Claims Analyst resume examples for 2025
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How to write a claims analyst resume
Craft a resume summary statement
A resume summary is your opening statement that highlights your strongest skills and top accomplishments. It is your chance to quickly let recruiters know who you are professionally - and why they should hire you for the claims analyst role.
Step 1: Start with your professional title, or the one you aspire to.
Step 2: Detail your years of experience in claims analyst-related roles and your industry experience.
Step 3: What are your biggest professional wins? Here is your opportunity to highlight your strongest accomplishments by placing them at the start of your resume.
Step 4: Don't forget, your goal is to summarize your experience. Keep it short and sweet, so it's easy for recruiters to quickly understand why you're a great hire.
These four steps should give you a strong elevator pitch and land you some claims analyst interviews.Hi, I'm Zippi, your job search robot. Let me write a first draft of your summary statement.
List the right project manager skills
Many resumes are filtered out by hiring software before a human eye ever sees them. A robust Skills section can let recruiters (and bots) know you have the skills to do the job. Here is how to make the most of your skills section:
- Look at the job listing and skills listed. You need to include the exact keywords from the job description to get your resume in front of an actual human. Do you have those skills? Fantastic! Be sure to list them.
- Include as many relevant hard or technical claims analyst skills as possible for each job you apply to.
- Be specific with the skills you have and be sure you are using the most up to date and accurate terms.
Here are example skills to include in your “Area of Expertise” on a claims analyst resume:
- Customer Service
- Medical Terminology
- CPT
- Process Claims
- Medicaid
- Data Entry
- Health Insurance
- Bank Procedures
- Medical Claims
- Claims Issues
- Quality Standards
- HCPCS
- Medical Billing
- Insurance Claims
- Computer System
- ICD-9
- HIPAA
- Insurance Coverage
- CMS
- COB
- Fraud Claims
- Outbound Calls
- Disability Claims
- TPA
- Insurance Carriers
- Dental Claims
- Fee Schedules
- Hippa
- Policy Provisions
- HMO
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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 claims analyst.
How to write claims analyst 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 effective examples from claims analyst resumes:
Work History Example #1
Claim Processor
Prudential Financial
- Reviewed claims and extract information for processing to ensure proper payment was received to beneficiary.
- Assigned appropriate payment to individual policy holders.
- Processed Medicare claims, maintained Outstanding Quality & Production levels, Facilitated meetings.
- Utilized knowledge of medical terminology, ICD-9 & CPT coding to resolve claim issues.
- Negotiated settlements with responsible parties through direct communications, arbitration, mediation and litigation.
Work History Example #2
Claims Analyst
Bank of America
- Resolved customer problems concerning ATM, debit card and ACH claims as well as other consumer and small business banking issues.
- Communicated with Customers, Banking Centers, ATM Technicians and Line of Business partners to research and resolve claims for customers.
- Completed training in Oscar, BOSS, and CCMS along with other internal claims programs.
- Received incoming calls and assisted customers with fraudulent issues regarding their checking/savings/ATM/debit card accounts.
- Co-facilitated CCMS pilot training to associates/managers.
Work History Example #3
Insurance Verification Representative
National Imaging Resources
- Received pre-authorization requests for radiology procedures for designated health plans from referring physician offices via telephone, utilizing the Informa System.
- Verified insurance billing information Posted patients co- payments Knowledge of CPT coding, ICD-9 coding and medical terminology.
- Obtained a strong understanding of 9&10/CPT coding and modifiers.
- Solicited personal private medical information from patients while practicing HIPPA.
- Confirmed the identity of the credit card holder on internet and telephone orders.
Work History Example #4
Personal Lines Underwriter
Wells Fargo
- Audited foreclosures eliminating fraud as a cause.
- Maintained NON-CONFORMING / JUMBO lending authority.
- Offered loan modifications, HAMP plans, repayment plans, and other options to borrowers.
- Investigated potential property flipping schemes with review of title reports, hud-1 settlement statements, and quit claim deeds.
- Reviewed credit policies and validated income calculations for team members and gave recommendations prior to finalizing loan modifications decisions.
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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 from claims analyst resumes:
Bachelor's Degree In Business
Liberty University, Lynchburg, VA
2007 - 2010
Highlight your claims analyst certifications on your resume
If you have any additional certifications or education-like achievements, add them to the education section.
Include the full name of the certification, along with the name of the issuing organization and date of obtainment.
If you have any of these certifications, be sure to include them on your claims analyst resume:
- Associate in Claims (AIC)
- International Accredited Business Accountant (IABA)
- Associate in General Insurance (AINS)
- Certified Medical Office Manager (CMOM)
- Certified Medical Insurance Specialist (CMIS)
- Certified Professional, Life and Health Insurance Program (CPLHI)
- Certified Professional Coder (CPC)
- Managed Healthcare Professional (MHP)
- Nationally Certified Insurance and Coding Specialist (NCICS)