boy

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.
START YOUR RESUME NOW

claims analyst: Resume Samples & Writing Guide

Stanley Fox 82 Pinecrest Avenue, Levittown, PA 19056
fox_stanley@yahoo.com
787-805-0758

Professional Summary

 A Claims Analyst with extensive experience in the insurance industry, providing insightful solutions to complex claims. Proven ability to develop effective strategies to resolve customer inquiries, reduce costs, and improve customer satisfaction. 

Employment history

Senior Claims Analyst, Farmers Insurance Los Angeles, California
December 2011 – Present
  • Participate in audits and provide reports as needed
  • Respond to customer inquiries and provide customer service
  • Investigate and analyze complex claims and determine coverage and liability
Associate Claims Analyst, State Farm Bloomington, Illinois
July 2010 – November 2011
  • Review and interpret policy language to determine coverage and liability
  • Manage and monitor the progress of claims through resolution
  • Develop and implement procedures to ensure compliance with applicable laws and regulations
Junior Claims Analyst, State Farm Bloomington, Illinois
January 2009 – June 2010
  • Maintain up-to-date knowledge of claims-related laws and regulations
  • Participate in audits and provide reports as needed
  • Manage and monitor the progress of claims through resolution

Education

University of Pennsylvania, Philadelphia, Pennsylvania
Bachelor of Arts in Insurance and Financial Services, November, 2008

Skills

Relationship Management.
Adaptability
Accounting
Business Acumen
Insurance Claims Adjustment
Policy Knowledge
Claims Auditing
Data Entry

Do you already have a resume? Use our PDF converter and edit your resume.

Build My Resume
Vic Benson 558 Riverview Avenue, Goshen, VA 24439
benson_vic@protonmail.com
976-193-8057

Employment history

Jr. Claims Analyst, Allstate Northbrook, Illinois
January 2022 – October 2022
  • Manage and monitor the progress of claims through resolution
  • Prepare and maintain detailed claim files and records
  • Establish and maintain relationships with customers, agents, and other business partners

Education

Florida State University, Tallahassee, Florida
Doctor of Science in Insurance and Financial Services, November, 2021
Florida State University, Tallahassee, Florida
Bachelor of Science in Business Administration and Insurance, November, 2017

Skills

Teamwork
Analytical
Coaching
Innovation
HIPAA Compliance
Claims Resolution
Insurance Claims Processing
Medical Coding
Build My Resume
Cecil Anderson 233 Creekwood Drive, Belgium, WI 53004
anderson.cecil@gmail.com
842-742-7805

Professional Summary

 A highly motivated and detail-oriented Claims Analyst with extensive knowledge of the insurance industry. Proven ability to analyze complex data and develop effective solutions to ensure efficient claims processing. 

Employment history

Senior Claims Analyst, USAA San Antonio, Texas
April 2012 – Present
  • Investigate and analyze complex claims and determine coverage and liability
  • Manage and monitor the progress of claims through resolution
  • Review and interpret policy language to determine coverage and liability
Associate Claims Analyst, Liberty Mutual Boston, Massachusetts
April 2011 – March 2012
  • Manage and monitor the progress of claims through resolution
  • Monitor and analyze claim trends and make recommendations for improvement
  • Prepare and maintain detailed claim files and records
Junior Claims Analyst, MetLife New York, New York
September 2010 – March 2011
  • Establish and maintain relationships with customers, agents, and other business partners
  • Prepare and present reports on claims activity and trends
  • Analyze and process claim payments in accordance with policy guidelines

Education

Florida State University, Tallahassee, Florida
Doctor of Arts in Business Administration and Insurance, July, 2010
Florida State University, Tallahassee, Florida
Bachelor of Arts in Insurance and Financial Services, July, 2006

Skills

Creativity
Flexibility
Research
Communication
Claim Verification
Insurance Claims Adjustment
HIPAA Compliance
Medical Coding
Build My Resume
Ursa Daniels 953 Pine Valley Avenue, Paton, IA 50217
ursadaniels62@yandex.com
786-445-9706

Professional Summary

 A highly motivated Claims Analyst with a strong background in the insurance industry. Expertise in analyzing claims, identifying risks, and developing strategies to reduce losses. 

Employment history

Senior Claims Analyst, USAA San Antonio, Texas
November 2012 – Present
  • Maintain up-to-date knowledge of claims-related laws and regulations
  • Manage and monitor the progress of claims through resolution
  • Investigate and analyze complex claims and determine coverage and liability
Associate Claims Analyst, Nationwide Columbus, Ohio
June 2011 – October 2012
  • Analyze and process claim payments in accordance with policy guidelines
  • Prepare and maintain detailed claim files and records
  • Establish and maintain relationships with customers, agents, and other business partners
Junior Claims Analyst, USAA San Antonio, Texas
November 2010 – May 2011
  • Manage and monitor the progress of claims through resolution
  • Review and interpret policy language to determine coverage and liability
  • Participate in audits and provide reports as needed

Education

University of Michigan, Ann Arbor, Michigan
Risk Management, October, 2010

Skills

Analytical
Self-Motivation
Risk Management
Problem Solving
Claims Documentation
Claims System Troubleshooting
Claims Resolution
Claims Analysis
Build My Resume
Francis Smith 673 Holly St., Holiday Heights, NJ 08756
smithfrancis27@protonmail.com
991-807-2922

Employment history

Chief Claims Analyst, USAA San Antonio, Texas
February 2022 – Present
  • Prepare and maintain detailed claim files and records
  • Utilize knowledge of medical terminology, legal terminology, and insurance coverage to evaluate claims
  • Monitor and analyze claim trends and make recommendations for improvement
Associate Claims Analyst, Farmers Insurance Los Angeles, California
September 2020 – January 2022
  • Prepare and maintain detailed claim files and records
  • Analyze and process claim payments in accordance with policy guidelines
  • Maintain up-to-date knowledge of claims-related laws and regulations
Junior Claims Analyst, Allstate Northbrook, Illinois
February 2020 – August 2020
  • Manage and monitor the progress of claims through resolution
  • Negotiate settlements of claims with customers and other parties
  • Analyze and process claim payments in accordance with policy guidelines

Education

University of Texas, Austin, Texas
Master of Science in Insurance, December, 2019
University of Texas, Austin, Texas
Bachelor of Science in Insurance and Financial Services, December, 2015

Skills

Written Communication
Reporting
Technical
Conflict Resolution
Medical Terminology
Claims System Maintenance
Technical Writing
Microsoft Office
Use This claims analyst Resume Template

Not in love with this template? Browse our full library of resume templates

claims analyst
Build My Resume
Build My Resume

claims analyst Job Descriptions; Explained

If you're applying for an claims analyst 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.

11

claims analyst

  •  Processing of medical claims
  • Vetting of medical bills/claims
  • Data entry and uploading bills
  • Claims tracking
  • Extensive use of Microsoft Excel
  • Accounts Reconciliations and updating statements
  • Claims reporting
12

claims analyst

  • Reviewed HCFA-1500s, UB’s and claim documents to pay claims accurately in a timely manner. 
  • Investigate & coordination of benefits.
  • Corresponded with HR representatives, agents and policy holders.
  • Identifying subrogation opportunities and fraud potential and make appropriate referrals.
13

claims analyst

  • Processing claims for Physician and also for Hospital.
  • Processing claims of different states and also for the Global.
  • Processing of Auto adjudicated claims on Claims processing workstation.
  • Calculation of patient responsibility i.e. copay co insurance and deductible.
  • Processing on Corrected Claims that has been modified by the original submission and is indicated as corrected by the provider.
  • Processing claims on Reviews.
  • Maintaining Production and Quality.
14

senior claims analyst

  • Responsible for delivering quality customer service to members
  • Providing explanations on claim approval and denials. Providing payout information on claims
  • Locating and verifying doctors in network for members and providers
  • Educating members on company products and procedures. 
15

senior claims analyst

  • Dealing with US Health Insurance Claims.
  • Auditing the Claims through applications named Cirrus and Pulse.
  • Sending Escalations to the Onshore team and building Clients and meeting the scheduled Goals.
  • Accumulating the Data and Making a report of the errors on weekly basis.
1 2 3 4

claims analyst Job Skills

For an claims analyst 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
  • Insurance Claims Adjustment
  • Claim Investigations
  • Claims Resolution
  • Claims Auditing
  • Claims Negotiation
  • Claims Documentation
  • Claims System Maintenance
  • Claims System Troubleshooting
  • Claims Analysis
  • Claim Verification
  • Medical Coding
  • Medical Terminology
  • HIPAA Compliance
  • Regulatory Compliance
  • Policy Knowledge
  • Technical Writing
  • Data Analysis
  • Data Mining
  • Microsoft Office

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 analyst 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.

Cecil Ingram 64 Applewood Drive, Cassel, CA 96016

Employment history

Chief Claims Analyst, Liberty Mutual Boston, Massachusetts
January 2010 – May 2022
  • Develop and implement procedures to ensure compliance with applicable laws and regulations
  • Establish and maintain relationships with customers, agents, and other business partners
  • Manage and monitor the progress of claims through resolution
Claims Analyst, USAA San Antonio, Texas
July 2008 – December 2009
  • Negotiate settlements of claims with customers and other parties
  • Analyze and process claim payments in accordance with policy guidelines
  • Establish and maintain relationships with customers, agents, and other business partners
Jr. Claims Analyst, State Farm Bloomington, Illinois
July 2007 – June 2008
  • Investigate and analyze complex claims and determine coverage and liability
  • Analyze and process claim payments in accordance with policy guidelines
  • Respond to customer inquiries and provide customer service

Education

Ohio State University, Columbus, Ohio
Bachelor of Arts in Insurance and Financial Services, May, 2007

Skills

Research
Networking
Professionalism
Organization
Claims Negotiation
Microsoft Office
Data Entry
Medical Terminology

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 claims analyst 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.

Abe Smith 557 Oakwood Avenue, Abbeville, AL 36310
smith.abe@yahoo.com
890-840-1855

Professional Summary

 A highly motivated Claims Analyst with extensive experience in the insurance field. Skilled in identifying and resolving complex claims issues, ensuring accurate and timely processing of claims, and providing excellent customer service. 

Employment history

Senior Claims Analyst, State Farm Bloomington, Illinois
October 2014 – Present
  • Participate in audits, and provide report's as needed.
  • Analyze, and process claim payment's in accordance with policy guideline's.
  • Manage, and monitor the progress of claim's through resolution.
Claims Analyst, Travelers Hartford, Connecticut
May 2013 – September 2014
  • Maintian up-to-date knowledge of claims-related laws and regulations
  • Negotiate settlements of claims with customers and other partys
  • Developed and implement procedures to ensure compliance with applicable laws and regulatiosn
Entry Level Claims Analyst, Progressive Mayfield Village, Ohio
October 2012 – April 2013
  • "I went to the store and bought some apples"
  • I went too the store, an bought some apples.

Education

University of California, Berkeley, California
Insurance Law, September, 2012

Skills

Negotiation
Adaptability
Training
Innovation
Claims System Troubleshooting
Claims System Maintenance
Insurance Claims Adjustment
Microsoft Office

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.

claims analyst Cover Letter Example

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



Stanley
Fox fox_stanley@yahoo.com
787-805-0758
82 Pinecrest Avenue, Levittown, PA
19056

Senior Claims Analyst
Allstate
Northbrook, Illinois

To the Recruitment Team at Allstate


As a Claims Analyst with a proven track record of success in Insurance, I am excited to apply for the Senior Claims Analyst position at Allstate. I believe that my skills and expertise would make a valuable contribution to your team.


Growing up, I always had a fascination with Actuarial Science. 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.


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.


Kind regards,
Stanley Fox
787-805-0758
fox_stanley@yahoo.com

Stanley Fox






CUSTOMIZE THIS COVER LETTER

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

Looking to explore other career options within the Insurance field?

Check out our other resume of resume examples.

FIND EVERYTHING YOU NEED HERE.

IF YOU HAVE QUESTIONS, WE HAVE ANSWERS.

last guy

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 MY RESUME NOW