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Claims service specialist skills for your resume and career

Updated January 8, 2025

3 min read

Quoted expert

Elisha Blankson

Below we've compiled a list of the most critical claims service specialist skills. We ranked the top skills for claims service specialists based on the percentage of resumes they appeared on. For example, 12.3% of claims service specialist resumes contained customer service as a skill. Continue reading to find out what skills a claims service specialist needs to be successful in the workplace.

15 claims service specialist skills for your resume and career

1. 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 service specialists use customer service:

Support team supervisor with overseeing reporting Customer Service Representatives, acting in supervisory role in supervisor's absence.
Provided quality control and verification of data received and consistently met/exceeded customer service and Iron Mountain standard.

2. 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 service specialists use process claims:

Process claims for new groups after plan has been built; testing benefits for accuracy and efficiency.
Provided assistance to claim managers to process claims by sending faxes, completing copies and phone calls.

3. 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 service specialists use data entry:

Specialized in policy claims assignments Answer high-volume phone calls while inputting recorded data entry Answering questions regarding policy, procedures remaining professional
Performed extensive data entry into computer system.

4. Auto Claims

Auto claims are claims made to insurance companies or firms in cases of accidents, collisions, or damages to determine payments made. Insurance companies hire auto claim adjusters to help inspect, assess, and determine the state of damager on an auto vehicle and the costs that would incur.

Here's how claims service specialists use auto claims:

Perform clerical and administrative duties related to auto claims
Processed auto claims and conducted auto accident investigations.

5. 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 service specialists use telephone calls:

Received, screened, and routed high volume of incoming telephone calls and other electronic correspondence.
Answer claims customer telephone calls within a phone queue.

6. Strong Analytical

Here's how claims service specialists use strong analytical:

Demonstrate strong analytical skills, and the ability to produce great claim work

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7. Insurance Claims

Here's how claims service specialists use insurance claims:

Corresponded with medical, legal, government, and internal personnel to efficiently and accurately process medical insurance claims.
Investigated complaints regarding health insurance claims for accuracy of implementation of corporate guidelines.

8. Inbound Calls

Here's how claims service specialists use inbound calls:

Received inbound calls from policy holders regarding status & payments on claims.
Received 50+ inbound calls to establish claims for auto accidents.

9. Loss Claims

Here's how claims service specialists use loss claims:

Filed first notice of loss claims with customers for auto and home claims.
Assist insured with filing First Notice of Loss claims due to automobile accidents.

10. Word Processing

Here's how claims service specialists use word processing:

Handled word processing for five offices while maintaining one day turn around, and also transcription of statements as received.
Performed clerical duties, filing paper files, data entry, word processing, and email.

11. Support Functions

Here's how claims service specialists use support functions:

Perform other duties as assigned by providing backup for any support functions within the office.
Provided back-up for any support functions in the office.

12. Customer Inquiries

Here's how claims service specialists use customer inquiries:

Investigated and resolved customer inquiries and complaints in timely manner.
Resolve internal and external customer inquiries received through email, NextGen tasks, and phone calls.

13. Claims Handling

Here's how claims service specialists use claims handling:

Demonstrated a comprehensive understanding of property and casualty claims handling.
Obtained and utilized knowledge of medical terminology and legal concepts within claims handling.

14. Outbound Calls

An outbound call is made by the call center representative to the customers on behalf of the company. Such calls help increase sales and generate revenue for the organization.

Here's how claims service specialists use outbound calls:

Investigated accident information and interested party information by taking initiative for outbound calls.
Manage inbound/outbound calls to assist insured customers/claimant/third party/vendors.

15. Liability Claims

Liability claims are insurance claims where the insured is accused of holding responsibility for some damage or loss. Upon hearing or receiving the accusations, the insured reaches out to his or her insurance company for financial or other assistance, at which point the insurance company would determine whether the damage or loss is covered by the insured's policy. If covered, the insurance company may conduct an investigation or manage and legal processes for the insured.

Here's how claims service specialists use liability claims:

Handle personal auto property damage and bodily injury liability claims of moderate complexity.
Handled liability claims where clear liability was involved, handled repairs, and rental necessities.

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What skills help Claims Service Specialists find jobs?

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What type of skills will young claims service specialists need?

Elisha Blankson

Program Director NCCU, Assistant Professor, North Carolina Central University

Graduates will need a skill set about the field in which they received training and additional skills useful to the job market. For example, with the changing demographics in the United States, extra skills in information technology and foreign languages will be a plus when entering the job market.

Do you want to know more?

List of claims service specialist skills to add to your resume

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

Customer Service
Process Claims
Data Entry
Auto Claims
Telephone Calls
Strong Analytical
Insurance Claims
Inbound Calls
Loss Claims
Word Processing
Support Functions
Customer Inquiries
Claims Handling
Outbound Calls
Liability Claims

Inquiry Calls
CPT
Steady Volume
Loss Reports
Claims System
Orders Reports
Claims Payments
Computer System
Medical Claims
Party Carriers
GEN
Insurance Carriers
Policy Holders
Policy Language
Rental Reservations

Insurance Policies
Policy Provisions
PIP
Property Damage Claims
Call Handling
Police Reports
Customer Complaints
Policy Coverage
Medical Bills
Computer Applications
Body Shop
Issue Payments
HMO
Auto Accidents

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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