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Claims support specialist skills for your resume and career

Updated January 8, 2025
5 min read
Below we've compiled a list of the most critical claims support specialist skills. We ranked the top skills for claims support specialists based on the percentage of resumes they appeared on. For example, 21.2% of claims support specialist resumes contained data entry as a skill. Continue reading to find out what skills a claims support specialist needs to be successful in the workplace.

15 claims support specialist 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 support specialists use data entry:
  • Perform clerical duties including data entry, filing paper documents, email and calendar.
  • Refilled open and closed files along with data entry of drafts and reserves.

2. Dictation

Here's how claims support specialists use dictation:
  • Assist outside appraisers by entering notes via voicemail dictation into intranet system Impact/Claim Net.
  • Perform administrative functions, including entering data, typing of reports, letters, and memos, and handling dictation.

3. Claims Support

Here's how claims support specialists use claims support:
  • Provided claims support to the ISS Fraud Investigators who covered the State of New York.
  • Organized and update training manual for new adjusters; train new claims support specialists.

4. Loss Reports

Here's how claims support specialists use loss reports:
  • Inputted loss reports and/or claim information via telephone from insureds, claimants and other personnel with customer service as a priority.
  • Enter loss reports both over the phone and those that come through the internet.

5. 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 support specialists use customer service:
  • Provide efficient customer service to policyholder through correspondence, question and answers.
  • Received numerous awards for excellent customer service and for completing special projects.

6. Office Equipment

Here's how claims support specialists use office equipment:
  • Demonstrated proficiency in the use of numerous technology advancements and other office equipment and machinery.
  • Maintained office equipment to ensure optimal performance.

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7. Phone Calls

Phone calls are a wireless or wired connection made over a telephone or a mobile phone between two people. Two parties are involved in a phone call, the caller and the receiver. A caller dials the number of the one he wants to call, and the recipient hears a bell or a tune to which he picks up the call. The call establishes a connection between them through which they can communicate. The voice is converted into signals and is transmitted through wired or wireless technology.

Here's how claims support specialists use phone calls:
  • Answered the phone in a timely and professional manner and circulated phone calls accordingly.
  • Conduct courtesy phone calls to inform the client their claim has been received.

8. Medical Terminology

Here's how claims support specialists use medical terminology:
  • Attended training for medical terminology and knowledge of CPT and diagnosis coding.
  • Entered claims data into system while interpreting coding and understanding medical terminology in relation to diagnoses and procedures.

9. Claims Management Systems

Here's how claims support specialists use claims management systems:
  • Generated letters and checks to customers, continually documenting and updating the claims management system.
  • Determine disability eligibility and benefit amount according to Human Resource information through claims management system and set up outgoing correspondence.

10. Medicaid

Here's how claims support specialists use medicaid:
  • Processed Medical insurance claims according to the health plan policies and contracts of, Medicare, Medicaid, and county regulations.
  • Keyed in DC Medicaid claims for processing.

11. Police Reports

Police reports, also known as "incident reports," are recorded by members of the police department and detail a (potentially) illegal incident or confrontation. The following information is usually found on a police report: the date and time of the incident, which officers were involved, the address of the incident, what kind of incident (theft, assault, etc.), and how the officers were alerted to the incident.

Here's how claims support specialists use police reports:
  • Analyzed police reports and determined necessity of adding more exposures.
  • Ordered police reports for claim purposes using e-commerce application system.

12. 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 support specialists use telephone calls:
  • Received, screened, and routed high volume of incoming telephone calls and other electronic correspondence.
  • Answer incoming telephone calls that include answering billing questions, file update questions, and claimants basic questions.

13. Insurance Claims

Here's how claims support specialists use insurance claims:
  • Assist legal counsel in providing information and legal documentation on construction defect insurance claims.
  • Reviewed and processed accident insurance claims based on information submitted by policy holders.

14. 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 support specialists use cpt:
  • Make complex eligibility determinations regarding payment of claims based on CPT methodology, ICD-9 protocol and information found in appropriate.
  • Handled claims reprocessing including filing claims, providing insurance Medical CPT codes ICD-9 and billing contract rate invoicing.

15. Inbound Calls

Here's how claims support specialists use inbound calls:
  • Handled inbound calls assisting external and internal clients with claims status and the receipt date of mailed claim batches.
  • Receive inbound calls Controlling the switchboard, directing calls
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List of claims support specialist skills to add to your resume

Claims support specialist skills

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

  • Data Entry
  • Dictation
  • Claims Support
  • Loss Reports
  • Customer Service
  • Office Equipment
  • Phone Calls
  • Medical Terminology
  • Claims Management Systems
  • Medicaid
  • Police Reports
  • Telephone Calls
  • Insurance Claims
  • CPT
  • Inbound Calls
  • Process Claims
  • Workers Compensation
  • HIPAA
  • Policy Holders
  • ICD-9
  • Medical Bills
  • Medical Claims
  • Computer System
  • Outbound Calls
  • Provide Clerical Support
  • HMO
  • Administrative Assistance
  • STD
  • Windows
  • Customer Inquiries
  • Hippa
  • Property Damage
  • Subpoenas
  • Customer Calls
  • ISO
  • Quality Standards
  • Manual Checks
  • Insurance Verification
  • Facets
  • Inquiry Calls
  • EOB
  • Paper Claims
  • Technical Assistance
  • PIP
  • Medical Reports

Updated January 8, 2025

Zippia Research Team
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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