Claims associate resume examples from 2026
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How to write a claims associate 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 claims associate-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 claims associate 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 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:
- 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.
- Include as many relevant hard skills and soft skills as possible from the listing.
- Use the most up to date and accurate terms. Don't forget to be specific.
Here are example skills to include in your “Area of Expertise” on a claims associate resume:
- Customer Service
- Medical Claims
- Phone Calls
- Claims Handling
- Insurance Claims
- Medical Terminology
- Inbound Calls
- Claims Process
- Claims Payments
- Auto Accidents
- Auto Claims
- Telephone Calls
- State Laws
- Outbound Calls
- HIPAA
- Communication Channels
- Telephone Inquiries
- Liability Decisions
- Insurance Contracts
- Insurance Carriers
- Police Reports
- Policy Coverage
- Medicaid
- Insurance Policies
- Loss Reports
- Hazardous Waste
- Meeting Quality Standards
- Customer Inquiries
- Hazardous Materials
- ICD-9
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How to structure your work experience
Your work experience should be structured:
- With your most recent roles first, followed by earlier roles in reverse chronological order.
- Job title, along with company name and location on the left.
- Put the corresponding dates of employment on the left side.
- Keep only relevant jobs on your work experience.
How to write claims associate 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 examples from great claims associate resumes:
Work history example #1
Claims Associate
UnitedHealth Group
- Worked independently as a telecommuter while maintaining a team mentality through effective communication with peers.
- Processed Medicaid claims, conferring with vendors and customer advocates to correct discrepancies and collect unpaid fees.
- Determined appropriate CPT and ICD-9 coding assignments.
- Processed SNF, Medicaid Inpatient and Outpatient, Dialysis and Medicare Part A & B using Diamond processing system.
- Ensured proper ICD-9 CM, CPT-4, and HCPCS codes were in use for specific services rendered, diagnosis and treatments.
Work history example #2
Claims Associate
UnitedHealth Group
- Analyzed Medicare and Medicaid claims as part of a team.
- Worked with Medicaid and Medicare claims as well as underpaid and overpaid claims.
- Ensured proper ICD-9 CM, CPT-4, and HCPCS codes were in use for specific services rendered, diagnosis and treatments.
- Achieved proficiency with CPT / ICD-9 codes, outpatient facility, and hospital revenue / HCPC codes.
- Worked independently as a telecommuter while maintaining a team mentality through effective communication with peers.
Work history example #3
Claims Account Specialist
NewYork-Presbyterian Queens
- Handled high volume data-entry for incoming correspondences from State-Government agencies such as Medicaid and Medicare.
- Ensured proper ICD-9 CM, CPT-4, and HCPCS codes were in use for specific services rendered, diagnosis and treatments.
- Developed and implemented communication system for Medicaid Therapy claims.
- Determined eligibility for bad-debt collections adhering to Medicare, Medicaid, and Commercial Billing guidelines.
- Processed payroll activity logs to ensure accuracy.
Work history example #4
Claims Associate
Sedgwick CMS Holdings
- Assisted unit managers/adjusters in daily operations & functions.
- Assisted in providing additional support to other claims adjusters as needed
- Assisted adjusters and supervisors with call volume, and overflow.
- Provided the Commissioners Office with documents such as subpoenas, attesting issues on denied claims, attorney and medical correspondence.
- Ordered police reports, set up appraisals, assisted with rentals, and initiated claims for adjusters.
Zippia’s AI can customize your resume for you.
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 from claims associate resumes:
High School Diploma
2002 - 2002
Highlight your claims associate certifications on your resume
If you have any additional certifications, add them to the certification section.
Start simple. Include the full name of the certification. It's also good to mention the organization that issued the certification. Next, specify when you obtained the certification.
If you have any of these certifications, be sure to include them on your claims associate resume:
- Certified Billing and Coding Specialist (CBCS)
- Associate in General Insurance (AINS)
- Associate in Claims (AIC)
- Certified Medical Office Manager (CMOM)
- Certified Professional, Life and Health Insurance Program (CPLHI)
- Certified Medical Interpreter - Spanish (CMI)
- International Accredited Business Accountant (IABA)