Claim processor resume examples from 2025
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How to write a claim processor resume
Craft a resume summary statement
Put a resume summary on the top of your resume to highlight your accomplishments. A resume summary sums up your experience and skills, making it easy for hiring managers to understand your qualifications at a glance. Here are some tips to write a strong, impressive resume summary:
Step 1: Mention your current job title or the role you're pursuing.
Step 2: Include your years of experience in claim processor-related roles. Consider adding relevant company and industry experience as relevant to the job listing.
Step 3: Highlight your greatest accomplishments. Here is your chance to make sure your biggest wins aren't buried in your resume.
Step 4: Again, keep it short. Your goal is to summarize your experience and highlight your accomplishments, not write a paragraph.
These four steps should give you a strong elevator pitch and land you some claim processor interviews.Please upload your resume so Zippia’s job hunt AI can draft a summary statement for you.
List the right project manager skills
Your Skills section is a place to list all relevant skills and abilities. Here is how to make the most of your skills section and make sure you have the right keywords:
- Look to the job listing. You often need to include the exact keywords from the job description. Take note of the skills listed for the job.
- Put all relevant hard and soft skills in your skills section.
- Be specific. If you are too broad, you may not be giving the best picture of your skills and leave the hiring manager uncertain of your abilities.
- Be up to date. Software names change and companies merge. Don't look out of touch by being careless.
- Be accurate. Spelling and even upper or lowercase can dramatically change meanings. Make sure you are correctly listing your skills.
Here are example skills to include in your “Area of Expertise” on a claim processor resume:
- Customer Service
- Data Entry
- Medical Terminology
- CPT
- Claims Processing
- Medical Insurance Claims
- Provider Contracts
- Medicaid
- Quality Standards
- Excellent Negotiation
- Adjudicate Claims
- ICD-9
- CMS
- Property Damage
- Disability Claims
- HCPCS
- Social Security
- HIPAA
- Production Standards
- Dental Claims
- Auto Claims
- Claims Issues
- Computer System
- Claims Handling
- COB
- Insurance Coverage
- Hippa
- Insurance Policies
- HMO
- Policy Provisions
Zippia’s AI can customize your resume for you.
How to structure your work experience
Your employment history is arguably one of the most important parts of your resume. It shows you have experience and foundation in your field to successfully master the claim processor position. Here is how to most effectively structure your work experience:
- List your most recent experience first, followed by earlier roles in reverse chronological order. Employers care about your most recent experience the most.
- Start with your job title, company name, city, and state on the left. Align dates in month and year format on the right-hand side.
- Include only recent, relevant jobs.
How to write claim processor experience bullet points
Effective job bullet points do more than just describe your job duties. Instead, they should be specific and measurable accomplishments. Here are some strategies to mastering job bullet points:
- Use strong action verbs like Led, Built, or Optimized.
- Follow up with numbers when possible to support your results. How much did performance improve? How much revenue did you drive?
- Wrap it up by explaining the actions you took to achieve the result and how you made an impact.
Here are examples from great claim processor resumes:
Work history example #1
Provider Services Representative
Asurion Protection Services
- Terminated - Due to failed weekly quiz Assistingconsumers by phone Solving tech-related problems Trouble-shooting Manage multiple applications running at the same time
- Talked to people with the patience and experience to genuinely help.
- Provided feedback to Initial Claims CSRs on how to handle future claims.
- Helped customers solve tech-related problems by troubleshooting technology.
- Demonstrated knowledge in Microsoft Office, PC, Mac, mobile phones, microcells and email clients.
Work history example #2
Provider Services Representative
American Health Care
- Cited for excellence in interpersonal communications, teamwork, customer service, and reliability.
- Developed e-mail database to facilitate effective pharmacy network communication.
- Followed up and appealed denied claims, pulled EOB's, corrected and resubmitted claims as necessary.
- Collected and balanced money, and followed HIPPA regulations.
- Completed Prior Authorizations through asking comprehensive questions while in accordance with HIPAA restrictions and guidelines.
Work history example #3
Auto Claims Adjuster
CNA Financial
- Mentored new adjusters and employees in the commercial auto department.
- Audited claim files and helped IHU adjusters uncover fraud or arson.
- Handled litigated and non-litigated JUA auto third party, PIP, and UM claims.
- Utilized Xactimate program for computerizedestimating.
- Called upon to service Catastrophe Unit by taking service status calls, reviewing and paying claims.
Work history example #4
Claim Processor
Blue Cross and Blue Shield of Florida
- Used EasyTrieve to produce CPT-4/ICD-9 code flat files for standard reports.
- Served as a support rep in the special unit (TCTS) Adjustments Confidential Records Management Medical Billing & Coding Experience
- Processed Medicare Part-B claims in the Office of Civil Rights department.
- Processed Medicare claims, maintained Outstanding Quality & Production levels, Facilitated meetings.
- Processed insurance claims for 40 major groups for a third-party processing subsidiary of BCBS.
Zippia’s AI can customize your resume for you.
Add an education section to your resume
- The highest degree you have achieved.
- TWhere you attended school, and the dates (Although if you graduated some time ago, leave the date off to avoid ageism)
- TField of study
- TAny honors, relevant coursework, achievements, or pertinent activities
Here are some examples of good education entries for resumes:
Bachelor's Degree in accounting
University of Houston, Houston, TX
1997 - 2000
Master's Degree in business
Pace University, New York, NY
2007 - 2008
Highlight your claim processor certifications on your resume
If you have any additional certifications or education-like achievements, add them to the education section.
To list, use the full name of the certification and the organization that issued it, along with the date of achievement.
If you have any of these certifications, be sure to include them on your claim processor resume:
- Certified Billing and Coding Specialist (CBCS)
- Certified Medical Office Manager (CMOM)
- Associate in Claims (AIC)
- Certified Coding Specialist (CCS)
- Dental Assistant (RDA)
- Associate in General Insurance (AINS)
- Certified Professional Coder (CPC)
- Chartered Property Casualty Underwriter (CPCU)
- Medical Administrative Specialist (CMAS)
- Certified Medical Insurance Specialist (CMIS)