12 Claims Manager Resume Examples

Five Key Resume Tips For Writing A Claims Manager Resume:

1.
Relevant Experience
Make sure that the jobs, experience, and accolades that you include are relevant to the position you’re applying for.
2.
The Right Skills
This is a great time to run wild with those keywords from the job description. For example, if they’re looking for someone with experience in Customer Service, be sure to list it in your resume’s skills section.
3.
Quantifiable Achievements
Your workplace accomplishments tell the story of the unique value you bring to an organization. Stay away from dry descriptions of job duties. Use numbers to help contextualize your achievements..
4.
ATS-Friendly
An applicant tracking system (ATS) is a piece of software employers use to collect, scan, organize, and rank applications. The key to getting your resume past ATS and into the hands of hiring managers is smart keyword usage.
5.
Impeccable Formatting
Formatting a resume so that it looks professional and attractive is important. With Zippia’s resume builder, you can put together a modern-looking resume in less than 10 minutes. Just choose a resume template that suits your style, answer some questions about your background, and you’ll have a resume that’ll pass muster with both the ATS and the hiring manager.
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Zippia allows you to choose from different easy-to-use Claims Manager templates, and provides you with expert advice. Using the templates, you can rest assured that the structure and format of your Claims Manager resume is top notch. Choose a template with the colors, fonts & text sizes that are appropriate for your industry.

 
Philip Warren
Claims Manager
Contact Information
Philadelphia, PA
(860) 555-8235
pwarren@example.com
Skills
  • Financial Performance
  • Unit Staff
  • Credit Risk
  • Dialer System
  • Bankruptcy
  • Oversight
  • Patience
  • Delinquent Accounts
  • Special Projects
  • Vendor Invoices
 
 
Employment History
Claims Manager2011 - Present
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
Unit Manager2010 - 2011
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.
Collection Supervisor2007 - 2010
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.
Credit And Collections Analyst2004 - 2007
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.
Education
High School Diploma of null1998 - 1998
 
 
Teresa Wallace
Claims Manager
Contact Info
Brandon, FL
(670) 555-6873
twallace@example.com
Skills
Credit Reports
Contact Customers
Collection Staff
Medical Records
Conference Calls
Project Management
Loan Portfolio
Collection Practices
Customer Service
Procedures
Employment History
Claims Manager2018 - Present
ProgressiveBrandon, FL
  • Developed effective relationships with all call center departments through clear communication.
Team Manager2014 - 2018
Macy'sBrandon, FL
  • Generate weekly reports sent to business partners to offer real-time data for decision process.
  • Produced communication centers that hosted mailboxes, execution guides, signing and pricing information, and weekly business meetings.
  • Handled returns, customer complaints and enforced company policies and procedures.
Collection Supervisor2012 - 2014
HSBC North America HoldingsBrandon, FL
  • Located hard to find delinquent customers.
  • Adjust fees, review financial situations and arrange repayment programs for cardholders who communicate financial difficulties.
  • Analyzed customer accounts for best resolution, to resolve delinquency.
  • Created detailed business and performance plans to meet company goals.
  • Manage a queue of 30 to 89 day delinquent accounts.
Credit And Collections Analyst2004 - 2012
GC Services Limited PartnershipLakeland, FL
  • Make outbound calls Collected defaulted student loans on Government Contract
  • Analyzed prospective and current customers to determine credit worthiness utilizing Dun & Bradstreet, Riemer and financial statements.
  • Handle multiple phone calls on a daily basis with numerous customers.
  • Updated and maintain credit lines on specified set of accounts through financial statement reviews
Education
High School Diploma of null1998 - 1998
 
 
Melissa Ramirez
Claims Manager
Dallas, TX
(540) 555-7374
mramirez@example.com
Experience
Claims Manager2018 - Present
LibertyDallas, TX
  • Manage case load of 120-150 commercial bodily injury and property damage claims.
  • Implemented new processes and procedures that led to improved operational results.
  • Handled complex-call situations daily providing solutions collaborating with policyholders, third party insurance companies, and claimants.
  • Provide feedback and coach employees on performance and results; identify and promptly address performance management issues.
  • Understand Cigna Group Operations and Corporate Compliance, Polices and Procedures and best practices
Team Manager2011 - 2018
Bank of AmericaDallas, TX
  • Average Number of Direct Reports: 15 Managing a team of frontline mortgage collectors in an inbound/outbound call center environment.
  • Managed a team of 15 associates in a high volume, deadline driven modification center.
  • Supervised a team of employees that improved customer service and efficiency at the Eastern Hills Blood Collections Center.
Collection Supervisor2009 - 2011
Ford Motor CompanyDallas, TX
  • Monitored and interfaced with outsourced collection agency, assigned portfolio of accounts and ensured recovered payments were received and processed.
  • Reviewed and analyzed personal and business financial statements including corporate balance sheets and tax returns to make sound credit decisions.
  • Managed collections portfolio for leased vehicle contracts.
  • Collected and processed credit derogatoriness on delinquent accounts.
  • Tracked delinquent accounts and followed through to either payment or bad debt.
Credit And Collections Analyst2006 - 2009
AT&TDallas, TX
  • Process payments on customer accounts.
  • Assess credit risk and establish credit limits.
  • Suspend service on delinquent accounts .
  • Investigated and analyzed potential credit risks with Dun & Bradstreet.
Skills
Injury ClaimsUnit SupervisorsPerformance ManagementCareer DevelopmentCustomer ServiceCollection StaffPowerpointLogisticsPortfolioCollection Issues
Education
High School Diploma In null2000 - 2000
 
 
Heather Gibson
Claims Manager
Employment History
Claims Manager2020 - Present
Liberty MutualBoston, MA
  • Maintained consistent and professional communication in order to gather information.
  • Determine policy coverage through analyzing investigation data and policy terms, including whether claim will be approved or denied.
  • Adjudicated property damage claims including researching values and calculating depreciation as necessary after verifying appropriate policy coverage.
  • Authorize and make payments above authority levels of adjusters up to [ ] Assist adjusters in negotiating settlements when appropriate.
Claims Supervisor2016 - 2020
LibertyLynchburg, VA
  • Managed the regional training team which consists of 30 direct reports.
  • Review contracts, agreements, and medical records daily.
  • Handled PIP claims for States.
Claim Specialist2015 - 2016
State FarmBloomington, IL
  • Negotiated bodily injury settlements with the customer directly or with the customer's attorney.
  • Conducted prompt and thorough investigations of property damage auto insurance claims.
  • Verify accident facts and determine policy coverages.
  • Maintained a high level of performance through exceptional service and outstanding communication.
Bill Collector (Part-Time)2014 - 2015
Medical case managementMain, PA
  • Make payment arrangements and answer incoming patient calls Work with attorneys/ medical records and invoices
  • Posted incoming insurance and patient payments from the lockbox.Page2Processed all refund requests.
  • Arranged debt repayment schedules to accommodate consumer s financial situation.
  • Reconcile customer accounts and billing/payment discrepancies.
  • Update Computer systems with any changes to patient or insurance data to ensure accurate billing.
Education
Bachelor's Degree In Business2012 - 2015
Pennsylvania State UniversityMain, PA
 
 
Contact Information
Boston, MA
(330) 555-0080
hgibson@example.com
Skills
Claim Professionals
Company Policies
Direct Reports
Overdue Accounts
Hippa
File Audits
Workers Compensation
Claims Department
Data Entry
Financial Status
 
 
Donna Stone
Claims Manager
Chicago, IL
(810) 555-7882
dstone@example.com
Skills
Claims StaffInsurance CompaniesTreatment PlansAccount ManagementPertinent InformationBilling ProceduresTotal Loss ClaimsDisability ClaimsPatient CareAdjusters
 
 
Employment History
Claims Manager2019 - Present
American International GroupChicago, IL
  • Supervised up to ten claim adjusters.
  • Trained new total loss claim adjusters.
  • Investigated and settled bodily injury, property damage and personal injury protection suits.
Claims Adjuster2016 - 2019
ProgressiveAustin, TX
  • Handled auto claims from the initial report, investigation, and settlement of the loss.
  • Investigated auto claims by conducting recorded statements, accident scene investigations, obtaining and analyzing police reports, etc.
  • Interpret Policy coverages applicable on case by case basis.
  • Claim Adjuster and contact for the entire claim process for personal property automobile claims.
  • Negotiated settlements of bodily injury claims with claimants or their legal counsel.
  • Investigate and evaluate property damage claims including but not limited to total losses.
Billing Specialist2012 - 2016
Quest DiagnosticsSan Juan Capistrano, CA
  • Worked on special projects with managers to help reduce bad debt.
  • Respond to all inquiries relating to patient care from employers and other medical entities.
  • Work with ACIS computer system and RPM Salesforce in correlation.
  • Post denials to patients accounts from insurance companies.
Insurance Coordinator2008 - 2012
WalmartVisalia, CA
  • Maintain merchandise presentations in showcases and sales floor to bring in revenue.
  • Request of medical records and insurance audits.
Education
Some College Courses of Health Care Administration2003 - 2003
San Joaquin Valley CollegeVisalia, CA
 
 
Philip Warren
Claims Manager
Contact Information
Philadelphia, PA
(860) 555-8235
pwarren@example.com
Skills
  • Financial Performance
  • Unit Staff
  • Credit Risk
  • Dialer System
  • Bankruptcy
  • Oversight
  • Patience
  • Delinquent Accounts
  • Special Projects
  • Vendor Invoices
 
 
Employment History
Claims Manager2011 - Present
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
Unit Manager2010 - 2011
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.
Collection Supervisor2007 - 2010
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.
Credit And Collections Analyst2004 - 2007
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.
Education
High School Diploma of null1998 - 1998
 
 
Teresa Wallace
Claims Manager
Contact Info
Brandon, FL
(670) 555-6873
twallace@example.com
Skills
Credit Reports
Contact Customers
Collection Staff
Medical Records
Conference Calls
Project Management
Loan Portfolio
Collection Practices
Customer Service
Procedures
Employment History
Claims Manager2018 - Present
ProgressiveBrandon, FL
  • Developed effective relationships with all call center departments through clear communication.
Team Manager2014 - 2018
Macy'sBrandon, FL
  • Generate weekly reports sent to business partners to offer real-time data for decision process.
  • Produced communication centers that hosted mailboxes, execution guides, signing and pricing information, and weekly business meetings.
  • Handled returns, customer complaints and enforced company policies and procedures.
Collection Supervisor2012 - 2014
HSBC North America HoldingsBrandon, FL
  • Located hard to find delinquent customers.
  • Adjust fees, review financial situations and arrange repayment programs for cardholders who communicate financial difficulties.
  • Analyzed customer accounts for best resolution, to resolve delinquency.
  • Created detailed business and performance plans to meet company goals.
  • Manage a queue of 30 to 89 day delinquent accounts.
Credit And Collections Analyst2004 - 2012
GC Services Limited PartnershipLakeland, FL
  • Make outbound calls Collected defaulted student loans on Government Contract
  • Analyzed prospective and current customers to determine credit worthiness utilizing Dun & Bradstreet, Riemer and financial statements.
  • Handle multiple phone calls on a daily basis with numerous customers.
  • Updated and maintain credit lines on specified set of accounts through financial statement reviews
Education
High School Diploma of null1998 - 1998
 

What Should Be Included In A Claims Manager Resume

1

1. Add Contact Information To Your Claims Manager Resume

Your name should be the biggest text on the page and be at or near the top of the document.

Your address doesn't need to include your street name or house number - listing your city and state works just fine.

Your email address should be professional, but not your current work email address. It's not a good look to use your work email for personal projects (job-searching).

Your social media can be included if you have a fully-fledged LinkedIn page or another social media page that showcases your relevant skill set.

Claims Manager Resume Contact Information Example #1
DHRUV JOHNSON
d.johnson@email.com | 333-111-2222 | www.linkedin.com/in/dhruv-johnson

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2

2. Add Your Relevant Education To The Resume

Your resume's education section should include:

  • The name of your school
  • The date you graduated (Month, Year or Year are both appropriate)
  • The name of your degree
If you graduated more than 15 years ago, you should consider dropping your graduation date to avoid age discrimination.

Optional subsections for your education section include:

  • Academic awards (Dean's List, Latin honors, etc. )
  • GPA (if you're a recent graduate and your GPA was 3.5+)
  • Extra certifications
  • Academic projects (thesis, dissertation, etc.)

Other tips to consider when writing your education section include:

  • If you're a recent graduate, you might opt to place your education section above your experience section
  • The more work experience you get, the shorter your education section should be
  • List your education in reverse chronological order, with your most recent and high-ranking degrees first
  • If you haven't graduated yet, you can include "Expected graduation date" to the entry for that school

Majors
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Claims Manager Resume Relevant Education Example #1
High School Diploma 2014 - 2016
Claims Manager Resume Relevant Education Example #2
High School Diploma 2014 - 2016
3

3. Next, Create A Claims Manager Skills Section On Your Resume

Your resume's skills section should include the most important keywords from the job description, as long as you actually have those skills. If you haven't started your job search yet, you can look over resumes to get an idea of what skills are the most important.

Here are some tips to keep in mind when writing your resume's skills section:

  • Include 6-12 skills, in bullet point form
  • List mostly hard skills; soft skills are hard to test
  • Emphasize the skills that are most important for the job
Hard skills are generally more important to hiring managers because they relate to on-the-job knowledge and specific experience with a certain technology or process.

Soft skills are also valuable, as they're highly transferable and make you a great person to work alongside, but they're impossible to prove on a resume.

Top Skills for a Claims Manager
Source: Zippia.com
Not sure which skills are really important?
3 Big Tips For Listing Skills On Your Resume
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4

4. List Your Claims Manager Experience

The most important part of any resume is the experience section. Recruiters and hiring managers expect to see your experience listed in reverse chronological order, meaning that you should begin with your most recent experience and then work backwards.

Don't just list your job duties below each job entry. Instead, make sure most of your bullet points discuss impressive achievements from your past positions. Whenever you can, use numbers to contextualize your accomplishments for the hiring manager reading your resume.

It's okay if you can't include exact percentages or dollar figures. There's a big difference even between saying "Managed a team of engineers" and "Managed a team of 6 engineers over a 9-month project."

Most importantly, make sure that the experience you include is relevant to the job you're applying for. Use the job description to ensure that each bullet point on your resume is appropriate and helpful.


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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5

5. Highlight Your Claims Manager Certifications On Resume

Certifications can be a powerful tool to show employers that you know your stuff. If you have any of these certifications, make sure to put them on your claims manager resume:

  1. Associate in Claims (AIC)
  2. Chartered Property Casualty Underwriter (CPCU)
  3. Associate in Risk Management (ARM)
  4. Associate in Insurance Services (AIS)
  5. Certified Manager Certification (CM)
  6. Certified Personal Chef (CPC)
  7. Associate in Management (AIM)
  8. Certified Medical Reimbursement Specialist (CMRS)
  9. Certified Medical Office Manager (CMOM)

6

6. Finally, Add A Summary Or Objective Statement

A resume summary statement is a 1-3 sentence spiel at the top of your resume that quickly summarizes who you are and what you have to offer. In this section, include your job title, years of experience (if it's 3+), and an impressive accomplishment, if you have space for it.

Remember to address skills and experiences that are emphasized in the job description.

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Updated October 6, 2021