts
March 2020 – August 2021
- Respond to customer inquiries and resolve customer issues
- Develop and implement strategies to reduce costs
- Negotiate with insurance providers to secure the best coverage and rates
Entry Level Health Insurance Specialist, State Farm Bloomington, Illinois
October 2018 – February 2020
- Monitor changes in the insurance industry
- Manage and update health insurance databases
- Develop and implement strategies to reduce costs
Education
University of California, Berkeley, California
Doctor of Arts in Business Administration and Insurance, August, 2018
University of California, Berkeley, California
Bachelor of Science in Accounting and Insurance, August, 2014
Skills
Negotiation
Documentation
Interpersonal
Written Communication
Benefits Administration
Data Analysis
Insurance Billing
Data Entry
Do you already have a resume? Use our PDF converter and edit your resume.
Professional Summary
A highly motivated and experienced Health Insurance Specialist with an in-depth knowledge of the insurance industry. Possessing excellent customer service, communication, and problem-solving skills, as well as the ability to work collaboratively and independently.
Employment history
Senior Health Insurance Specialist, Farmers Insurance Los Angeles, California
August 2013 – Present
- Maintain accurate records of customer accounts
- Analyze and interpret policy provisions, regulations, and legal documents
- Develop and implement strategies to reduce costs
Health Insurance Specialist, Allstate Northbrook, Illinois
February 2013 – July 2013
- Process insurance claims and review for accuracy
- Ensure compliance with applicable laws and regulations
- Establish and maintain relationships with insurance providers
Entry Level Health Insurance Specialist, USAA San Antonio, Texas
July 2012 – January 2013
- Process insurance claims and review for accuracy
- Analyze data to identify trends and opportunities for improvement
- Analyze and interpret policy provisions, regulations, and legal documents
Education
University of Illinois, Urbana, Illinois
Master of Science in Business Administration and Insurance, June, 2012
University of Illinois, Urbana, Illinois
Bachelor of Science in Accounting and Insurance, June, 2008
Skills
Adaptability
Technical
Accounting
Customer Service
Insurance Verification
Data Analysis
Claim Processing
Insurance Claims
Professional Summary
A highly motivated Health Insurance Specialist with a proven track record in the insurance field. Experienced in assessing customer needs, providing solutions, and delivering excellent customer service.
Employment history
Chief Health Insurance Specialist, AIG New York, New York
February 2012 – Present
- Prepare and submit reports to management
- Analyze and interpret policy provisions, regulations, and legal documents
- Negotiate with insurance providers to secure the best coverage and rates
Health Insurance Specialist, State Farm Bloomington, Illinois
September 2010 – February 2012
- Prepare and submit reports to management
- Analyze and interpret policy provisions, regulations, and legal documents
- Respond to customer inquiries and resolve customer issues
Entry Level Health Insurance Specialist, State Farm Bloomington, Illinois
September 2009 – August 2010
- Analyze and interpret policy provisions, regulations, and legal documents
- Monitor claims processing and payment
- Monitor changes in the insurance industry
Education
University of Pennsylvania, Philadelphia, Pennsylvania
Master of Arts in Insurance and Risk Management, July, 2009
University of Pennsylvania, Philadelphia, Pennsylvania
Bachelor of Science in Insurance and Financial Services, July, 2005
Skills
Quality Assurance
Database Management
Project Management
Reliability
Medical Recordkeeping
Insurance Billing
Auditing
Risk Assessment
Employment history
Lead Health Insurance Specialist, Travelers Hartford, Connecticut
October 2017 – Present
- Monitor claims processing and payment
- Maintain accurate records of customer accounts
- Educate customers on their insurance coverage
Associate Health Insurance Specialist, State Farm Bloomington, Illinois
April 2017 – October 2017
- Develop and implement strategies to reduce costs
- Monitor changes in the insurance industry
- Process insurance claims and review for accuracy
Jr. Health Insurance Specialist, AIG New York, New York
April 2016 – March 2017
- Prepare and submit reports to management
- Respond to customer inquiries and resolve customer issues
- Manage and update health insurance databases
Education
Ohio State University, Columbus, Ohio
Master of Arts in Business Administration and Insurance, February, 2016
Ohio State University, Columbus, Ohio
Bachelor of Science in Accounting and Insurance, February, 2012
Skills
Financial Management
Visualization
Coaching
Social Media
Insurance Billing
Auditing
Insurance Claims
Medical Recordkeeping
Employment history
Chief Health Insurance Specialist, State Farm Bloomington, Illinois
December 2022 – Present
- Negotiate with insurance providers to secure the best coverage and rates
- Monitor claims processing and payment
- Ensure compliance with applicable laws and regulations
Health Insurance Specialist, Allstate Northbrook, Illinois
December 2021 – November 2022
- Analyze data to identify trends and opportunities for improvement
- Maintain accurate records of customer accounts
- Respond to customer inquiries and resolve customer issues
Junior Health Insurance Specialist, Nationwide Columbus, Ohio
June 2020 – November 2021
- Establish and maintain relationships with insurance providers
- Assist customers with enrollment and billing processes
- Prepare and submit reports to management
Education
University of Wisconsin, Madison, Wisconsin
Doctor of Arts in Insurance and Risk Management, May, 2020
University of Wisconsin, Madison, Wisconsin
Bachelor of Arts in Business Administration and Insurance, May, 2016
Skills
Time Management
Strategic Thinking
Troubleshooting
Documentation
Insurance Verification
Benefits Administration
HIPAA Compliance
Quality Assurance
Not in love with this template? Browse our full library of resume templates
health insurance specialist Job Descriptions; Explained
If you're applying for an health insurance 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
health insurance specialist
- Interacting, handling queries and objections from customers.
- Answering any enquiries.
- Calling the customers to deliver and explain the policies, as well as analyse a variety of policies to determine the best fit for them and detail additional benefits.
- Attend meeting and training sessions to assist in coordinating sales action plans for individual sales people.
2
health insurance specialist
- Code medical procedures and examine insurance claims.
- Maintain records of medical costs, adjustments, co-payments, and other billing details.
- Update internal billing databases
- Analyzing insurance claims for Incorrect payments and contacting the carrier for reprocessing as necessary
- Help patients obtain and understand their medical benefits and provide estimates for in office and out-patient surgical procedures.
- Follow all regulations and coding procedures to allow for prompt payment of medical services.
health insurance specialist Job Skills
For an health insurance 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
- Medical Coding
- Medical Terminology
- HIPAA Compliance
- Claim Processing
- Insurance Verification
- Insurance Billing
- Insurance Claims
- ICD-10 Coding
- Regulatory Compliance
- Insurance Policy Analysis
- Risk Assessment
- Insurance Underwriting
- Data Analysis
- Customer Service
- Microsoft Office
- Benefits Administration
- Auditing
- Quality Assurance
- Medical Recordkeeping
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 health insurance 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.
Floyd Carter
270 Hillside Avenue, Kell, IL 62853Employment history
Senior Health Insurance Specialist, State Farm Bloomington, Illinois
May 2017 – May 2022
- Monitor claims processing and payment
- Monitor changes in the insurance industry
- Educate customers on their insurance coverage
Associate Health Insurance Specialist, MetLife New York, New York
October 2016 – April 2017
- Respond to customer inquiries and resolve customer issues
- Assist customers with enrollment and billing processes
- Prepare and submit reports to management
Junior Health Insurance Specialist, Travelers Hartford, Connecticut
May 2015 – September 2016
- Negotiate with insurance providers to secure the best coverage and rates
- Develop and implement strategies to reduce costs
- Establish and maintain relationships with insurance providers
Education
University of Washington, Seattle, Washington
Master of Science in Insurance and Financial Services, March, 2015
University of Washington, Seattle, Washington
Bachelor of Science in Risk Management, March, 2011
Skills
Presentation
Creativity
Stress Management
Database Management
Risk Assessment
Quality Assurance
Medical Terminology
Data Entry
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 health insurance 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.
Employment history
Chief Health Insurance Specialist, State Farm Bloomington, Illinois
July 2022 – Present
- Assist customers with enrollment, and billing proccesses
- Processs insurance claims, and review for accuracey
- Monitor claims proccessing, and payment.
Associate Health Insurance Specialist, Travelers Hartford, Connecticut
July 2021 – June 2022
- Estabilsh and maintian relatioships with insuarance providors
- Moniter changes in the insuarance industry
- Manage and updata health insuarance databses
Jr. Health Insurance Specialist, Travelers Hartford, Connecticut
February 2020 – June 2021
- "I went to the store
- to buy some milk."
- I went too the store
- to buy some milk.
Education
University of Michigan, Ann Arbor, Michigan
Bachelor of Science in Insurance, December, 2019
Skills
Reliability
Creativity
Research
Process Improvement
Claim Processing
Benefits Administration
Insurance Claims
Customer Service
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.
health insurance specialist Cover Letter Example
A cover letter can be a valuable addition to your job application when applying for an health insurance 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.
Senior Health Insurance Specialist
MetLife
New York, New York
MetLife
New York, New York
Esteemed MetLife Hiring Team
I am a results-driven Health Insurance Specialist with 5 years of experience in Insurance. I am excited to submit my application for the Senior Health Insurance Specialist role at MetLife, where I believe I can make a valuable contribution to your team.
My life experiences have taught me the importance of hard work, dedication, and collaboration. Whether it was on the work, or just personally, I have always been committed to pursuing my goals with passion and tenacity. I am confident that throughout all of these years I have gained the skills and expertise necessary to succeed in this role and be a great asset for MetLife. I am eager to join a team that shares my values and work towards a common goal.
Thank you for considering my application for the Senior Health Insurance Specialist role. I am looking forward to a future where we work together to drive this organization's success.
Kind regards,
Andrew Miller
608-350-2832
[email protected]
Andrew Miller
Showcase your most significant accomplishments and qualifications with this cover letter.
Personalize this cover letter in just few minutes with our user-friendly tool!
Related Resumes & Cover Letters
FIND EVERYTHING YOU NEED HERE.
IF YOU HAVE QUESTIONS, WE HAVE ANSWERS.
4 Ways a Career Test Can Jump-Start Your Future (and Help Your Resume)
If you’re looking for a fresh path or a new passion, a career test could help you find it. You can take these tests online, in the comfort of your...
Avoid These 3 Resume Mistakes at All Costs
Your resume is your first impression for a prospective employer. The way you present yourself in that little document can make or break you – it can clinch you an...
Resume Design Tips and Tricks
Creating a resume that stands out from the rest doesn’t have to be rocket science. With just a few tips and tricks, you can make your professional resume a shining...
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.