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

Whether you are looking for your first job or have experience under your belt, your claims representative resume needs to make a strong first impression. A good starting point is to figure out what qualifications the employer is seeking in an employee. The job description gives you a good idea of what to include, but examples of desired abilities include property inspection, claim handling and processing, data input, organization, communication, information gathering, and insurance coding. Your goal needs to be to catch the hiring manager’s attention within six seconds. Along with including relevant qualifications, use bullet points and concise statements to draw the eyes to the resume. Make sure you let the employer know that you are a good fit for the position. If you want additional help, look at our resume example library, which demonstrates how a compelling resume should look. Our resume writers have also composed a collection of industry-specific keywords that you can incorporate into your own document.

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claims representative: Resume Samples & Writing Guide

Employment history

Junior Claims Representative, USAA San Antonio, Texas

January 2022 – October 2022

Process, investigate and resolve insurance claims
Ensure compliance with applicable laws and regulations
Participate in continuing education and training activities

Education

Florida State University, Tallahassee, Florida

Bachelor of Arts in Business Administration and Insurance, November, 2021

Skills

Innovation

Research

Teamwork

Creativity

Claim Investigation

Data Entry

Claims Coding

Regulatory Compliance

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Employment history

Chief Claims Representative, Travelers Hartford, Connecticut

January 2019 – Present

Monitor and track claim activities to ensure timely resolution
Maintain accurate records of claim activities
Analyze coverage, liability and damages to determine appropriate action

Claims Representative, Farmers Insurance Los Angeles, California

July 2018 – December 2018

Communicate with policyholders and claimants to obtain necessary information
Participate in continuing education and training activities
Prepare claim documents, reports and correspondence

Junior Claims Representative, AIG New York, New York

July 2017 – June 2018

Prepare and present claims reports to management
Maintain contact with customers to update them on claim status
Analyze coverage, liability and damages to determine appropriate action

Education

University of Michigan, Ann Arbor, Michigan

Doctor of Arts in Insurance and Accounting, May, 2017

University of Michigan, Ann Arbor, Michigan

Bachelor of Science in Business Administration and Insurance, May, 2013

Skills

Analytical

Data Analysis

Time Management

Reporting

Data Entry

Claim Denial Management

Communication

Claim Appeals

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Professional Summary

Highly organized and detail-oriented Claims Representative with extensive experience in the insurance industry. Proven track record of providing excellent customer service and resolving complex claims efficiently and effectively.

Employment history

Senior Claims Representative, AIG New York, New York

October 2014 – Present

Determine and negotiate fair settlement amounts
Prepare and present claims reports to management
Prepare claim documents, reports and correspondence

Associate Claims Representative, Progressive Mayfield Village, Ohio

May 2013 – September 2014

Monitor and track claim activities to ensure timely resolution
Maintain accurate records of claim activities
Prepare and present claims reports to management

Entry Level Claims Representative, State Farm Bloomington, Illinois

October 2012 – April 2013

Maintain contact with customers to update them on claim status
Prepare claim documents, reports and correspondence
Monitor and track claim activities to ensure timely resolution

Education

Ohio State University, Columbus, Ohio

Bachelor of Science in Business Administration and Insurance, August, 2012

Skills

Collaboration

Written Communication

Communication

Training

HIPAA Compliance

Claim Reimbursement

Communication

Insurance Verification

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Employment history

Chief Claims Representative, Progressive Mayfield Village, Ohio

March 2016 – Present

Maintain accurate records of claim activities
Determine and negotiate fair settlement amounts
Prepare and present claims reports to management

Associate Claims Representative, Farmers Insurance Los Angeles, California

October 2014 – February 2016

Participate in continuing education and training activities
Provide customer service to internal and external customers
Monitor and track claim activities to ensure timely resolution

Entry Level Claims Representative, State Farm Bloomington, Illinois

April 2013 – September 2014

Assist in the development and implementation of claims policies and procedures
Prepare claim documents, reports and correspondence
Process, investigate and resolve insurance claims

Education

University of Texas, Austin, Texas

Bachelor of Science in Risk Management, February, 2013

Skills

Social Media

Innovation

Project Management

Strategic Thinking

Microsoft Office

Claim Adjustment

Insurance Verification

Claim Reimbursement

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Employment history

Senior Claims Representative, Travelers Hartford, Connecticut

April 2021 – Present

Maintain accurate records of claim activities
Participate in continuing education and training activities
Monitor and track claim activities to ensure timely resolution

Claims Representative, Allstate Northbrook, Illinois

October 2020 – March 2021

Prepare claim documents, reports and correspondence
Determine and negotiate fair settlement amounts
Monitor and track claim activities to ensure timely resolution

Junior Claims Representative, Farmers Insurance Los Angeles, California

April 2019 – September 2020

Maintain accurate records of claim activities
Assist in the development and implementation of claims policies and procedures
Prepare and present claims reports to management

Education

University of California, Berkeley, California

Doctor of Science in Insurance, February, 2019

University of California, Berkeley, California

Bachelor of Science in Insurance, February, 2015

Skills

Adaptability

Stress Management

Listening

Troubleshooting

Claim Reimbursement

Medical Billing

Insurance Verification

Claim Denial Management

Use This claims representative Resume Template

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claims representative Job Descriptions; Explained

If you're applying for an claims representative 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.

claims representative

Investigated and obtained recorded statements on all lost time Louisiana workers’ compensation claims
Determine compensable decisions
Paid timely medical and indemnity benefits
Negotiated settlements

claims representative

Interview or correspond with insured, claimants and witnesses to determine claim settlement, denial, or review.
Review police reports, medical bills, invoices or physical property damage to determine the extent of liability.
Investigate and assess damage to property.
Analyze information gathered by investigation, and report findings and recommendations to senior management.
Negotiate claim settlements.
Identified and acted on damage mitigation opportunities.
Prepare monthly and yearly and cost analysis reports for senior management.

senior claims representative

Direct and guide investigation of high exposure accidents.
Evaluate the need for retaining defense counsel.
Attend depositions, mediations, mandatory settlement conferences, etc.
Attend and contribute to bi-annual company wide litigation review.
Respond to the scene of high exposure accidents.
Interview and correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.

claims representative

Handled incoming calls from policy holders
Resolved problems and corrected policy errors
Advised coverage to policy holders and processed claims
Evaluate claims for coverage, liability, bodily injury and property damage.

claims representative

File and process client insurance claims.
Conduct interviews or correspondence with claimants, witnesses, police, or other relevant parties to determine claim liability.
Investigated coverage and liability for non-injury proprty claims.
Reimburse clients for payments they made that should have been covered.
Resloved claims in a timely manner.
Provided a high level of customer service.

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claims representative Job Skills

For an claims 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
Medical Terminology
Claim Investigation
Insurance Regulations
Claim Adjustment
Claim Denial Management
Claim Reimbursement
HIPAA Compliance
Claims Auditing
Claims Coding
Claims Documentation
Claims Analysis
Claim Appeals
Data Analysis
Regulatory Compliance
Problem Solving
Communication
Microsoft Office
Medical Billing

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 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

Senior Claims Representative, USAA San Antonio, Texas

April 2017 – May 2022

Determine and negotiate fair settlement amounts
Maintain accurate records of claim activities
Communicate with policyholders and claimants to obtain necessary information

Associate Claims Representative, Allstate Northbrook, Illinois

November 2015 – March 2017

Maintain accurate records of claim activities
Participate in continuing education and training activities
Prepare claim documents, reports and correspondence

Entry Level Claims Representative, Allstate Northbrook, Illinois

November 2014 – October 2015

Education

University of Pennsylvania, Philadelphia, Pennsylvania

Doctor of Science in Insurance and Financial Services, September, 2014

University of Pennsylvania, Philadelphia, Pennsylvania

Bachelor of Arts in Insurance and Risk Management, September, 2010

Skills

Interpersonal

Negotiation

Innovation

Mentoring

Claim Adjustment

Claims Coding

Insurance Regulations

Problem Solving

Unexplained Year Gaps and Missing Job Experiences are a No-no

Gaps in your resume can prevent recruiters from hiring you if you don't explain them.

Key Insights

It's okay to have gaps in your work experience but always offer a valid explanation instead of just hiding it.
Use the gap to talk about positive attributes or additional skills you've learned.
Be honest and straightforward about the gap and explain it using a professional summary.

How to Optimize Your claims 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.

Employment history

Lead Claims Representative, Nationwide Columbus, Ohio

August 2021 – Present

Proivde custmer servce too internal an exernal customers
Mainain acurate records of clain activities
Ensure complience with appicable laws and regulaitons

Claims Representative, Allstate Northbrook, Illinois

August 2020 – July 2021

Maintian inaccurrate records of claim activities
Analyse coverge, liablity and damages to determinate appropiate action
Assist in the developement and implemantation of claims policys and procedues

Junior Claims Representative, Nationwide Columbus, Ohio

August 2019 – July 2020

Prpeare claim documents, reports, and correspondence
Proccess, investigate, and resolve insurance claims
Moniter and track claim activities to ensure timely resolution.

Education

University of Illinois, Urbana, Illinois

Master of Business Administration in Insurance, June, 2019

University of Illinois, Urbana, Illinois

Bachelor of Science in Accounting and Insurance, June, 2015

Skills

Process Improvement

Creativity

Interpersonal

Problem Solving

Claims Analysis

Medical Billing

Data Analysis

Claim Denial Management

Avoid Spelling Mistakes and Include your Contact Information

Missing contact information prevents recruiters from understanding you're the best fit for the position.

Key Insights

Make sure you're not missing contact information on your resume. That should include your full name, telephone number and email address.
Make sure to use a professional email address as part of your contact information.
Highlight your contact information and double check that everything is accurate to help recruiters get in touch with you.

claims representative Cover Letter Example

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

Associate Claims Representative
Farmers Insurance
Los Angeles, California

To the Hiring Team at Farmers Insurance

I am a highly motivated Claims Representative with 1 years of experience in Insurance. I am excited to submit my application for the Associate Claims Representative position at Farmers Insurance, where I believe my skills and expertise would be an excellent fit.

Throughout my life, I have pursued my passion for Product Development and have gained experience in this field as a result. This experience has given me valuable skills such as Innovation and Research, which I am excited to bring to this position. I am eager to work with a team that shares my enthusiasm as a Claims Representative and help your organization achieve its well determined goals.

I appreciate the opportunity to apply for the Associate Claims Representative position. I am confident that I can make a valuable contribution to your organization and that together there is no challenge that we cannot overcome. I will be waiting, hopeful for what the future will bring.

Kind regards,
Hal Franklin
913-354-7599
franklinhal@inbox.com

Hal Franklin

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