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Claim specialist resume examples from 2026

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Land interviews using Zippia's AI-powered resume builder.

Updated March 26, 2025
6 min read
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How to write a claim specialist resume

Craft a resume summary statement

Your 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 writing the most important 2-4 sentences of your resume:

Step 1: Mention your current job title or the role you're pursuing.

Step 2: Include your years of experience in claim specialist-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.

Hiring managers spend under a minute reviewing resumes on average. This means your summary needs to demonstrate your value quickly and show why you are the perfect fit for the claim specialist position.

Please upload your resume so Zippia’s job hunt AI can draft a summary statement for you.

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List the right project manager skills

Your Skills section is an easy way to let recruiters know you have the skills to do the job. Just as importantly, it can help your resume not get filtered out by hiring software. Here is how to make the most of your skills section and make sure you have the right keywords:

  1. You often need to include the exact keywords from the job description in your resume. Look at the job listing and consider which of the listed skills you have experience with, along with related skills.
  2. Include as many relevant hard skills and soft skills as possible from the listing.
  3. Use the most up to date and accurate terms. Don't forget to be specific.
These five steps should give you a strong elevator pitch and land you some claim specialist interviews.

Here are example skills to include in your “Area of Expertise” on a claim specialist resume:

  • Customer Service
  • Litigation
  • Patients
  • Claims Handling
  • Quality Standards
  • Excellent Organizational
  • Medical Terminology
  • Excellent Interpersonal
  • Coverage Issues
  • Data Entry
  • Insurance Policies
  • Insurance Claims
  • Defense Counsel
  • CPT
  • Insurance Carriers
  • Medicaid
  • Claims Processing
  • Insurance Coverage
  • Policy Coverage
  • HIPAA
  • Auto Claims
  • Compensation Claims
  • Bodily Injury Claims
  • Arbitration
  • Xactimate
  • Medical Claims
  • Inbound Calls
  • SIU
  • Disability Claims
  • Outbound Calls

Zippia’s AI can customize your resume for you.

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How to structure your work experience

Next you should include your work experience. Structure your work experience section by listing your most recent experience first, followed by earlier roles in reverse chronological order.

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. Avoid including work experience over 20 years to avoid ageism.

Beneath each job, you should have bullet points to emphasize why you're the perfect fit for the claim specialist.

How to write claim specialist experience bullet points

Remember, your resume is not a list of responsibilities or a job description. This is your chance to show why you're good at your job and what you accomplished.

Use the XYZ formula for your work experience bullet points. Here's how it works:

  • 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.

This creates bullet points that read Achieved X, measured by Y, by doing Z.

Here are effective examples from claim specialist resumes:

Work history example #1

Claims Service Representative (Part-Time)

24 Hour Fitness

  • Supervised Point of Sales (POS) operations and filed daily and weekly club revenue reports.
  • Operated POS system and reported all incoming or outgoing transactions.
  • Initiated marketing throughout the two-story club.
  • Utilized Internet email as an effective communication tool.
  • Provided personal exercise regimens for each of my clients based on their goals and personal health information.

Work history example #2

Liability Claims Representative

State Farm

  • Handled auto injury claims and claims in litigation providing effective communication with attorneys and customers.
  • Worked cross-functionally to ensure team goals were achieved and provided excellent communication and customer service to clients.
  • Developed effective relationships with all call center departments through clear communication.
  • Facilitated the insurance claims process through clear communication of coverage and policy issues.
  • Excelled at oral and written communication; time management.

Work history example #3

Claim Specialist

State Farm

  • Reviewed and investigated claims as part of an SIU team.
  • Facilitated communication between customers, agents, vendors, third party administrators and other employees.
  • Responded to 3rd party arbitration via written communication from Arbitration Forums.
  • Handled auto injury claims and claims in litigation providing effective communication with attorneys and customers.
  • Focused on adaptability, communication, teamwork, accountability, customer focus, and quality.

Work history example #4

Medical Claims Specialist

STERLING MED

  • Educated in Medical Terminology, EOB\'s, Remittances, CPT and ICD9 & ICD10.Worked independently and as a team member.
  • Verified data entry for patient and practice information along with the proper CPT and ICD-9 codes to assure accurate claim submissions.
  • Generated calibration and maintenance procedures and certificates, data sheets and SOP's.
  • Researched EOB/COB Mailed out itemized statements.
  • Processed payments for Medicaid claims.

Zippia’s AI can customize your resume for you.

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Add an education section to your resume

The education section should display your highest degree first.

Place your education section appropriately on your resume. If you graduated over 5 years ago, this section should be at the bottom of your resume. If you just graduated and lack relevant work experience, the education section should go to the top.

If you have a bachelor's or master's degree, do not list your high school education. If your graduation year is more than 15-20 years ago, it's better not to include dates in this section.

Here are some examples of good education entries for resumes:

Master's Degree in business

American InterContinental University, Chandler, AZ

2009 - 2010

Highlight your claim specialist certifications on your resume

Certifications can be a crucial part of your resume. Many jobs have required certifications.

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 specialist resume:

  1. Certified Billing and Coding Specialist (CBCS)
  2. Associate in Claims (AIC)
  3. Chartered Property Casualty Underwriter (CPCU)
  4. Associate in General Insurance (AINS)
  5. Certified Coding Specialist (CCS)
  6. Certified Personal Chef (CPC)
  7. Certified Medical Insurance Specialist (CMIS)
  8. Certified Medical Interpreter - Spanish (CMI)
  9. International Accredited Business Accountant (IABA)
  10. Associate, Life and Health Claims (ALHC)

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