Claims manager resume examples from 2025

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Updated March 26, 2025

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Claims manager resume

Philip Warren

(860) 555-8235 | pwarren@example.com

Philadelphia, PA | 38924 W. Maple Ln. - 54676

Work experience

2011 - Present
Claims Manager, Cigna - Philadelphia, PA
- Ensured Waiver of Premium and Stable And Mature procedures were followed.
- General knowledge of third party payers, collection laws and procedures.
- Conducted monthly file reviews for each claim analyst to ensure compliance, quality, and financial standards were achieved.
- Make timely and accurate decisions while following all compliance policies and procedures and company standards.
- Understand Cigna Group Operations and Corporate Compliance, Polices and Procedures and best practices
2010 - 2011
Unit Manager, Credit Central - Birmingham, AL
- Streamlined procedures and established formalized training program.
- Coordinate development of departmental procedures related to these guidelines.
- Assisted with Marketing, to promote growth in the agency and provided community health careeducation offerings.
2007 - 2010
Collection Supervisor, Credit Central - Birmingham, AL
- Audited accounts worked by team members to ensure a consistent workflow and followed FDCPA & NCUA practices.
- Managed 22 collectors and 2 team leaders on $350MM credit card portfolio.
- Contacted customers regarding delinquent accounts using manual and automated dialing system.
- Followed strict internal compliance codes as well as adhere to FDCPA regulations.
2004 - 2007
Credit And Collections Analyst, EGS Financial Care - Birmingham, AL
- Contacted customers regarding delinquent accounts using manual and automated dialing system.
- Analyzed project portfolio to proactively set priorities in collection efforts.
- Updated customer accounts information, recognized potential high risk accounts developed techniques on how to successfully deal with them.
- Perform in house and off site due diligence reviews of loan portfolios.

Skills

Financial Performance
Unit Staff
Credit Risk
Dialer System
Bankruptcy
Oversight
Patience
Delinquent Accounts
Special Projects
Vendor Invoices

Education

High School Diploma, (1998 - 1998)
,

Liability claims manager resume

Edward Willis

Liability Claims Manager

(950) 555-4741 | ewillis@example.com

Oakbrook Terrace, IL | 37858 S. Oak Rd. - 64969

Work experience

2011 - Present
Liability Claims Manager, The Hartford - Oakbrook Terrace, IL
- Coordinate meetings with supervisors, management, and adjusters providing exceptional project management and claim settlements.
- Manage the behavioral health disability claims unit of a major insurance company.
- Negotiated with plaintiff attorneys regarding bodily injury settlements.
2007 - 2011
Adjuster, CNA Financial - Oakbrook Terrace, IL
- Assist adjusters with workers comp claims Taking inbound calls / outbound calls.
- Adjusted Commercial and Personal Lines Automobile, General Liability, Products Liability Bodily Injury and Property Damage claims.
- Negotiated settlement with attorneys and claimants in bodily injury and PIP claims up to 25,000 dollars.
- Reviewed and prepared estimates for damaged vehicles; negotiated prices with repair facilities; analyzed coverage and formulated settlement strategies.
2000 - 2007
Claims Adjuster, CNA Financial - Oakbrook Terrace, IL
- Review policy coverage and claims documentation to determine if coverage applies.
- Assist adjusters with workers comp claims Taking inbound calls / outbound calls.
- Investigated, negotiated and settled first and third-party total loss claims Communicated with numerous banks and obtained payoff figures on total losses
- Collect evidence and interview all parties involved in personal injury claim.
1999 - 2000
Sales Agent, Air Serv - Oakbrook Terrace, IL
- Demonstrated mastery of best practices in overview of product knowledge, presentation, and customer support for the Kirby Inc. brand.
- Trained new customer sales representatives.

Skills

Claims Staff
Insurance Companies
Coverage Applies
Total Loss Claims
Communication
Allstate
Business Partners
Open Houses
External Departments
Adjusters

Education

Bachelor's Degree, Business (1996 - 1999)
DeVry University
Oakbrook Terrace,

How to write a claims manager 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: Start with your professional title, or the one you aspire to.

Step 2: Detail your years of experience in claims manager-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.

Hiring managers spend under a minute reviewing resumes on average. This means your summary needs to demonstrate your value quickly and show why you are the perfect fit for the claims manager position.

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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.

These five steps should give you a strong elevator pitch and land you some claims manager interviews.

Here are example skills to include in your “Area of Expertise” on a claims manager resume:

Customer Service
Oversight
Litigation
Direct Reports
Claims Handling
Insurance Claims
General Liability
Claims Adjusters
Process Claims
Term Disability

Performance Management
Liability Claims
Quality Standards
Medicaid
TPA
Defense Counsel
Litigation Management
HR
Process Improvement
Performance Reviews

Disability Claims
Insurance Carriers
Auto Liability
Arbitration
Bodily Injury Claims
Workers Compensation Claims
Manage Claims
Settlement Authority
Medical Claims
CPT

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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 manager experience bullet points

Your resume is not a list of responsibilities or a job description. Instead, it is your chance to show your accomplishments and show why you're good at what you do.

Use the What, How, and Why format. Answering these questions turns a bland job description into an effective showcase of your abilities.
What were your responsibilities or goals?
How did you accomplish them?
Why were your results important? (How did it impact your company? Can you quantify the results in numbers? )

Here are effective examples from claims manager resumes:

Work history example #1

Property Adjuster

Humana

Utilized and referenced ICD-9, CPT-4, and HCPC codes to ensure proper processing.
Received and utilized extensive training in the Medicare HMO industry, CPT and ICD9 coding.
Detailed reporting based upon information gathered through on-site inspecting and communication with clients.
Worked Catastrophe sites in both Baltimore, MD and Houston, TX.
Created and implemented the policies, procedures and the framework for the SIU to maximize productive and efficient investigations.

Work history example #2

Support Representative

Quest Diagnostics

Resolved everyday problems that occur with orders through internal investigations and client communication.
Processed client supply orders through a variety of communication mechanisms.
Maintained patient confidentiality and followed HIPAA Guidelines.
Participated in the development of program promotional and communications plans, material and activities, per contractual requirements.

Work history example #3

Client Service Associate

ACE Cash Express

Provided professional and courteous customer service to customers in addition to excellence in communication.
Compiled and maintained monetary reports and records; successfully handled weekly cash deliveries and redeposit.
Provided compliance support to management, reviewing new legislation and tailoring procedures to ensure compliance.
Delivered superior client experience while maintaining an effective technical environment by assuming dual roles as BTL and CSA.
Provided training to Financial Services Consultants and Financial Service Representatives on bank policies and procedures.

Work history example #4

Human Resources Assistant

Aramark

Processed New Hire paperwork; prepared and followed up on background checks, drug screens and I-9 documentation.
Utilized KRONOS and ADP to import and process payroll.
Refined company policies and procedures ref as regarding worker eligibility and minimizing risk of dual employment clause.
Reviewed candidate applications, provide personnel interviews, and make recommendations to extend employment opportunities; including promotions for supervisory positions.
Maintained office services by organizing office operations and procedures; designing filing systems and executing clerical functions.

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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 for resumes:

High School Diploma

1998 - 1998

Highlight your claims manager certifications on your resume

Certifications can be a crucial part of your resume. Many jobs have required certifications.

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 manager resume:

Associate in Claims (AIC)
Chartered Property Casualty Underwriter (CPCU)
Associate in Risk Management (ARM)
Associate in Insurance Services (AIS)
Certified Manager Certification (CM)
Certified Personal Chef (CPC)
Associate in Management (AIM)
Certified Medical Reimbursement Specialist (CMRS)
Certified Medical Office Manager (CMOM)

Updated March 26, 2025

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