Claims coordinator resume examples from 2026
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How to write a claims coordinator resume
Craft a resume summary statement
A well-written resume summary is basically an elevator pitch. You are summing up your skills and experience in a few sentences to wow recruiters, hiring managers, and decision makers into giving you an interview. Here are some tips to putting your best foot first with your resume summary:
Step 1: Mention your current job title or the role you're pursuing.
Step 2: Include your years of experience in claims coordinator-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 tips will help you demonstrate why you are the perfect fit for the claims coordinator position.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 a place to list all relevant skills and abilities. Here is how to make the most of your skills section and make sure you have the right keywords:
- Start with the job listing. Frequently, the keywords looked for by recruiters will be listed. Be careful to include all skills in the job listing you have experience with.
- Consider all the software and tools you use on a daily basis. When in doubt, list them!
- Make sure you use accurate and up to date terms for all the skills listed.
Here are example skills to include in your “Area of Expertise” on a claims coordinator resume:
- Customer Service
- Patients
- Data Entry
- Phone Calls
- Insurance Claims
- Quality Standards
- Medicaid
- CPT
- CMS
- Medical Claims
- Appeals
- Medical Necessity
- Claims Handling
- Process Claims
- Insurance Adjusters
- Litigation
- Claims Management
- ICD-9
- Management System
- Insurance Carriers
- TPA
- HIPAA
- Computer System
- Customer Claims
- Insurance Coverage
- Outbound Calls
- Customer Complaints
- Freight Claims
- Policy Holders
- Defense Counsel
Zippia’s AI can customize your resume for you.
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 coordinator.
How to write claims coordinator experience bullet points
Your resume is your chance to show your biggest accomplishments. Don't just list your job responsibilities, instead take the opportunity to show why you're really good at what you do. Here is how you do that:
- Start with strong action verbs like managed, spearheaded, created, etc. Your goal is to show what you did and verbs will help demonstrate your contributions.
- Use numbers to quantify your achievements. Did you save time with a new report? Increase revenue? How large was the team you managed?
- Keep it concise. You're highlighting your achievements. Consider if all details you are sharing are relevant, or can be written more efficiently.
Here are great bullet points from claims coordinator resumes:
Work history example #1
Claims Administrator
Auto-Owners Insurance
- Verified accident facts, determined GEICO's liability and made decisions regarding claim payments.
- Reduced company claims payment expenses through thorough coordination of benefit investigations.
- Completed training modules for CPT codes and billing procedures.
- Maintained heavy correspondence with customers, providers, adjusters, and legal services while maintaining high level of professionalism.
- Implemented HIPAA regulations to protect patient privacy.
Work history example #2
Claims Service Assistant
BlueCross BlueShield of South Carolina
- Reviewed claims for correct provider ICD-9 and CPT-4 coding information regarding appropriateness of reported services and billing.
- Entered claims into computer utilizing knowledge of CPT, ICD-9 codes and medical terminology.
- Verified correct ICD-9 codes were used correctly.
- Recommended multiple process improvements to upper management leading to improved communication with members, third party carriers, providers and attorneys.
- Assisted and supported workers' compensation and general liability adjusters.
Work history example #3
Claims Service Specialist
Kohl's
- Developed strong communication and relationships with vendors and corporate buying office regarding specific needs, opportunities, and growth opportunities.
- Received promotion to CSR-III position on roll-out team for new division within rapidly evolving department.
- Reported overages, shortages, and damaged materials according to established procedures.
- Assisted customers in completing monetary accounting functions to appropriate accounts through online bill pay/ internet memberships.
- Promoted to lead electronics service specialist for diagnostics, troubleshooting of electronic equipment and major computer components.
Work history example #4
Claims Coordinator
State Farm
- Participated as a member of the Northeast Catastrophe Contact Team, assisted with homeowner's losses after a Catastrophe was declared.
- Responded to 3rd party arbitration via written communication from Arbitration Forums.
- Traveled extensively across US to support area representatives in filing high-volume claims during major catastrophes and weather events.
- Communicated with customers and associates via telephone and other communications channels.
- Demonstrated Competencies: Quality, Decision Making and Judgment, Communication
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 coordinator resumes:
Bachelor's Degree in business
California State University - San Bernardino, San Bernardino, CA
2011 - 2014
Bachelor's Degree in business
University of Maryland - College Park, College Park, MD
2006 - 2009
Highlight your claims coordinator certifications on your resume
Certifications can be a crucial part of your resume. Many jobs have required certifications.
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 coordinator resume:
- Certified Billing and Coding Specialist (CBCS)
- Associate in General Insurance (AINS)