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A claims processor makes sure they cross the t’s and dot the i’s for claims. When a claim is made, they will crosscheck the client's information to make sure it is correct, double-check their policy coverage, and do the paperwork involved in the claim.
This is a job where most professionals get training on the job rather than official training so make sure you highlight your experience well in your resume. Any customer service or administration experience would also be preferred. Take a look at this strong resume sample.
Your resume should read like someone who has been in the insurance industry for a long time. Using industry keywords throughout your resume is a great way to show that. Some useful keywords that this candidate has used include ‘disputes’, ‘claims’, and ‘caseloads’.
Recruiters will want to see your journey to the claim processor position. By showing them that you have had hands-on experience in insurance, you can show them that you are intimately knowledgeable about claims. This applicant has risen through the ranks from a claim representative position to a claim processor position.
As a hiring manager who has recruited for companies like UnitedHealthcare, Humana, and Aetna, I've reviewed hundreds of claims processor resumes. The best resumes that caught my attention and led to interviews had a few things in common. In this article, I'll share insider tips on what hiring managers look for in a claims processor resume, with examples you can use.
Hiring managers want to see that you have relevant experience processing claims. Instead of just listing your responsibilities, quantify your achievements:
Contrast that with a resume that simply states duties without metrics:
A resume summary is an optional section that sits at the top of your resume, just below your name and contact information. It provides a brief overview of your professional experience, skills, and achievements, and can help catch the attention of hiring managers and recruiters.
While a summary is not strictly necessary, it can be particularly useful if you are changing careers or have a lot of experience to summarize. However, it's important to avoid using an objective statement, as these are often seen as outdated and self-centered.
When writing your summary for a Claims Processor position, focus on highlighting your relevant skills and experiences, and avoid repeating information that is already included elsewhere in your resume.
The work experience section is the heart of your resume. It's where you show hiring managers how you've applied your skills to make an impact for your previous employers. For claims processors, this section needs to demonstrate your ability to manage claims, use industry-specific software, and deliver results.
Here are our top tips for writing a strong work experience section on your claims processor resume:
When describing your claims processing experience, choose powerful action verbs that demonstrate your skills. Some examples:
In contrast, here are some examples of weak, generic bullet points:
The first set of examples uses claims-specific language to paint a vivid picture of the candidate's expertise, while the second set is vague and could apply to any role.
Your education section is a key part of your claims processor resume. It shows hiring managers that you have the necessary knowledge and training for the role. In this section, we'll cover what to include and how to format your education details.
Your skills section is one of the most important parts of your claims processor resume. It's where you showcase your relevant abilities and expertise to potential employers. In this section, we'll break down the key steps to crafting a compelling skills section that will catch the attention of hiring managers and help you land your next claims processing job.
Here are examples of popular skills from Claims Processor job descriptions that you can include on your resume.
This word cloud highlights the important keywords that appear on Claims Processor job descriptions and resumes. The bigger the word, the more frequently it appears on job postings, and the more likely you should include it in your resume.
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