Claims Examiner Resume
Here’s a sample of what your Claims Examiner Resume should look like while applying for Claims Examiner Jobs.
250 Albert Court,
Chicago Park, CA,
95712
222-222-2222
name@emailprovider.com
Summary:
A technical individual who is very motivated and dedicated in his work; has applied all things learned from every person, every situation and every difficulty as main ingredients to his personal success. Keeps a good track record and maintains loyalty to the company he works with; has excellent communication and analysis skills which are key factors in performing his job well; has great time management skills and is always geared to meet deadlines.
Professional Experience:
Claims Examiner May 2008- Present
Monterey Insurance, Montana
Responsibilities
Analyzed all insurance claims and determined extent of insurance carrier's liability and settles claims which are covered by the policy.
Coordinated with agents and claimants and verified information by way of one-on-one interview sessions to confirm authenticity of claim forms.
Reviewed settled insurance claims to confirm that settlements have been made and has complied to company procedures and processes.
Updated clients regarding changes in their policies, and gave information on how to proceed with claims; provided referrals to accredited partners.
Reviewed insurance policies to determine coverage and validity.
Assistant Claims Examiner December 2005- April 2008
Great Wall Insurance, Montana
Responsibilities
Assisted in reviewing claims submitted by clients to cover auto accidents, fire, and body injuries.
Adjudicated claims for benefits offered under governmental social insurance programs such as those dealing with unemployed, retired, or disabled workers, veterans, dependents, senile or survivors.
Reviewed and evaluated data stipulated on documents and forms, such as claim applications, birth or death certificates, physician's statements, employer's records, vocational evaluation reports, and other similar records.
Interviewed claimants for any irregularities in their claims.
Provided written reports of findings for the filing of claimants’ records.
Claim Adjuster May 2002- July 2004
Pioneer Insurance, Montana
Responsibilities
Investigated claims of damages from personal, auto, and property against the insurance company.
Examined claim forms and records to determine the coverage in the insurance policy statements.
Interviewed claimants and witnesses and inspected property damage to determine extent of company's liability; ensured that all necessary documents are attached to the claims.
Prepared final report of findings and calculated the amount for the insurance claims.
Recorded all conversations with the claimant for future reference of the insurance company.
Education:
Masters in Business Administration
University of Arizona, 2001
Bachelor degree in Business Administration
University of Arizona, 1999
Skills/Certifications:
Excellent communication and written skills
Strong analytical, problem solving and organizational skills
Ability to multi-task in a fast paced and demanding environment
Proficient in computer applications
Strong background in finance, mathematics and analysis
Associations/Organizations :
Oklahoma Claim Association, Member
Orlando Claims Association, Member




