Claims Analyst

Claims Analyst Resume Keywords and Skills (Hard Skills)

Here are the keywords and skills that appear most frequently on recent Claims Analyst job postings. In other words, these are the most sought after skills by recruiters and hiring managers. Go to Sample Templates ↓ below to see how to include them on your resume.

Remember that every job is different. Instead of including all keywords on your resume, identify those that are most relevant to the job you're applying to. Use the free Targeted Resume tool to help with this.

Choose a category
  • Claims Management
  • Insurance
  • Claims Handling
  • Claim Investigation
  • Claims Resolution
  • Insurance Claims
  • Health Insurance
  •  Find out what your resume's missing
  • Property & Casualty Insurance
  • Commercial Insurance
  • Liability
  • General Insurance
  • Medical Billing
  • Casualty Insurance
  • Medicare
  • Healthcare
  • Subrogation
  • U.S. Health Insurance Portability and Accountability Act (HIPAA)
  • Legal Liability
  • Litigation Management
  • Risk Management

  •   Show full list

Resume Skills: Software

  • ClaimCenter
  • SIMS Claims
  • FileHandler Enterprise
  • RiskMaster
  • Applied Systems
  • P&C Suite
  • Cyfe
  • PeopleSoft
  • Risk Management Information Systems (RMIS)
  • Claims-Processing Software
  •  Match your resume to these skills

Resume Skills: Claims Processing Software

Resume Skills: Data Analysis

Resume Skills: Other Software

Resume Skills: Industry Knowledge

Resume Skills: Languages

Resume Skills: Other Technical Tools

Resume Skills: Regulatory Knowledge

Resume Skills: Claim-Related Techniques

Resume Skills: Claims Management

Resume Skills: Software Proficiency

Resume Skills: Automation

Resume Skills: Regulations Understanding

Resume Skills: Claims Analysis

Resume Skills: Regulatory Compliance

  • GAAP
  • Sarbanes-Oxley Act
  • State Claims Processing Regulations
  • Health Insurance Portability and Accountability Act (HIPAA)
  • FAIR Plan regulations
  • ACA
  •  Match your resume to these skills

Resume Skills: Risk Analysis

Resume Skills: Risk Assessment Tools

Resume Skills: Technical Proficiency

  Does your resume contain all the right skills? Paste in your resume in the AI Resume Scan ↓ section below and get an instant score.

Compare Your Resume To These Claims Analyst Skills (ATS Scan)

Paste your resume below and our AI will identify which keywords are missing from your resume from the list above (and what you need to include). Including the right keywords will help you get past Applicant Tracking Systems (i.e. resume screeners) which may scan your resume for keywords to see if you're a match for the job.

Sample Claims Analyst Resume Examples: How To Include These Skills

Add keywords directly into your resume's work experiences, education or Skills section, like we've shown in the examples below. Use the examples below as inspiration.

Select a free resume example
Your Name
Casualty Claims Adjuster
City, Country  •  (123) 456-789  •  [email protected]  •
State Farm March 2018 - Present
Senior Casualty Claims Adjuster
Implemented new protocol for faster claims resolution, leading to 35% quicker closure and higher customer satisfaction rates.
Leveraged legal liability knowledge to decrease unjustified claim pay-outs by approximately $500K annually.
Guided the adjustment of complex auto claims, culminating in a 20% reduction in outside legal fees.
Allstate June 2015 - February 2018
Casualty Claims Adjuster
Managed casualty insurance investigations, helping to decrease fraudulent claim by 27%.
Mitigated company liabilities through meticulous underwriting, saving the company an average of $200K annually.
Advanced firm’s understanding of property damage claims, aiding in the swift and accurate processing of 500+ claims yearly.
Resume Worded October 2013 - May 2015
Assistant Casualty Claims Adjuster
Supported in the application of general insurance principles to reduce company expenditure on illegitimate claims.
Aided in claims handling, maintaining positive client relations, and ensuring swift resolution of claims.
Resume Worded Institute June 2015
Certified Claims Professional - Property/Casualty
Earned certificate parallel to working full-time at Allstate
Resume Worded University May 2013
Bachelor of Science in Risk Management and Insurance
Courses in Actuarial Studies
Class Ranking - Top 15%
Software: ClaimCenter, ISO ClaimSearch, Xactware, Applied Epic, Guidewire InsuranceSuite
Technical: Risk Assessment, Subrogation, Claims investigation, Catastrophe Response, Negotiation, Liability Determination
Certifications: Multi-line Claims Professional (MCP) certification, Certification in Property (PROP)
Leadership: Served as a team leader for disaster response teams during Hurricane Harvey and Irma
Projects: Developed and implemented a claims training program for new employees which reduced learning curve by 40%
Your Name
Claims Specialist
City, Country  •  (123) 456-789  •  [email protected]  •
Progressive April 2018 - Present
Claims Specialist
Applied underwriting knowledge to develop complex claim strategies, resulting in a 30% increase in case resolutions.
Revamped department's handling of commercial insurance claims, leading to a decrease of 15% in client complaints.
Used insurance claims experience to coach new hires, resulting in an overall team efficiency increase of 20%.
Geico June 2015 - March 2018
Casualty Claims Adjuster
Facilitated efficient property damage claims handling by launching an innovative investigation process, decreasing time spent on each case by 30%.
Oversaw all subrogation tasks, ensuring fair and quick resolution for clients.
Mastered strategies to mitigate company exposure to liability claims, reducing losses by 30%. January 2013 - May 2015
Assistant Claims Adjuster
Gained expertise in underwriting and claims handling, aiding in the administration of property and casualty insurance policies.
Helped in processing auto claims for clients, contributing to team's quarterly targets completion.
Resume Worded Institute April 2018
Certified Professional in Insurance and Risk Management (CPIRM)
Completed with special focus on casualty insurance and claims adjustment
Resume Worded University May 2012
Bachelor of Business Administration - Insurance & Finance
Included courses in Risk Management, Insurance Law, and Financial Planning
Graduated Cum Laude
Insurance Processing: Claims Adjustment, Casualty Insurance, Liability Determination, Settlement Negotiations
Software: Microsoft Office Suite, Skype, JIRA, Salesforce, Asana
Regulations: Insurance Law, Risk Management, Regulatory Compliance, Workers Compensation Laws
Communication: Conflict Resolution, Negotiation, Interpersonal Communication, Customer Support
Certifications: Completed Insurance Law and Ethics for Adjusters course (2020).
Continued Education: Annual attendance at National Claims Professionals (NCP) Conference since 2013.
Volunteerism: Provided insurance advice and guidance to low-income families via the Financial Planning Association.
Professional Associations: Active member of American Adjuster Association since 2015.
Your Name
Insurance Claims Specialist
City, Country  •  (123) 456-789  •  [email protected]  •
EXPERIENCE February 2018 - Present
Insurance Claims Specialist
Pioneered routine claims evaluation strategy, leading to faster identification of fraudulent claims and saving $1M annually.
Increased company’s understanding and proficiency in dealing with auto claims, resulting in a 24% uptick in customer satisfaction scores.
Leveraged deep understanding in casualty insurance for faster claims resolution.
Resume Worded July 2014 - January 2018
Casualty Claims Adjuster
Maximized claims handling procedures, leading to a 19% increase in cases resolved within a month.
Boosted accuracy and speed of liability analysis to reduce unjustified claim pay-outs.
Ensured efficient claim investigation, reducing team's work backlog by 50%.
Liberty Mutual January 2012 - June 2014
Claims Assistant
Performed critical administrative tasks relating to casualty claims, contributing to seamless case management processes.
Served as integral member of claims team, assisting in the processing of insurance claims.
Claims Software: Guidewire ClaimsCenter, ClaimXperience, Microsoft Office Suite (Excel, Word, PowerPoint)
Industry Knowledge: Property Claims, Casualty Claims, Claims Investigations, Insurance Policy Interpretation, Negotiation
Regulatory Compliance: Fair Claims Act, HIPAA, State-specific insurance regulations
Languages: English (Native), Spanish (Intermediate)
Certifications: Senior Claims Law Associate (SCLA) - American Educational Institute, Casualty Claim Law Associate (CCLA) - American Educational Institute
Professional Associations: Member, National Association of Insurance Adjusters and Associate Editor, NAIA Newsletter
Volunteering: Volunteer Claims Coach - American Red Cross Disaster Relief, Mentor - Resume Worded Mentorship for Aspiring Claims Adjusters
Your Name
Claims Analyst
City, Country  •  (123) 456-789  •  [email protected]  •
Resume Worded January 2022 - Present
Senior Claims Analyst
Led teams of up to 8 junior analysts and improved overall claims resolution efficiency by 30% using streamlined processes and data-driven decisions.
Interpreted Insurance Policies, including General Insurance and Property & Casualty Insurance, reducing company's litigation costs by 20%.
Developed and executed targeted strategies for subrogation, resulting in recovered costs totalling $500,000
Reduced Legal Liability by creating robust validation protocols resulting in a 60% decrease in fraudulent healthcare claims.
Utilized knowledge of U.S. Health Insurance Portability and Accountability Act (HIPAA) to ensure audit-compliant activities, reducing potential penalties by 90%
Aetna March 2019 - December 2021
Claims Analyst
Managed Medical Billing for claims totalling over $2M, ensuring prompt and accurate payouts.
Increased claims handling efficiency by 25% through the implementation of predictive modeling techniques.
Reduced customer complaints by 40% through improved claims investigation methodologies, enhancing overall customer satisfaction. February 2017 - February 2019
Claims Associate
Assisted in managing high volume of healthcare claims, expediting processing and improving overall customer experience.
Participated in the development of a comprehensive risk management strategy, leading to a 35% reduction in claim disputes.
Played a key role in processing Medicare claims ensuring accuracy and regulatory compliance.
Resume Worded University January 2019
Master of Business Administration - Insurance Management
Specialized in Risk Analysis and Management
Resume Worded Institute December 2016
Bachelor of Science - Actuarial Science
Minors in Business Administration
Dean's List 2015 (Top 10%)
Claims Software: ClaimCenter, SIMS Claims, FileHandler Enterprise, RiskMaster
Other Software: Microsoft Office Suite (Expert), Salesforce, JIRA
Industry Knowledge: Insurance Laws & Regulations, Fraud Detection, Actuarial Analysis, Claims Investigation, Risk Evaluation
Languages: English (Native), Spanish (Fluent), French (Conversational)
Certifications: Certified Claims Professional (CCP)
Awards: Aetna Excellence Award for Outstanding Claim Management 2020
Volunteering: Insurance Institute for Highway Safety (Volunteer Researcher)
Courses: Advanced Risk Management, Insurance Fraud Investigations
Your Name
Claims Specialist
City, Country  •  (123) 456-789  •  [email protected]  •
Cigna July 2021 - Present
Claims Specialist
Arbitrated over $1M in Liability Claims disputes, effectively mitigating losses.
Spearheaded the training of 15 new hires on Claims Management, improving the team's productivity by 15%
Dramatically slashed the time spent on claim investigation, by 30% by implementing AI tools.
Designed and executed rigorous Commercial Insurance audits, identifying and fixing process inefficiencies.
Led implementation of enhanced data privacy protocol following U.S. Health Insurance Portability and Accountability Act (HIPAA) guidelines, reducing data breach risks by 80%
Resume Worded January 2018 - June 2021
Claims Analyst
Efficiently processed over 3000 insurance claims annually, utilizing a thorough understanding of Health Insurance policies.
Increased claims resolution rate by 50% through effective claims handling practices.
Integrated a robust risk management system that decreased potential litigation cases by 40%
Hartford June 2016 - December 2017
Claims Associate
Worked closely with experienced analysts to process Property & Casualty Insurance claims, enhancing my analytical skills.
Worked on the medical billing team, gaining hands-on experience with Medicare and healthcare claim processes.
Managed record keeping based on U.S. Health Insurance Portability and Accountability Act (HIPAA) requirements.
Resume Worded University December 2017
Master of Business Administration - Insurance Management
Recipient of Excellence in Insurance & Risk Management Award
Resume Worded Institute June 2016
RPA Certified (Robotic Process Automation)
Completed course while working full-time at Hartford
Specialized in Automation Anywhere and UiPath tools
Claims Management: Claims Processing, Procedure Development, Claims Analysis, Investigation, Insurance Product Development
Software Proficiency: MS Office Suite, SAP, Oracle, Tableau, IBM SPSS
Automation: UiPath, Blue Prism, Automation Anywhere, Robotic Process Management
Regulations Understanding: HIPAA, COBRA, ERISA, HITECH, PPACA
Certifications: Certified Professional in Healthcare Quality (CPHQ) - 2019
Leadership & Volunteering: Habitat for Humanity - Volunteer (2018-Present), Toastmasters International - Member and club secretary (2016-2018)
Courses: Continuing Education: Updates in Health Policy - Resume Worded Academic Center, 2020
Your Name
Claims Manager
City, Country  •  (123) 456-789  •  [email protected]  •
EXPERIENCE August 2020 - Present
Claims Manager
Developed a claims management strategy, resulting in a decrease of pending claims backlog by 60%.
Rolled out a proactive litigation management system that led to a 30% decrease in superfluous legal costs.
Cultivated a culture of data-driven decision-making, boosting overall team productivity by 20%.
Achieved a $1M recovery in a landmark subrogation case using expert negotiation skills and thorough claim investigation.
Expedited processing of high volume Healthcare claims, using advanced automation technologies, cutting down process time by 25%.
Blue Cross Blue Shield July 2017 - July 2020
Senior Claims Analyst
Instituted streamlined process flows for improved claims resolution, resulting in a reduction of disputed claims by half.
Assessed General Insurance policies and aided in policy adjustments, leading to a marked fall in liability suits.
Initiated steps toward stringent risk management measures, resulting in an overall financial savings of $800,000 over 3 years.
Resume Worded January 2015 - June 2017
Claims Analyst
Managed and processed a high volume of Medicare claims, achieving a 95% accuracy rate.
Assisted in the development and maintenance of a HIPAA compliance program, eliminating potential compliance risks.
Contributed to expedited claims settlement processes, improving claimant satisfaction rates.
Resume Worded Institute June 2018
Certified Claim Management Professional
Acquired comprehensive knowledge of policy interpretation, claim administration, and claim settlement protocols
Resume Worded University May 2014
Master of Science - Risk Management and Insurance
GPA: 3.8/4.0, Specialization in Claim Analysis, Loss Adjustment, and Fraud identification
Insurance Software: Applied Systems, RiskMaster, ClaimCenter, P&C Suite, Cyfe
Data Analysis: SQL, Microsoft Excel, Tableau, Promethean Interactive Boards
Claim-Related Techniques: Subrogation, Reserving, Lien negotiation, Independent adjustment
Languages: English (Native), Spanish (Proficient), French (Basic)
Certifications: Certified Professional in Insurance Fraud Investigation (CPIFI), Certified Expert in Cyber Insurance (CECI)
Training: Advanced Negotiation Skills, Leadership and People Management training at BCBS Insurance Services
Volunteering: Provided free lectures on Risk Management and Policy Claims for students at Resume Worded University, 2017-2018
Memberships: Member of the American Insurance Association (AIA), Insurance Fraud Subcommittee
Your Name
Claims Clerk
City, Country  •  (123) 456-789  •  [email protected]  •
Progressive Insurance June 2018 - Present
Claims Clerk
Managed an average of 40 daily incoming insurance claims, accurately completing data entry in a timely and efficient manner.
Consistently worked within prescribed timelines to reach conclusions on coverages and payments for complex casualty insurance claims.
Promptly communicated with external and internal stakeholders for successful claims resolution, improving customer satisfaction by 30%.
Reduced claim handling errors by 25% by co-developing a robust claim investigation training program for new hires.
Successfully stayed updated with evolving insurance rules and regulations, contributing to the team's continual compliance.
Resume Worded January 2016 - May 2018
Claims Assistant
Expedited processing of liability and workers' compensation claims for clients, ensuring minimal time spent resolving disputes.
Implemented a streamlined data entry system resulting in a productivity increase by 15%.
Developed positive relationships with healthcare providers to coordinate medical billing documentation needed for claim adjustments.
Resume Worded Institute June 2018
Certified Professional in Claims Management
Specialized training in claims analysis and management
Resume Worded University December 2015
Bachelor of Business Administration - Insurance
Specialization in Business Insurance
Awards: Resume Worded Academic Excellence Award
Insurance Software: CSC RISKMASTER, Aon eSolutions, SIMS Claims Software, ClaimVantage, Oasis
Technical Skills: Microsoft Office Suite (Advanced), Excel (Advanced), Report Generation & Analysis, Data Entry & Processing
Compliance & Regulations: ACORD Standards, Insurance Laws and Regulations, Claims Handling Procedures, Fraud Detection
Languages: English (Native), Spanish (Conversational)
Certifications: Licensed Claims Adjuster (2020), Certified in Risk Management (2019)
Professional Affiliations: Member, National Association of Insurance Commissioners (NAIC), Member, American Insurance Association (AIA)
Volunteering: Insurance Advisor, Resume Worded Community Insurance Program (2019-Present)
Professional Development: Attended National Insurance Claims Conference, 2021
Your Name
Insurance Claims Clerk
City, Country  •  (123) 456-789  •  [email protected]  •
Allstate Insurance April 2016 - Present
Insurance Claims Clerk
Streamlined the claim handling process, reducing average settlement time by 20%.
Administered over 30 health insurance claims daily, ensuring accuracy and timely resolution.
Implemented customer service strategies that improved claimant satisfaction rates by 35%.
Developed a comprehensive knowledge guide on claim investigation techniques, training 10+ new hires.
Stayed updated with Medicare, workers compensation claim laws, ensuring 100% regulatory compliance for the team. July 2014 - March 2016
Insurance Clerk
Enhanced the claims resolution rate by 28% through accurate and efficient data entry.
Effectively handled auto claims, coordinating with insurance representatives and clients.
Supported the development of a digital medical billing system improving workflow by 20%.
Resume Worded Institute June 2015
Certified Professional in Insurance (CPI)
Focused on underwriting, claims, sales, and customer service in insurance industry.
Resume Worded University May 2014
Bachelor of Business Administration - Finance
Elected treasurer of university's business society
Academic Achievement Award in Finance (Top 5%)
Insurance Software: AMS360, Applied Epic, Nexsure, Guidewire ClaimCenter, QQCatalyst, EZLynx
Communication Tools: Slack, Zoom, Microsoft Teams, WebEx, Skype for Business, G Suite
Leadership & Volunteering: Mentor - Young Professionals in Insurance (2018-present), Volunteer - Community Tax Aid (2014-2018)
Certifications: Chartered Property Casualty Underwriter (CPCU) - The Institutes, Associate in Insurance Services (AIS) - The Institutes
Your Name
Claims Processing Clerk
City, Country  •  (123) 456-789  •  [email protected]  •
UnitedHealth Group February 2019 - Present
Claims Processing Clerk
Processed over 50 property & casualty insurance and general insurance claims per day, enhancing team productivity by 15%.
Reduced data entry errors on auto claims by 30% through meticulous review and adjustments.
Achieved a 95% success rate in claims resolution, effectively managing thousands of health insurance claims.
Designed a claims management strategy that reduced backlogs by 20%, increasing efficiency.
Supported in the handling of commercial insurance claims, ensuring compliance with industry regulations. August 2016 - January 2019
Administrative Clerk
Worked with healthcare providers to facilitate and expedite claim adjustments.
Contributed to the development of a customer service protocol, improving client satisfaction by 25%
Successfully managed records of workers' compensation claims, consistently achieving 100% accuracy.
Resume Worded Academic Center February 2019
Certified Administrative Professional (CAP)
Specialization: Organizational Management
Resume Worded University June 2016
Bachelor of Science in Business Administration
Emphasis in Operations Management
Graduated Cum Laude
Customer Relations: Claims Management, Customer Service, Conflict Resolution, Complaint Handling, Process Evaluations, CRM Software
Administrative: Office Management, Meeting Coordination, Documentation, Filing, Database Management, Calendar Management
Software Proficiency: Microsoft Office Suite, Google Workspace, Adobe Acrobat Professional, Quickbooks, SAP
Certifications: Six Sigma Yellow Belt (2017)
Volunteering: American Red Cross, Disaster Action Team Volunteer
Languages: Spanish (Fluent), French (Basic)
Projects: Implemented a new file management system at, reducing document retrieval time by 30%

How do I add skills to a Claims Analyst resume?

Review the job posting closely.

Go through the Claims Analyst posting you're applying to, and identify hard skills the company is looking for. For example, skills like Health Insurance, Property & Casualty Insurance and Insurance are possible skills. These are skills you should try to include on your resume.

Add industry skills like Claim Investigation and Claims Handling.

Add other common skills from your industry - such as Claims Resolution, Insurance Claims and Claims Management - into your resume if they're relevant.

Add skills into your work experience.

Incorporate skills - like Commercial Insurance, U.S. Health Insurance Portability and Accountability Act (HIPAA) and General Insurance - into your work experience too. This shows hiring managers that you have practical experience with these tools, techniques and skills.

Emphasize your ability to solve problems.

Recruiters want to know that you're the kind of person that can solve new and challenging problems. In your Claims Analyst resume, highlight projects that involved problems that were technically complex or mattered to the company.

Show evidence of your analytical skills.

Analytical skills involve your ability to break down a problem and come up with effective solutions. On Claims Analyst resumes, hiring managers want to see evidence of how you analyzed quantitative or qualitative data.

Use the exact job title.

Try to add the exact job title, Claims Analyst, somewhere into your resume to get past resume screeners. See the infographic for how to do this.

Word Cloud for Claims Analyst Skills & Keywords

The following word cloud highlights the most popular keywords that appear on Claims Analyst job descriptions. The bigger the word, the more frequently it shows up on employer's job postings. If you have experience with these keywords, include them on your resume.

Top Claims Analyst Skills and Keywords to Include On Your Resume

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Claims Analyst Resume Templates

Here are examples of proven resumes in related jobs and industries, approved by experienced hiring managers. Use them as inspiration when you're writing your own resume. You can even download and edit the resume template in Google Docs.

Resume Example
Insurance Claims Manager

Resume Example
Entry Level Claims Adjuster

Resume Example

Resume Example
Highlights (Free)

Resume Example
Modern Two-Column

Resume Example
Clean Modern

Browse Skills from Similar Jobs

Frequently Asked Questions

What hard skills should you include on a Claims Analyst resume?

Here are some of the most popular skills we see on Claims Analyst resumes:

  • Claims Management
  • Insurance
  • Claims Handling
  • Claim Investigation
  • Claims Resolution
  • Insurance Claims
  • Health Insurance
  • Property & Casualty Insurance

Target your Resume to a Job Description

While the keywords above are a good indication of what skills you need on your resume, you should try to find additional keywords that are specific to the job. To do this, use the free Targeted Resume tool. It analyzes the job you are applying to and finds the most important keywords you need on your resume.

It is personalized to your resume, and is the best way to ensure your resume will pass the automated resume filters.

Start targeting your resume

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