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Insurance processor skills for your resume and career

Updated January 8, 2025

4 min read

Quoted experts

Li Zhang Ph.D.,

Li Zhang Ph.D.

Below we've compiled a list of the most critical insurance processor skills. We ranked the top skills for insurance processors based on the percentage of resumes they appeared on. For example, 18.2% of insurance processor resumes contained data entry as a skill. Continue reading to find out what skills an insurance processor needs to be successful in the workplace.

15 insurance processor 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 insurance processors use data entry:

Upload information using accurate data entry and analyze experiences.
Processed data entry alpha numeric functions.

2. 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 insurance processors use customer service:

Provided rapid and effective customer service to assigned insurance providers who communicate with VNSNY.
Provided excellent customer service by maintaining client relations and developing client rapport.

3. 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 insurance processors use phone calls:

Make outbound phone calls to insurance agents/companies verifying insurance policy information.
Answered and made phone calls, scheduled appointments and meetings, emails management, ordered office supplies, processed time sheets.

4. 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 insurance processors use outbound calls:

Make necessary outbound calls to insurance agents/companies to update insurance policies and obtain needed/missing information.
Process disbursement of payments if needed and made outbound calls to insurance agents to gather current information.

5. Insurance Claims

Here's how insurance processors use insurance claims:

Processed demographics and insurance verification Processed insurance claims for outpatient and emergency room charges Applied insurance payments and adjustments
Protected the security of insurance claims to ensure that confidentiality is maintained.

6. Insurance Coverage

Here's how insurance processors use insurance coverage:

Assisted other processing agents with accurate and timely processing of documents to ensure proper insurance coverage for homeowners
Re-submitted insurance forms as needed or requested, including but not limited to secondary insurance coverage.

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7. Inbound Calls

Here's how insurance processors use inbound calls:

Receive inbound calls from Nevada DMV and agents for inquiry resolution.
Receive inbound calls representing Wells Fargo Home Mortgage and City Bank.

8. Insurance Carriers

Here's how insurance processors use insurance carriers:

Filed third-party, Medicare, Medicaid claims, consisting of the primary and supplement insurance carriers.
Assisted insurance carriers in resolving and researching patient's outstanding accounts processed 140 claims daily.

9. Medicaid

Here's how insurance processors use medicaid:

Processed medical insurance authorization request claims utilizing ICD-9 codes for HMO Medicaid patients.
Participated in all inspections conducted by local, state and federal regulatory agencies including Medicare, Medicaid and Board of Pharmacy.

10. Escrow Accounts

Here's how insurance processors use escrow accounts:

Verified insurance policies to meet the acceptable qualifications and guidelines for disbursement of premium payments from escrow accounts if required.
Assisted customers, agents, and lenders with hazard insurance premium payments from escrow accounts.

11. Insurance Processing

Here's how insurance processors use insurance processing:

Assisted with insurance processing, answering telephones and verifying customer documentation.
Trained in different areas within insurance processing

12. Medical Claims

Here's how insurance processors use medical claims:

Worked as a team to determine solutions to process medical claims quickly and accurately.
Prepped medical claims for processing and processed claims on a mainframe computer system.

13. Insurance Verification

Here's how insurance processors use insurance verification:

Responded to questions, researched and resolved problems/issues related to insurance verification & eligibility.
Processed insurance breakdowns using insurance verification forms from the different locations.

14. Insurance Payments

Here's how insurance processors use insurance payments:

Initiated contacts with patients, employers and insurance companies to obtain documentation needed to finalize insurance payments for medical services.
Worked in the Insurance Department, applying insurance payments and generating invoices for Springfield Clinic patients

15. Patient Accounts

Patient accounts are a part of a hospital information system that is used for storing financial data, keeping a record of healthcare costs, and providing information regarding patient billing. It deals with the financial aspects of the healthcare setting.

Here's how insurance processors use patient accounts:

Verified and logged in deadlines for responding to inquiries, updating patient accounts and information on a daily basis.
Process incoming and outgoing patient accounts, insurance payment, reconcile daily work to balance journal.

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What skills help Insurance Processors find jobs?

Tell us what job you are looking for, we’ll show you what skills employers want.

What skills stand out on insurance processor resumes?

Li Zhang Ph.D.

Professor, St. Cloud State University

There aren't many universities/colleges that offer a degree in insurance. Having some insurance education, such as a degree, or a certificate, or just taking a few insurance classes, will be sure to make applicants stand out. For those with no insurance background, demonstrating strong transferable skills from previously studied areas to the insurance industry (such as communication skills, analytical skills), strong commitment, ethical and professional attitude will make the applicants very competitive.

What soft skills should all insurance processors possess?

Li Zhang Ph.D.

Professor, St. Cloud State University

I'd say communication skills. Many positions in insurance need to interact with others. The ability to listen carefully and responding effectively, conveying thoughts/ideas fluently is very important. Also, communicating throng writing is also important (it could range from simply completing the paperwork accurately to preparing annual reports for supervisors)

What hard/technical skills are most important for insurance processors?

Li Zhang Ph.D.

Professor, St. Cloud State University

It would be analytical skills and numerical skills, no matter if it's in underwriting, claims, actuarial, investment, sales, or other positions. For example, a successful salesperson should be able to efficiently analyze the client's information, assess the client's need, recommend the appropriate products, and convey product advantages and disadvantages clearly. Also, competent employees should be comfortable with working with numbers/graphs to communicate with clients or coworkers.

Do you want to know more?

List of insurance processor skills to add to your resume

The most important skills for an insurance processor resume and required skills for an insurance processor to have include:

Data Entry
Customer Service
Phone Calls
Outbound Calls
Insurance Claims
Insurance Coverage
Inbound Calls
Insurance Carriers
Medicaid
Escrow Accounts
Insurance Processing
Medical Claims
Insurance Verification
Insurance Payments
Patient Accounts

Insurance Policy Changes
Insurance Premiums
Real Estate
CPT
Regulatory Obligations
Computer System
Homeowners Insurance
PowerPoint
A/R
Continuous Coverage
Quality Standards
Input Data
ICD-9
EOB
Process Payments

Insurance Policies
Mortgage Insurance
Title Commitments
Process Claims
FHA
Customer Inquiries
Policy Holders
Patient Payments
Customer Accounts
Insurance Agencies
HUD
Mortgage Loans
EDI
Settlement Statements
Legal Descriptions

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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