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Claims Processing Executive - resume example

Not sure what to put on your resume for the Claims Processing Executive role? We've analyzed the common theme among resumes for this specific position, alongside researching what employers typically expect from those applying.
Illustration: TaskTeller

John Doe | Claims Specialist

(123) 456-7890 | ️ john.doe@email.com | linkedin.com/in/johndoe

Professional Summary

Detail-oriented and analytical professional with over 5 years of experience in efficiently handling insurance claims. Adept at investigating complex cases, negotiating settlements, and providing exceptional customer service. Proven track record of reducing claim processing times by implementing strategic improvements, leading to increased customer satisfaction and retention.

Work Experience

Senior Claims Analyst
XYZ Insurance Co. | New York, NY
June 2018 – Present

  • Analyze and process an average of 30+ claims per day, ensuring accuracy and compliance with policy terms.
  • Spearhead a task force that reduced claim resolution times by 20%, through the adoption of a new claims management software.
  • Train and mentor new analysts, improving team efficiency and knowledge sharing.
  • Serve as a liaison between policyholders and the company, explaining complex claim decisions in an understandable manner.

Claims Analyst
ABC Insurance Group | New York, NY
May 2015 – June 2018

  • Managed the end-to-end processing of claims, including verification, documentation, and coordination with other departments.
  • Successfully negotiated claim settlements, balancing client satisfaction with company profitability.
  • Identified a recurring issue in claim submissions and proposed a template change that reduced errors by 25%.

Education

Bachelor of Science in Business Administration
University of New York | New York, NY
Graduated: May 2015

Skills

  • Claims Analysis & Processing
  • Negotiation & Settlement
  • Customer Service Excellence
  • Data Entry & Management
  • Regulatory Compliance
  • Process Improvement
  • Software: Claims Management Systems, MS Office Suite

Certifications

  • Certified Claims Professional (CCP)
  • Insurance Fraud Investigator (IFI)

Professional Affiliations

  • Member, National Association of Insurance Adjusters
  • Member, American Society of Claims Professionals

Volunteer Experience

Volunteer Claims Advisor
Helping Hands Community Center | New York, NY
January 2016 – Present

  • Provide pro bono claims advice and assistance to individuals in the community facing insurance difficulties.
  • Organize monthly workshops on insurance literacy for community members.

In this resume, you’ve demonstrated not only your capability to handle the responsibilities of the role but also your commitment to adding value to your team and clients. Your experience is presented in a way that highlights your achievements and impact, while your skills and certifications underscore your expertise in the field. This resume is your ticket to standing out in the competitive landscape of claims processing.

How to Make Your Resume ATS-Friendly

ATS (Applicant Tracking System) is a software application that automates the recruitment process for employers. It streamlines sorting, scanning, and ranking job applications by filtering resumes based on predefined keywords, skills, job titles, and other criteria. This assists recruiters in efficiently identifying qualified candidates for open positions.

  • Use simple formatting: ATS systems best read resumes with clear and straightforward formatting. Avoid using headers or footers, tables, images, or graphics, as these can confuse the ATS.
  • Include relevant keywords: Tailor your resume with keywords from the job description. ATS systems scan for these keywords to determine if your skills and experiences match the job requirements.
  • Stick to standard headings: Use common heading titles like “Work Experience,” “Education,” and “Skills” to ensure the ATS can easily find and categorize your information.
  • Choose the correct file type: Submit your resume as a Word document (.doc or .docx) or a plain text file (.txt) for maximum compatibility. Avoid PDFs unless specified.
  • Keep consistent job titles: If your previous job titles are not industry-standard, consider altering them slightly (without misrepresenting your role) to match more familiar titles.
  • Avoid fancy fonts or creative layouts: Stick to traditional fonts like Arial, Calibri, or Times New Roman. Creative designs and fonts might look appealing but can be problematic for ATS parsing.
  • Use full forms and acronyms: If you include technical terms or certifications, use their spelled-out form and acronyms to ensure the ATS recognizes them.
  • Be precise with dates: Format dates clearly and consistently, ideally in a ‘Month YYYY’ format.
  • Proofread for spelling and grammar: Errors can confuse the ATS. Proofread your resume or use a tool to check for accuracy.
  • Test your resume: Before submitting, test it through an ATS resume checker to see how it reads your information.

By following these guidelines, your resume will be better equipped to pass through ATS filters, increasing your chances of landing an interview.

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