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insurance claims processor: Resume Samples & Writing Guide

Max Hawkins 707 River Road, Madison, GA 30650
maxhawkins@zoho.com
697-323-5460

Employment history

Lead Insurance Claims Processor, Travelers Hartford, Connecticut
May 2018 – Present
  • Maintain accurate records and documentation of all claims activities
  • Negotiate settlements with claimants and other parties
  • Provide customer service and answer inquiries related to claims
Insurance Claims Processor, MetLife New York, New York
May 2017 – April 2018
  • Ensure compliance with state and federal regulations
  • Identify and recommend opportunities for process improvement
  • Train and mentor new claims processors
Junior Insurance Claims Processor, Nationwide Columbus, Ohio
November 2016 – April 2017
  • Negotiate settlements with claimants and other parties
  • Provide customer service and answer inquiries related to claims
  • Investigate, analyze, and resolve claims in a timely manner

Education

University of Illinois, Urbana, Illinois
Master of Science in Insurance and Financial Services, September, 2016
University of Illinois, Urbana, Illinois
Bachelor of Arts in Insurance and Financial Services, September, 2012

Skills

Customer Service
Presentation
Written Communication
Leadership
Attention to Detail
Financial Management
Project Management.
Documentation

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Fred Vaughn 420 Countryside Drive, Moscow, ID 83844
vaughnfred67@hotmail.com
734-748-5641

Employment history

Senior Insurance Claims Processor, MetLife New York, New York
April 2023 – Present
  • Train and mentor new claims processors
  • Identify and recommend opportunities for process improvement
  • Maintain up-to-date knowledge of insurance laws and regulations
Insurance Claims Processor, USAA San Antonio, Texas
November 2021 – March 2023
  • Identify and recommend opportunities for process improvement
  • Maintain up-to-date knowledge of insurance laws and regulations
  • Investigate, analyze, and resolve claims in a timely manner
Jr. Insurance Claims Processor, AIG New York, New York
November 2020 – October 2021
  • Update and maintain claims databases
  • Monitor and evaluate performance of claims adjusters
  • Train and mentor new claims processors

Education

University of Washington, Seattle, Washington
Insurance Claims Adjusting, September, 2020

Skills

Creativity
Critical Thinking
Process Improvement
Supervisory
Written Communication
Time Management
Attention to Detail
Documentation
Brad Vaughn 874 Mill Road, Orchard Mesa, CO 81503
brad_vaughn@outlook.com
728-874-9601

Professional Summary

 Highly experienced Insurance Claims Processor with a proven track record of providing excellent customer service and efficiently resolving customer inquiries. Skilled in processing a high volume of insurance claims in a timely and accurate manner. 

Employment history

Lead Insurance Claims Processor, Progressive Mayfield Village, Ohio
December 2013 – Present
  • Negotiate settlements with claimants and other parties
  • Provide customer service and answer inquiries related to claims
  • Monitor and evaluate performance of claims adjusters
Insurance Claims Processor, MetLife New York, New York
June 2013 – November 2013
  • Maintain accurate records and documentation of all claims activities
  • Prepare and submit reports on claims activities
  • Maintain up-to-date knowledge of insurance laws and regulations
Entry Level Insurance Claims Processor, Farmers Insurance Los Angeles, California
June 2012 – May 2013
  • Investigate, analyze, and resolve claims in a timely manner
  • Review and process insurance claims in accordance with established policies and procedures
  • Ensure compliance with state and federal regulations

Education

University of Texas, Austin, Texas
Doctor of Arts in Insurance and Financial Services, April, 2012
University of Texas, Austin, Texas
Bachelor of Arts in Business Administration and Insurance, April, 2008

Skills

Teamwork
Mentoring
Accounting
Communication
Financial Management
Data Entry
Project Management.
Documentation
Todd Vaughn 450 Evergreen St., Sumner, IA 50674
vaughntodd@mail.com
861-919-2819

Employment history

Lead Insurance Claims Processor, Liberty Mutual Boston, Massachusetts
March 2016 – Present
  • Prepare and submit reports on claims activities
  • Negotiate settlements with claimants and other parties
  • Investigate, analyze, and resolve claims in a timely manner
Associate Insurance Claims Processor, AIG New York, New York
September 2015 – March 2016
  • Train and mentor new claims processors
  • Investigate, analyze, and resolve claims in a timely manner
  • Identify and recommend opportunities for process improvement
Junior Insurance Claims Processor, AIG New York, New York
March 2015 – August 2015
  • Monitor and track claim status and follow up on outstanding claims
  • Investigate, analyze, and resolve claims in a timely manner
  • Train and mentor new claims processors

Education

University of Wisconsin, Madison, Wisconsin
Insurance Business, January, 2015

Skills

Organization
Strategic Thinking
Leadership
Attention to Detail
Microsoft Office
Financial Management
Interpersonal Skills
Time Management
Cal Austin 809 Sunset St., Paderborn, IL 62298
cal_austin@icloud.com
672-073-6726

Professional Summary

 Highly organized and detail-oriented Insurance Claims Processor with extensive experience in the insurance industry. Proven track record of efficiently and accurately processing insurance claims for customers. 

Employment history

Senior Insurance Claims Processor, State Farm Bloomington, Illinois
March 2011 – Present
  • Update and maintain claims databases
  • Monitor and evaluate performance of claims adjusters
  • Investigate, analyze, and resolve claims in a timely manner
Insurance Claims Processor, MetLife New York, New York
March 2010 – February 2011
  • Provide customer service and answer inquiries related to claims
  • Update and maintain claims databases
  • Calculate and verify insurance benefits and payments due
Jr. Insurance Claims Processor, State Farm Bloomington, Illinois
October 2008 – February 2010
  • Maintain accurate records and documentation of all claims activities
  • Ensure compliance with state and federal regulations
  • Negotiate settlements with claimants and other parties

Education

University of Texas, Austin, Texas
Bachelor of Business Administration in Insurance, August, 2008

Skills

Professionalism
Coaching
Customer Service
Reporting
Written Communication
Project Management.
Critical Thinking
Mathematical Skills

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insurance claims processor Job Descriptions; Explained

If you're applying for an insurance claims processor 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

insurance claims processor

  • Reviewed insurance policies.
  • Determined the type of coverage.
  • Prepared claim forms. Making sure all files are complete and whether a claim should be processed or denied.
  • Analyzed insurance information, performed data entry, and handled insurance claims reimbursements.
  • Maintained a daily tracking log-processing results.
  • Coordinated with other professionals, such as contractors to ensure job success.

insurance claims processor Job Skills

For an insurance claims processor 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
  • Data Analysis
  • Documentation
  • Computer Literacy
  • Customer Service
  • Problem Solving
  • Written Communication
  • Time Management
  • Quality Assurance
  • Attention to Detail
  • Microsoft Office
  • Auditing
  • Regulatory Compliance
  • Compliance Management
  • Interpersonal Skills
  • Financial Management
  • Mathematical Skills
  • Critical Thinking
  • Database Management
  • Project Management.

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 insurance claims processor 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.

Henry Ingram 751 Laurelwood Avenue, Norco, CA 92860

Employment history

Lead Insurance Claims Processor, Travelers Hartford, Connecticut
March 2010 – May 2022
  • Maintain up-to-date knowledge of insurance laws and regulations
  • Prepare and submit reports on claims activities
  • Investigate, analyze, and resolve claims in a timely manner
Insurance Claims Processor, Nationwide Columbus, Ohio
March 2009 – February 2010
  • Communicate with customers, insurance companies, and other parties to ensure timely resolution of claims
  • Maintain up-to-date knowledge of insurance laws and regulations
  • Monitor and track claim status and follow up on outstanding claims
Junior Insurance Claims Processor, USAA San Antonio, Texas
March 2008 – February 2009
  • Update and maintain claims databases
  • Provide customer service and answer inquiries related to claims
  • Review and process insurance claims in accordance with established policies and procedures

Education

University of Michigan, Ann Arbor, Michigan
Insurance Law, January, 2008

Skills

Public Speaking
Documentation
Customer Service
Time Management
Critical Thinking
Microsoft Office
Quality Assurance
Written Communication

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 insurance claims processor 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.

Jeff Peters 139 Pinecrest Avenue, Ocean Gate, NJ 08740
jeffpeters@mail.com
909-339-4396

Employment history

Lead Insurance Claims Processor, State Farm Bloomington, Illinois
February 2020 – Present
  • Invstigate, analize, and reslove clams in a timeley maner
  • Moniter and evalute performence of clams adjusters
  • Reviw and proccess insurnce clams in acordance with establised policys and procedurs.
Associate Insurance Claims Processor, State Farm Bloomington, Illinois
February 2019 – January 2020
  • Maintain up-to-date knowledg of insurance laws and regulations
  • Prepare and submit report's on claims activities
  • Monitor and evaluate performance's of claims adjusters
Entry Level Insurance Claims Processor, Travelers Hartford, Connecticut
August 2018 – January 2019
  • "I went to the store to buy some food."
  • I went too the store too buy some food.

Education

University of Wisconsin, Madison, Wisconsin
Master of Arts in Insurance and Risk Management, June, 2018
University of Wisconsin, Madison, Wisconsin
Bachelor of Science in Insurance and Financial Services, June, 2014

Skills

Analytical
Reporting
Problem Solving
Critical Thinking
Quality Assurance
Financial Management
Compliance Management
Attention to Detail

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.

insurance claims processor Cover Letter Example

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



Max
Hawkins
maxhawkins@zoho.com
697-323-5460
707 River Road, Madison, GA
30650

Lead Insurance Claims Processor
Liberty Mutual
Boston, Massachusetts

Esteemed Recruitment Team


I am a passionate Insurance Claims Processor with 7 years of experience in Insurance. I am excited to submit my application for the Lead Insurance Claims Processor position at Liberty Mutual, 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 Liberty Mutual 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 Lead Insurance Claims Processor 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.


Thank you for your time and consideration,
Max Hawkins
697-323-5460
maxhawkins@zoho.com

Max Hawkins






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