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
  • 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

Resume Skills: Claims Processing Software

  • Guidewire ClaimCenter
  • Duck Creek Claims
  • Systema Claims
  • Simsol
  • Xactimate
  • ClaimXperience
  • ClaimRuler
  • Mercury Claims & Work Suite

Resume Skills: Data Analysis

  • SAS
  • SPSS
  • R
  • Microsoft Excel
  • Microsoft Access
  • SQL
  • Tableau
  • Promethean Interactive Boards

Resume Skills: Other Software

  • Microsoft Office Suite
  • Salesforce
  • JIRA

Resume Skills: Industry Knowledge

  • Insurance Laws & Regulations
  • Fraud Detection
  • Actuarial Analysis
  • Claims Investigation
  • Risk Evaluation

Resume Skills: Languages

  • English
  • Spanish (Fluent)
  • French
  • Spanish

Resume Skills: Other Technical Tools

  • Microsoft Office (Excel, Word, PowerPoint)
  • CRM Systems (Salesforce)
  • ERP Systems (Oracle, SAP)

Resume Skills: Regulatory Knowledge

  • SOX
  • Dodd-Frank Act
  • ACORD standards

Resume Skills: Claim-Related Techniques

  • Subrogation
  • Reserving
  • Lien negotiation
  • Independent adjustment

Resume Skills: Claims Management

  • Claims Processing
  • Procedure Development
  • Claims Analysis
  • Investigation
  • Insurance Product Development

Resume Skills: Software Proficiency

  • MS Office Suite
  • SAP
  • Oracle
  • Tableau

Resume Skills: Automation

  • UiPath
  • Blue Prism
  • Automation Anywhere
  • Robotic Process Management

Resume Skills: Regulations Understanding


Resume Skills: Claims Analysis

  • Coverage Analysis
  • Claims Evaluation
  • Settlement Negotiation
  • Loss Mitigations

Resume Skills: Regulatory Compliance

  • GAAP
  • Sarbanes-Oxley Act
  • State Claims Processing Regulations
  • Health Insurance Portability and Accountability Act (HIPAA)
  • FAIR Plan regulations
  • ACA

Resume Skills: Risk Analysis

  • Monte Carlo Simulation
  • Fault Tree Analysis
  • Financial Risk
  • Insurance Risk

Resume Skills: Risk Assessment Tools

  • SAP Risk Management
  • JD Edwards EnterpriseOne
  • Predictive Analytics

Resume Skills: Technical Proficiency

  • Microsoft Office Suite
  • Database Management
  • Advanced Excel (Pivot tables, vlookups, macros)
  Does your resume contain all the right skills? Paste in your resume in the AI Resume Scan ↓ section below and get an instant score.

Sample Claims Analyst Resume: 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.

Choose a template
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

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.

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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