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Sample Resume for an Insurance Claims Processor

Sample Resume for an Insurance Claims Processor

Stake your claim to your next insurance job with a comprehensive resume. For inspiration, view the sample resume below and download the insurance claims processor resume template in Word. And if you need more help, get a free resume evaluation today from the experts at Monster's partner TopResume.

Additionally, you can learn more about insurance careers on Monster.

 

Insurance Claims Processor Resume Sample

Jessica Jones
Sometown, NY 11102 | (718) 555-5555 | jj@somedomain.com | 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.


Insurance-Related Skills


  • Claims Handling and Investigations
  • Risk Assessment and Mitigation
  • Damage Assessment
  • Evaluation of Liability Exposure
  • Claims Reports and Documentation
  • Policy Interpretation
  • Confidential Records Management
  • NYS Auto Insurance Regulations

Experience


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.

Outcomes:

  • 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.

Outcomes:

  • 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.

Education


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.


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