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claims auditor: Resume Samples & Writing Guide

Jake Johnson 535 Pine St., Orange, VA 22960
jakejohnson31@zoho.com
836-067-0437

Professional Summary

 Highly experienced Claims Auditor with a proven track record of success in the Accounting & Auditing field. Skilled in identifying and resolving discrepancies and ensuring compliance with established regulations. 

Employment history

Chief Claims Auditor, Grant Thornton Chicago, Illinois
February 2014 – Present
  • Develop and maintain relationships with internal and external stakeholders
  • Examine and evaluate claims data for accuracy and completeness
  • Identify areas of potential cost savings and efficiency
Claims Auditor, Moss Adams Seattle, Washington
August 2013 – January 2014
  • Develop and maintain relationships with internal and external stakeholders
  • Prepare audit reports and present findings to management
  • Participate in special projects and initiatives as needed
Junior Claims Auditor, Crowe Horwath Indianapolis, Indiana
February 2012 – July 2013
  • Evaluate claims processing procedures and recommend improvements
  • Develop and maintain relationships with internal and external stakeholders
  • Prepare reports and documentation to support audit findings

Education

Indiana University, Bloomington, Indiana
Doctor of Business Economics (Accounting), December, 2011
Indiana University, Bloomington, Indiana
Bachelor of Arts in Business Economics (Accounting), December, 2007

Skills

Analytical
Problem Solving
Troubleshooting
Listening
Insurance Claims
Budget Forecasting
Compliance
Internal Controls

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Zane Adams 542 Hillcrest Drive, McLean, NE 68747
adamszane97@yandex.com
807-590-6946

Employment history

Senior Claims Auditor, Grant Thornton Chicago, Illinois
August 2019 – Present
  • Evaluate claims processing procedures and recommend improvements
  • Identify areas of potential cost savings and efficiency
  • Monitor compliance with internal controls and procedures
Claims Auditor, Grant Thornton Chicago, Illinois
February 2018 – July 2019
  • Communicate audit results and recommendations to management
  • Maintain detailed records of audit activities and results
  • Identify and investigate potential fraudulent activity
Entry Level Claims Auditor, Crowe Horwath Indianapolis, Indiana
September 2016 – January 2018
  • Maintain detailed records of audit activities and results
  • Communicate audit results and recommendations to management
  • Identify areas of potential cost savings and efficiency

Education

University of Florida, Gainesville, Florida
Certified Information Systems Auditor (CISA), July, 2016

Skills

Negotiation
Self-Motivation
Listening
Supervisory
Data Entry
Insurance Claims
Bookkeeping
Auditing
Abe Ingram 624 Evergreen Avenue, Woodville Farm Labor Camp, CA 93257
ingramabe88@yahoo.com
644-532-5943

Professional Summary

 Highly experienced Claims Auditor with expertise in financial statement auditing, risk management and compliance. Proven ability to identify and mitigate financial risks and ensure accurate and timely reporting. 

Employment history

Lead Claims Auditor, Ernst & Young New York, New York
August 2012 – Present
  • Monitor compliance with internal controls and procedures
  • Analyze financial statements for accuracy and compliance
  • Prepare reports and documentation to support audit findings
Associate Claims Auditor, Crowe Horwath Indianapolis, Indiana
August 2011 – July 2012
  • Participate in special projects and initiatives as needed
  • Prepare reports and documentation to support audit findings
  • Develop and implement audit plans and programs
Junior Claims Auditor, PwC New York, New York
August 2010 – July 2011
  • Maintain detailed records of audit activities and results
  • Review and analyze claims data for accuracy and completeness
  • Communicate audit results and recommendations to management

Education

Indiana University, Bloomington, Indiana
Master of Science in Finance (Accounting), June, 2010
Indiana University, Bloomington, Indiana
Bachelor of Arts in Business Administration (Accounting), June, 2006

Skills

Teamwork
Conflict Resolution
Stress Management
Adaptability
Compliance
Financial Reporting
Reconciliation
Data Entry
Nate Grant 117 Pinecrest Avenue, Northport, WI 54961
nategrant90@protonmail.com
608-875-5971

Professional Summary

 Highly experienced Claims Auditor with expertise in accounting and auditing. Proven ability to identify discrepancies and generate accurate reports to ensure compliance with regulations. 

Employment history

Lead Claims Auditor, Grant Thornton Chicago, Illinois
September 2012 – Present
  • Review and analyze claims data for accuracy and completeness
  • Develop and implement audit plans and programs
  • Maintain detailed records of audit activities and results
Associate Claims Auditor, Crowe Horwath Indianapolis, Indiana
March 2012 – August 2012
  • Prepare audit reports and present findings to management
  • Review and analyze claims data for accuracy and completeness
  • Participate in special projects and initiatives as needed
Entry Level Claims Auditor, Plante Moran Southfield, Michigan
March 2011 – February 2012
  • Prepare audit reports and present findings to management
  • Monitor compliance with internal controls and procedures
  • Identify and investigate potential fraudulent activity

Education

University of Texas at Austin, Austin, Texas
Bachelor of Science in Accounting, January, 2011

Skills

Problem Solving
Adaptability
Innovation
Presentation
Internal Controls
Reconciliation
Budgeting
Insurance Claims
Andrew Foster 709 Forestview Drive, Kirvin, TX 75848
andrewfoster60@hotmail.com
864-306-0176

Employment history

Lead Claims Auditor, Deloitte New York, New York
January 2017 – Present
  • Analyze financial statements for accuracy and compliance
  • Develop and implement audit plans and programs
  • Prepare audit reports and present findings to management
Associate Claims Auditor, Grant Thornton Chicago, Illinois
August 2015 – December 2016
  • Examine and evaluate claims data for accuracy and completeness
  • Analyze financial statements for accuracy and compliance
  • Evaluate claims processing procedures and recommend improvements
Junior Claims Auditor, Ernst & Young New York, New York
February 2014 – July 2015
  • Maintain detailed records of audit activities and results
  • Participate in special projects and initiatives as needed
  • Examine and evaluate claims data for accuracy and completeness

Education

Boston College, Boston, Massachusetts
Doctor of Philosophy in International Business (Accounting), January, 2014
Boston College, Boston, Massachusetts
Bachelor of Arts in Finance (Accounting), January, 2010

Skills

Public Speaking
Planning
Visualization
Coaching
Compliance
Internal Controls
Data Entry
Auditing

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claims auditor Job Descriptions; Explained

If you're applying for an claims auditor 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

senior claims auditor

  • Lead and participate in claim reviews to evaluate compliance with best practice standards for internal and third party customers. Prepare a detailed analysis report, distribute to senior management and third party administrator.
  • Follow up for completed management action plans.
  • Report hard and soft leakage.
  • Develop comparison reports.
  • lead and participate in aggregate reserve reviews. prepare detailed analysis report and distribute to underwriting, senior management and third party administrator.
  • Lead calibration sessions with colleagues and internal customers
  • Develop best practice standards.
2

claims auditor

  • develop best practice standard score sheet data base.
  • Train internal customers on best practice standards
  • communicate with senior management
  • Lead and participate assigned projects.

senior claims auditor Job Skills

For an senior claims auditor 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."

  • Financial Analysis
  • Data Entry
  • Insurance Claims
  • Auditing
  • Accounts Payable
  • Accounts Receivable
  • Tax Preparation
  • Reconciliation
  • Bookkeeping
  • Budgeting
  • Spreadsheet
  • Microsoft Office
  • Bank Reconciliation
  • GAAP
  • Financial Reporting
  • Compliance
  • Accounting Software
  • Internal Controls
  • Cost Accounting
  • Cash Management
  • Budget Forecasting

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 senior claims auditor 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.

Sam Campbell 593 Creekwood Drive, Greenock, PA 15047

Employment history

Senior Claims Auditor, BDO USA Chicago, Illinois
January 2023 – May 2022
  • Develop and maintain relationships with internal and external stakeholders
  • Identify areas of potential cost savings and efficiency
  • Develop and implement audit plans and programs
Associate Claims Auditor, Deloitte New York, New York
August 2021 – December 2022
  • Identify and investigate potential fraudulent activity
  • Examine and evaluate claims data for accuracy and completeness
  • Identify areas of potential cost savings and efficiency
Junior Claims Auditor, Deloitte New York, New York
August 2020 – July 2021
  • Monitor compliance with internal controls and procedures
  • Examine and evaluate claims data for accuracy and completeness
  • Participate in special projects and initiatives as needed

Education

Indiana University, Bloomington, Indiana
Master of Arts in International Business (Accounting), June, 2020
Indiana University, Bloomington, Indiana
Bachelor of Science in Finance (Accounting), June, 2016

Skills

Critical Thinking
Problem Solving
Strategic Thinking
Analytical
Reconciliation
Bookkeeping
Financial Reporting
Tax Preparation

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 senior claims auditor 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.

Kevin Foster 768 Laurelwood Drive, San Anselmo, CA 94979
fosterkevin63@yandex.com
851-270-6840

Professional Summary

 Highly experienced Claims Auditor with a strong background in accounting and auditing. Proven track record of successfully identifying and resolving discrepancies in claims records. 

Employment history

Lead Claims Auditor, Grant Thornton Chicago, Illinois
July 2012 – Present
  • Develop and implement audit plans and programs,
  • maintains detailed records of audit activities and results,
  • Identifies and investigate potential fraudulent activity.
Associate Claims Auditor, BDO USA Chicago, Illinois
February 2011 – June 2012
  • Reviw and evalute cliams processing systems for accuracey and effiency
  • Monitor complience with intenal controlls and procedeurs
  • Participate in specail projects and initaitives as needd.
Junior Claims Auditor, Grant Thornton Chicago, Illinois
February 2010 – January 2011
  • "I went to the store
  • Yesterday to buy food."
  • "I went to the store
  • Yesturday to buy foods."

Education

University of Texas at Austin, Austin, Texas
Doctor of Philosophy in Business Economics (Accounting), December, 2009
University of Texas at Austin, Austin, Texas
Bachelor of Arts in Business Economics (Accounting), December, 2005

Skills

Mentoring
Documentation
Relationship Management.
Risk Management
Financial Reporting
Budget Forecasting
Compliance
Insurance Claims

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.

senior claims auditor Cover Letter Example

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



Jake
Johnson
jakejohnson31@zoho.com
836-067-0437
535 Pine St., Orange, VA
22960

Chief Claims Auditor
Plante Moran
Southfield, Michigan

To the Hiring Team at Plante Moran


I am writing to express my interest in the Chief Claims Auditor position at Plante Moran. As a Claims Auditor with 11 years of experience in Accounting & Auditing 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.


Thank you for considering my application for the Chief Claims Auditor position. With my skills and the amazing team at this organization, I am assured that I can contribute to your organization's success and make a meaningful impact. Looking forward to a future where we can work together.


Kind regards,
Jake Johnson
836-067-0437
jakejohnson31@zoho.com

Jake Johnson






Showcase your most significant accomplishments and qualifications with this cover letter.
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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.