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Insurance representative 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 representative skills. We ranked the top skills for insurance representatives based on the percentage of resumes they appeared on. For example, 17.7% of insurance representative resumes contained customer service as a skill. Continue reading to find out what skills an insurance representative needs to be successful in the workplace.

15 insurance representative 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 insurance representatives use customer service:

Worked diligently at relationship building between both my company and Progressive to streamline replacement rental practice and provide stellar customer service.
Provide excellent customer service to patients and sites regarding patient accounts, payment responsibility and outstanding claims with insurance company.

2. Patients

Here's how insurance representatives use patients:

Facilitated communications between doctors, hospitals, third party insurance companies and patients to obtain and verify patient billing information.
Calculate outpatient surgery deposit, call patients with estimated surgical deposit amount, and collect surgical deposit.

3. Health Insurance

Here's how insurance representatives use health insurance:

Educated customers over the phone to ensure customer understanding of health insurance products which resulted in increased sales efficiency and productivity.
Enter multiple health insurance benefit claim types accurately into computer system for processing assuring timely payment/denial of benefits.

4. Medicaid

Here's how insurance representatives use medicaid:

Reviewed medical web sites and Medicare inquiry system to determine eligibility for Medicaid and other insurance policies.
Assisted field agents with Medicare applications, review Medicaid state system regarding eligibility.

5. Insurance Coverage

Here's how insurance representatives use insurance coverage:

Greeted customers/answered phones* Quote and explain in detail insurance coverage to customers* Send notices to customers concerning insurance matters
Verified insurance coverage for client hospitals and submitted verified information to enable claims processing.

6. 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 representatives use data entry:

Conduct analysis and data entry of service requests through utilization of general knowledge of all Liberty Life products.
Performed 10-key, data entry, sorting documents, copying and filing in a fast-paced, deadline-oriented environment.

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7. 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 representatives use patient accounts:

Post contractual adjustment to patient accounts and transfer deductible to patient responsibility.
Updated patient account information via client specific mainframe database and computerized software.

8. Insurance Claims

Here's how insurance representatives use insurance claims:

Perform duties entailed with Disability Insurance adjudication work for new and continued disability insurance claims.
Answered incoming telephone calls within Center from homeowners and Insurance Company Representatives regarding insurance claims.

9. Auto Insurance

Auto insurance is an insurance policy that covers you from incurring financial losses when your vehicle meets with harm.

Here's how insurance representatives use auto insurance:

Received inbound calls to assist policy holders regarding auto insurance.
Service auto insurance policies including correcting billing discrepancies, changing pay plans, postponing payments, and adjusting recurring pay dates.

10. Medical Insurance

Here's how insurance representatives use medical insurance:

Provided callers with unbiased presentation of medical insurance programs to assist customers with application and eligibility requirements and programs questions.
Provide accounts receivable collection services in the medical insurance department for Community Health Systems affiliate owned and operated facilities.

11. Computer System

Here's how insurance representatives use computer system:

Maintain an ability to utilize hospital computer systems, patient management information system, including registration, e-mail and Word Perfect.
Input data from completed documentation into computer system.

12. Appeals

Here's how insurance representatives use appeals:

Researched Explanation of Benefit rejections received from insurance companies and submitted appeals for rejected charges.
Submit claims appeals with supporting documentation as necessary and resolve aged insurance balances.

13. Insurance Carriers

Here's how insurance representatives use insurance carriers:

Followed up with insurance carriers regarding claim statuses and eligibility.
Work with outside providers and insurance carriers effectively.

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 insurance representatives use cpt:

Translated and assigned diagnosis and medical procedures into CPT, ICD-9 and ICD-10 codes.
Utilized ICD-9, CPT, and HCPCS coding to make billing corrections.

15. Insurance Benefits

Here's how insurance representatives use insurance benefits:

Presented and negotiated insurance benefits to company employees in New Jersey and Pennsylvania.
Interpreted and communicated insurance benefits and exclusions to patients and doctors offices.

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What skills help Insurance Representatives find jobs?

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

What skills stand out on insurance representative 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 representatives 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 representatives?

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.

What insurance representative skills would you recommend for someone trying to advance their career?

Tom Faulconer JD, CPCU, CLU, ChFC, CASL,CFP(r)

Clinical Professor, Butler University

Being an agent provides freedom. Most agents set their own hours meaning there is time for family and other activities. Of course, since it is a commission-based position, the harder you work, the more you make! Plus, property and casualty agents (home, auto and commercial lines) can build up their client list to the point where they make a very good living just off renewal commissions. At that point, an agent can truly work whenever they want and still get paid. (That takes a few years to get to, though.)

As to dislikes, being a commissioned salesperson is difficult for some people. And the freedom that comes with being an agent is a double-edged sword. If someone takes advantage and doesn't work very hard, they won't last very long! And, depending on the company, etc., paperwork can be pretty extensive!

What technical skills for an insurance representative stand out to employers?

Chad Newswander Ph.D.

Professor of Political Science, Brigham Young University-Idaho

It is a combination of soft and hard skills. Young professionals need to be reliable, conscientious, hardworking, and be able to work well with others. They also need to show early signs of leadership, allowing them to grow within the organization. Above all, they need to be trusted to get the work done and be likeable. They also need to have a concrete skillset that allows them to contribute. Each young professional needs to think how they can add value to their organization (not just what the organization will do for them). Those skills can range from data/statistical analysis, writing, speaking, research, etc. In order to show that they have these skills, students should do multiple internships while in school from credible organizations.

Do you want to know more?

List of insurance representative skills to add to your resume

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

Customer Service
Patients
Health Insurance
Medicaid
Insurance Coverage
Data Entry
Patient Accounts
Insurance Claims
Auto Insurance
Medical Insurance
Computer System
Appeals
Insurance Carriers
CPT
Insurance Benefits
Insurance Products
Insurance Verification

Inbound Calls
Medical Billing
Outbound Calls
REP
Medical Claims
HIPAA
Life Insurance Policies
Insurance Eligibility
ICD-9
Annuities
Insurance Sales
Policy Changes
Casualty Insurance
EOB
Insurance Payments
Billing Issues
A/R

Customer Accounts
Schedule Appointments
Customer Inquiries
Administrative Tasks
Hippa
Insurance Options
Financial Products
Unpaid Claims
Customer Relationships
Policy Holders
Insurance Quotes
Cold Calls
HMO
Bank Deposits
Patient Payments

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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