5 Amazing claim representative Resume Examples (Updated 2023) + Skills & Job Descriptions

claim representative

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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

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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

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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

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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.

Employment 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

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
white-richard@inbox.com

Richard White

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