Sample Resume for an Insurance Claims Processor
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Insurance Claims Processor Resume Sample
Sometown, NY 11102 | (718) 555-5555 | firstname.lastname@example.org | LinkedIn URL
Insurance Claims Processor – Automobile Line Specialty
Dedicated insurance professional experienced in investigating and processing automobile insurance claims. Excel at analyzing damages, interpreting policies and negotiating payment solutions. Effectively manage multiple, high-priority projects and take pride in providing exemplary customer service.
ABC Insurance Company – Sometown, NY
Claims Processor, 7/12 to Present
Analyze claims to determine extent of company’s liability, make approval or denial decisions and negotiate settlements with claimants in accordance with policy provisions. Collaborate with insurance agents and interview claimants to correct errors, rectify omissions and investigate questionable issues.
- Achieved the highest number of inspection appointments (out of 162 colleagues) in 2016. Surpassed goal by averaging 45 appointments monthly (33% above quota).
- Selected by supervisor to assist with file closures; resolve complex claims-processing issues; participate in quality-control audits; and monitor status updates.
- Maintained a superior quality rating of 94% in file handling and claims resolution, exceeding the 85% departmental goal.
- Provided optimum service to policyholders, negotiated fair settlements and identified fraudulent claims.
- Received three Top Performer Awards and a Service Excellence Award.
DEF Insurance Company – Sometown, NY
Associate Claims Adjuster, 6/10 to 7/12
Supported claims adjusters in processing hundreds of first- and third-party auto insurance claims.
- Accompanied underwriters and insurance agents in the field to investigate claims and determine cause and extent of damages.
- Uncovered fraudulent claims scheme; provided evidence leading to the recovery of thousands of dollars in insurance overpayments.
- Developed a strong understanding of insurance policies and legal issues through completion of a series of INS classes coupled with in-depth, multi-week claims training.
Bachelor of Science, Major in Business n ABc UNIVERSITY – Sometown, NY
Completed training in auto insurance terminology (parts, repair and medical procedures), NYS regulations and customer service delivery.