5 Amazing claims auditor Resume Examples (Updated 2023) + Skills & Job Descriptions

claims auditor

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claims auditor: Resume Samples & Writing Guide

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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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

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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

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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

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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.

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.

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.

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.

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.

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

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