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Claims clerk skills for your resume and career

Updated January 8, 2025

4 min read

Below we've compiled a list of the most critical claims clerk skills. We ranked the top skills for claims clerks based on the percentage of resumes they appeared on. For example, 26.2% of claims clerk resumes contained data entry as a skill. Continue reading to find out what skills a claims clerk needs to be successful in the workplace.

15 claims clerk skills for your resume and career

1. Data Entry

Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.

Here's how claims clerks use data entry:

Provided administrative support to business operations by performing processing tasks such as data entry and scanning.
Evaluated, analyzed and data entry of incidents and claims concerning Medical Liability/Auto/Personal Lines Division.

2. 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 clerks use customer service:

Provided customer service to account holders, answered questions about medical eligibility, premium inquiries and information on general coverage.
Performed clerical duties with efficiency and accuracy Provided excellent customer service to internal and external clients

3. Clerical Support

Clerical support performs activities that must be done in every workplace in order to support the company going forward. These duties, which come within the category of clerical support, are typically delegated to entry-level employees since they are simple and easy to learn. Even though clerical duties like printing and filing are easy, they require time and in many instances, other workers are preoccupied with other activities and unable to keep up with all that needs to be accomplished. As a result, many businesses employ clerical support staff who are solely responsible for these duties.

Here's how claims clerks use clerical support:

Provided clerical support to the Hearing Coordinators and Hearing Representatives.
Provided clerical support to department engineers and engineering manager.

4. Computer System

Here's how claims clerks use computer system:

Filed subscribers insurance claim forms into computer system according to duplicate coverage information.
Corrected/converted subscribers personal data into computer system, maintain confidential records.

5. Medical Claims

Here's how claims clerks use medical claims:

Streamlined and reorganized processing methods for military medical claims to assure a more efficient processing manner.
Screened medical claims of Policyholders.

6. 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 clerks use process claims:

Collaborated with physician to process claims correctly.
Process claims for monthly returns, guarantee returns, dealer generated returns, core returns and damages.

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7. Insurance Claims

Here's how claims clerks use insurance claims:

Answered multiple-line phone system and assisted customers and insurance personnel with questions regarding insurance claims.
Processed insurance claims for a variety of medical professionals.

8. CPT

CPT is a medical term that stands for Current Procedural Terminology. Whenever a procedure like surgery or diagnosis occurs or some other medical service is rendered to a patient, it is reported to the concerned physician, insurance company, or organization. The aforementioned practice is widely referred to as CPT.

Here's how claims clerks use cpt:

Attend CPT, ICD-9, Coding, Medical Terminology training.
Audited paper claims for accuracy in CPT and ICD9 codes.

9. Office Equipment

Here's how claims clerks use office equipment:

Used other basic office equipment.
Demonstrated proficiency in the use of numerous technology advancements and other office equipment and machinery.

10. Claims Adjusters

Here's how claims clerks use claims adjusters:

Assisted claims adjusters with retrieving police reports, lost notices and records request.
Handled a high volume of calls for the companies 3 claims adjusters.

11. USPS

Here's how claims clerks use usps:

Mail and meter all outgoing correspondence (USPS, overnight, etc.)
Communicate with customers and provide appropriate claims forms via USPS or email.

12. UB

Here's how claims clerks use ub:

Opened and sorted mail by claim types (HCPA UB 92 and T18).

13. HCFA

Here's how claims clerks use hcfa:

Process paper claims including standard and non-standard HCFA 1500, UB92 and C4 paper claims.
Reviewed, scanned, and filed HCFA forms

14. Telephone Calls

Telephone calls are a communication means through which a caller is connected to the called party. The call is done through a telecommunications device called a telephone. The caller can use a landline, mobile phone, or satellite phone to make the call.

Here's how claims clerks use telephone calls:

Answer incoming telephone calls that include answering billing questions, file update questions, and claimants basic questions.
Received and placed telephone calls to/from units to correct claims and correspondence relating to court proceedings.

15. Medical Bills

Here's how claims clerks use medical bills:

Prepared and executed check runs for payments of workers' compensation and liability benefits including related attorney and medical bills.
Provided information to Texas Department of Health Caseworkers about medical bills used for the Medically Needy Program.

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List of claims clerk skills to add to your resume

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

Data Entry
Customer Service
Clerical Support
Computer System
Medical Claims
Process Claims
Insurance Claims
CPT
Office Equipment
Claims Adjusters
USPS
UB
HCFA
Telephone Calls
Medical Bills
Police Reports
Medicaid

Customer Inquiries
Insurance Policies
Social Security
ICD-9
Inbound Calls
Veterans
Compensation Claims
EOB
Claims System
Medical Terminology
Hippa
Word Processing
Telephone Inquiries
HIPAA
Paper Claims
Retrieve Data
Multi-Line Phone System

OCR
Claims Forms
Claims Data
AS400
CMS
Warranty Claims
Dental Claims
Customer Complaints
PowerPoint
Electronic Claims
Inventory Control
Mail Opening
FedEx
Claims Payments
Defective Merchandise

Updated January 8, 2025

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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