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Claims account manager skills for your resume and career

Updated January 8, 2025
4 min read
Below we've compiled a list of the most critical claims account manager skills. We ranked the top skills for claims account managers based on the percentage of resumes they appeared on. For example, 16.6% of claims account manager resumes contained workers compensation as a skill. Continue reading to find out what skills a claims account manager needs to be successful in the workplace.

15 claims account manager skills for your resume and career

1. Workers Compensation

Here's how claims account managers use workers compensation:
  • Review of clients payroll reporting to the Bureau of workers compensation.
  • Managed Texas Workers Compensation claims for multiple TPA third party administrators.

2. TPA

Here's how claims account managers use tpa:
  • Monitor, manage and provide direction to the TPA on losses that meet the Arch reporting criteria.
  • Managed complex service inquiries and coordinated action among multiple departments for brokers and TPA's.

3. Account Management

The process of strengthening the relationship between a company and client is called account management. Effective account management has two key objectives, one is to retain loyal customers and the second one is to help the company grow by creating connections with new customers.

Here's how claims account managers use account management:
  • Direct responsibility for claims management, audit, TPAoversight, and account management.
  • Specialized in communications security operational account management.

4. Claims Handling

Here's how claims account managers use claims handling:
  • Position: Claims Account Manager - Miscellaneous Professional Liability Complete claims handling of @300 primary Errors and Omissions claims.
  • Monitored and maintained claims handling, reserve analysis and case management for 15 entities.

5. Customer Service

Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.

Here's how claims account managers use customer service:
  • Build relationships with employers by providing excellent customer service.
  • Implemented customer services training for new recruits

6. Insurance Carriers

Here's how claims account managers use insurance carriers:
  • Facilitated a $60 million general liability settlement involving multiple excess insurance carriers.
  • Served as liaison between insurance carriers, field personnel and senior management.

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7. Party Administrators

Here's how claims account managers use party administrators:
  • Managed sales and servicing relationships with seven Third Party Administrators.
  • Communicate with internal/external business partners and Third Party Administrators.

8. National Accounts

Here's how claims account managers use national accounts:
  • Coordinated ongoing client and broker relations for U.S. multinational accounts.

9. Claims Management

Here's how claims account managers use claims management:
  • Reorganized the Claims Management staff to eliminate competition and encourage collaborative practices in the department to improve efficiency and teamwork.
  • Developed and implemented claims management procedures and strategies for clients in Manufacturing, Retail and Service oriented businesses.

10. Liability Claims

Liability claims are insurance claims where the insured is accused of holding responsibility for some damage or loss. Upon hearing or receiving the accusations, the insured reaches out to his or her insurance company for financial or other assistance, at which point the insurance company would determine whether the damage or loss is covered by the insured's policy. If covered, the insurance company may conduct an investigation or manage and legal processes for the insured.

Here's how claims account managers use liability claims:
  • Direct handling auto, general and professional liability claims for several municipalities.
  • Adjusted Commercial Auto liability claims for national trucking companies.

11. Process Claims

Process claims refers to the procedure an insurance agent follows once receiving a claim from an insured individual. This often includes reviewing, investigating, and deciding on whether the claim will be accepted or denied depending on the results of the insurer's investigation. This is a common procedure for all kinds of insurance including medical, auto, and liability insurance.

Here's how claims account managers use process claims:
  • Analyze and process claims within benefit parameters
  • Process claims for defective/unwanted merchandise, process credit upon return of same.

12. Commercial Property

Here's how claims account managers use commercial property:
  • Directed the investigation, evaluation, negotiation and resolution of Commercial Liability and Commercial Property claims.
  • Oversee local offices Commercial Property Claims in excess of $250,000.

13. Medicaid

Here's how claims account managers use medicaid:
  • Worked with some Medicare and managed care of both Medicaid and Medicare Worked with numerous Workmen's Compensation and Liability.
  • Reviewed Medicare and Nebraska Medicaid claims to ensure accuracy prior to adjudication and payment.

14. Policy Changes

Here's how claims account managers use policy changes:
  • Process policy changes and follow-up with carriers until endorsements received.
  • Reported policy changes and company conditions affecting customer satisfaction.

15. Financial Reports

Here's how claims account managers use financial reports:
  • Assisted tribal members with claims applications Trained on MIP government software system Ran financial reports and cut checks for claims/education
  • Carry out annual financial/credit analysis for each company based on their published financial reports and other market information.
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List of claims account manager skills to add to your resume

The most important skills for a claims account manager resume and required skills for a claims account manager to have include:

  • Workers Compensation
  • TPA
  • Account Management
  • Claims Handling
  • Customer Service
  • Insurance Carriers
  • Party Administrators
  • National Accounts
  • Claims Management
  • Liability Claims
  • Process Claims
  • Commercial Property
  • Medicaid
  • Policy Changes
  • Financial Reports
  • Medical Claims
  • Oversight
  • Defense Counsel
  • Claims Issues
  • Coverage Issues
  • Billing Issues
  • Compensation Claims
  • Property Damage
  • Pending Claims
  • Risk Management
  • Account Balances
  • Insurance Coverage
  • Property Claims
  • Journal Entries

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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