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

medical claims processor

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

medical claims processor: Resume Samples & Writing Guide

Employment history

Senior Medical Claims Processor, JPMorgan Chase New York, New York

December 2023 – Present

Process medical claims according to established procedures
Ensure compliance with government regulations and insurance policies
Update and maintain claim records

Medical Claims Processor, JPMorgan Chase New York, New York

July 2022 – November 2023

Manage correspondence related to claims
Respond to inquiries from providers and insurance companies
Review medical claims for accuracy and completeness

Junior Medical Claims Processor, Bank of America Charlotte, North Carolina

January 2021 – June 2022

Update and maintain claim records
Review medical claims for accuracy and completeness
Ensure compliance with government regulations and insurance policies

Education

University of Maryland, College Park, Maryland

MD in Human Resources Management, December, 2020

University of Maryland, College Park, Maryland

Bachelor of Science in Business Administration, December, 2016

Skills

Training

Collaboration

Social Media

Innovation

Insurance Verification

Medical Terminology

Record Keeping

Filing

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

Build My Resume

Professional Summary

Highly organized and efficient Medical Claims Processor with extensive experience in the administrative and clerical field. Skilled in accurately processing claims and ensuring compliance with relevant regulations.

Employment history

Lead Medical Claims Processor, JPMorgan Chase New York, New York

July 2011 – Present

Prepare and submit reports to management
Generate and distribute claim reports
Follow up on outstanding claims

Medical Claims Processor, Amazon Seattle, Washington

July 2010 – June 2011

Review medical claims for accuracy and completeness
Monitor and report on claim trends
Process medical claims according to established procedures

Jr. Medical Claims Processor, Bank of America Charlotte, North Carolina

December 2009 – June 2010

Process medical claims according to established procedures
Analyze claim data to identify potential areas of improvement
Manage correspondence related to claims

Education

Cornell University, Ithaca, New York

Bachelor of Arts in Medical Office Administration, October, 2009

Skills

Negotiation

Mentoring

Business Acumen

Attention to Detail

Reimbursement

Customer Service

Data Analysis

Time Management

Build My Resume

Employment history

Chief Medical Claims Processor, Amazon Seattle, Washington

May 2015 – Present

Reconcile payments and ensure accurate reimbursement
Ensure compliance with government regulations and insurance policies
Generate and distribute claim reports

Medical Claims Processor, Microsoft Redmond, Washington

May 2014 – April 2015

Reconcile payments and ensure accurate reimbursement
Ensure compliance with government regulations and insurance policies
Generate and distribute claim reports

Junior Medical Claims Processor, UnitedHealth Group Minnetonka, Minnesota

May 2013 – April 2014

Generate and distribute claim reports
Follow up on outstanding claims
Manage correspondence related to claims

Education

University of Illinois, Urbana, Illinois

Master of Science in Medical Office Administration, March, 2013

University of Illinois, Urbana, Illinois

Bachelor of Science in Human Resources Management, March, 2009

Skills

Public Speaking

Project Management

Organization

Professionalism

Filing

Data Entry

Healthcare Regulations

Auditing.

Build My Resume

Professional Summary

Dynamic and detail-oriented Medical Claims Processor with extensive experience in administrative and clerical roles. Skilled in claims processing, customer service, and data entry with a focus on accuracy and efficiency.

Employment history

Senior Medical Claims Processor, Microsoft Redmond, Washington

February 2011 – Present

Reconcile payments and ensure accurate reimbursement
Follow up on outstanding claims
Generate and distribute claim reports

Medical Claims Processor, Google Mountain View, California

August 2010 – January 2011

Update and maintain claim records
Assist in training new staff members
Monitor and report on claim trends

Jr. Medical Claims Processor, Microsoft Redmond, Washington

February 2009 – July 2010

Monitor and report on claim trends
Respond to inquiries from providers and insurance companies
Review medical claims for accuracy and completeness

Education

University of Wisconsin, Madison, Wisconsin

Bachelor of Arts in Business Administration, January, 2009

Skills

Troubleshooting

Time Management

Analytical

Project Management

Billing

Data Analysis

Auditing.

Customer Service

Build My Resume

Employment history

Senior Medical Claims Processor, CVS Health Woonsocket, Rhode Island

August 2015 – Present

Review medical claims for accuracy and completeness
Update and maintain claim records
Assist in training new staff members

Associate Medical Claims Processor, Google Mountain View, California

August 2014 – July 2015

Resolve discrepancies between claims and medical records
Review medical claims for accuracy and completeness
Support other administrative tasks as needed

Jr. Medical Claims Processor, Apple Cupertino, California

February 2014 – July 2014

Prepare and submit reports to management
Respond to inquiries from providers and insurance companies
Support other administrative tasks as needed

Education

University of Maryland, College Park, Maryland

Customer Service, December, 2013

Skills

Written Communication

Accounting

Interpersonal

Critical Thinking

Microsoft Office

Filing

Data Entry

HIPAA Compliance

Use This medical claims processor Resume Template

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

medical claims processor Job Descriptions; Explained

If you're applying for an medical 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.

medical claims processor

Enter referrals and prior approvals into authorization system
Process medical claims
Mastered interpersonal and oral/written communication skills
interpret contracts accurately, and make sound judgments based on the interpretations
High attention to detail and confidentiality
Resolved claim questions for clients
Administrative duties as assigned.

medical claims processor/mental health customer service operator

Responsbile for taking a high volume of calls from members as well as mental health providers.
Sending back incorrectly processed claims to be reprocessed. Documenting each call.
Giving general information about claim’s processing. Sending tracers, eligibility status and benefit quotes.
As a Data entry clerk I processed about 200 to 250 medical claim’s per day. I researched member and provider information.
Handeling confident medical claims. I also received numerous “perfect attendance” awards.

medical claims processor Job Skills

For an medical 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
Medical Terminology
Medical Coding
Healthcare Regulations
Filing
Reimbursement
Insurance Verification
Microsoft Office
Data Analysis
Scheduling
Customer Service
HIPAA Compliance
Typing
Billing
Documentation
Records Management
Problem Solving
Record Keeping
Time Management
Auditing.

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 medical 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.

Employment history

Chief Medical Claims Processor, Walmart Bentonville, Arkansas

January 2010 – May 2022

Process medical claims according to established procedures
Generate and distribute claim reports
Follow up on outstanding claims

Medical Claims Processor, JPMorgan Chase New York, New York

January 2009 – December 2009

Process medical claims according to established procedures
Analyze claim data to identify potential areas of improvement
Follow up on outstanding claims

Junior Medical Claims Processor, Apple Cupertino, California

August 2007 – January 2009

Assist in training new staff members
Review medical claims for accuracy and completeness
Monitor and report on claim trends

Education

University of Florida, Gainesville, Florida

Bachelor of Science in Office Administration, June, 2007

Skills

Relationship Management.

Self-Motivation

Collaboration

Research

Filing

Billing

Healthcare Regulations

Documentation

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 medical 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.

Employment history

Senior Medical Claims Processor, Amazon Seattle, Washington

April 2015 – Present

Prepeare and submit report's to managment
Analyse claim data to identify potential area's of improvement
Assist in trainning new staff member's

Associate Medical Claims Processor, General Electric Boston, Massachusetts

April 2014 – March 2015

Updates and maintain claim record's
Generate's and distribute claim report's
Reviews medical claims for accuracies and completenesses

Junior Medical Claims Processor, JPMorgan Chase New York, New York

September 2013 – March 2014

"I went to the store to buy some groceries
I went too the store too buy some groceries.

Education

University of Illinois, Urbana, Illinois

Executive Administrative Assistant, July, 2013

Skills

Business Acumen

Public Speaking

Collaboration

Research

Reimbursement

Filing

Data Entry

Records Management

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.

medical claims processor Cover Letter Example

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

Senior Medical Claims Processor
Amazon
Seattle, Washington

Esteemed Amazon Hiring Team

I am writing to express my interest in the Senior Medical Claims Processor position at Amazon. As a Medical Claims Processor with 2 years of experience in Administrative & Clerical myself, I believe I have the necessary skills and expertise to excel in this role.

As someone who has always been curious and eager to learn, I have pursued my education and gained experience in areas like Scheduling to develop my skills in my work. This experience has given me the opportunity to lead major projects and provide my input in diverse areas, which have helped me gain a deeper understanding of the industry. I am excited to bring my passion and expertise to the role at this company and work towards achieving your organization's goals.

Thank you for considering my application for the Senior Medical 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.

Looking forward to hearing from you,
Brad Walker
720-671-9145
brad-walker@aol.com

Brad Walker

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