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Senior claims examiner resume examples from 2026

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Land interviews using Zippia's AI-powered resume builder.

Updated March 26, 2025
6 min read
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How to write a senior claims examiner resume

Craft a resume summary statement

Your resume summary sums up your experience and skills, making it easy for hiring managers to understand your qualifications at a glance. Here are some tips to writing the most important 2-4 sentences of your resume:

Step 1: Start with your current job title, or the one you aspire to. Are you a passionate manager? A skilled analyst? It's a good starting point.

Step 2: Next put your years of experience in senior claims examiner-related roles.

Step 3: Now is the time to put your biggest accomplishment or something you are professionally proud of.

Step 4: Read over what you have written. It should be 2-4 sentences. Your goal is to summarize your experience, not recite your resume.

These four steps should give you a strong elevator pitch and land you some senior claims examiner interviews.

Please upload your resume so Zippia’s job hunt AI can draft a summary statement for you.

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List the right project manager skills

Your Skills section is a place to list all relevant skills and abilities. Here is how to make the most of your skills section and make sure you have the right keywords:

  1. Look at the job listing and skills listed. You need to include the exact keywords from the job description to get your resume in front of an actual human. Do you have those skills? Fantastic! Be sure to list them.
  2. Include as many relevant hard or technical senior claims examiner skills as possible for each job you apply to.
  3. Be specific with the skills you have and be sure you are using the most up to date and accurate terms.
These five steps should give you a strong elevator pitch and land you some senior claims examiner interviews.

Here are example skills to include in your “Area of Expertise” on a senior claims examiner resume:

  • Customer Service
  • Litigation
  • Property Damage
  • Claims Handling
  • TPA
  • Coverage Issues
  • Medical Terminology
  • Medical Management
  • Defense Counsel
  • Insurance Claims
  • Medical Treatment
  • Excellent Negotiation
  • CPT
  • Litigation Management
  • Commercial Property
  • Property Claims
  • Disability Claims
  • Medical Claims
  • Claims Reviews
  • Social Security
  • Insurance Policies
  • Medicaid
  • Independent Adjusters
  • Process Claims
  • Settlement Conferences
  • Bodily Injury Claims
  • Policy Provisions
  • Provider Contracts
  • State Laws
  • ICD-9

Zippia’s AI can customize your resume for you.

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How to structure your work experience

Your employment history is arguably one of the most important parts of your resume. It shows you have experience and foundation in your field to successfully master the senior claims examiner position. Here is how to most effectively structure your work experience:

  1. List your most recent experience first, followed by earlier roles in reverse chronological order. Employers care about your most recent experience the most.
  2. Start with your job title, company name, city, and state on the left. Align dates in month and year format on the right-hand side.
  3. Include only recent, relevant jobs.

How to write senior claims examiner experience bullet points

Effective job bullet points do more than just describe your job duties. Instead, they should be specific and measurable accomplishments. Here are some strategies to mastering job bullet points:

  • Use strong action verbs like Led, Built, or Optimized.
  • Follow up with numbers when possible to support your results. How much did performance improve? How much revenue did you drive?
  • Wrap it up by explaining the actions you took to achieve the result and how you made an impact.

Here are effective examples from senior claims examiner resumes:

Work history example #1

Senior Claims Examiner

Sedgwick CMS Holdings

  • Managed a group of 4-5 adjusters and 1 medical only adjuster for a nine-state area in the Southeast.
  • Hired as Liability Claims Examiner, promoted to Liability Claims Supervisor within ten months.
  • Initiated strategies to address service concerns with previously dissatisfied customers and regain a positive rapport.
  • Handled hospital and physician building along with Medicare and commercial insurance building.
  • Managed the litigation process while serving as a liaison between client and attorneys.

Work history example #2

Senior Claims Adjuster

Quanta Services

  • Negotiated settlements with attorneys, public adjusters, and policyholders.
  • Worked with attorneys to steer litigation on a $1 million self insured WC program.
  • Conducted replacement cost estimates in Xactimate Software.
  • Maintained continuous communication with all affected parties including claimants, attorneys, and other insurance carriers.
  • Documented follow-up in our Reconciliation System and Communication Logs.

Work history example #3

Senior Claims Examiner

Allstate

  • Used compassionate communication and persuasive negotiation to ensure a positive customer experience with Insured, Third Party Carriers and Claimant.
  • Reviewed ICD-9 and CPT coding on medical bills, read medical reports, and settled payments.
  • Attended manager meetings to ensure achievement of goals and communication of those goals to employees.
  • Negotiated and settled PIP litigated cases to conclusion.
  • Promoted to Sr. Claims Representative with three years in the insurance industry.

Work history example #4

Claims Service Assistant

Social Security Administration

  • Monitored program regulatory compliance by beneficiaries, assessed risk factors and compiled strategic communication reports when needed.
  • Maintained records, certified documents, prepared/processed claims, data entry, typing and interface with the public.
  • Answered busy telephone support line and redirected calls to insurance adjusters.
  • Processed initial loss reports and coordinated drive-in appointments with appraisers and field adjusters.
  • Entered classrooms into a computerized utilizing knowledge of CPT, ICD-9 codes and medical terminology.

Zippia’s AI can customize your resume for you.

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Add an education section to your resume

Here is the best way to format your education section:

  • Display your highest degree first.
  • If you graduated over 5 years ago, put this section at the bottom of your resume. If you lack relevant work experience, the education section should go to the top.
  • If you have a bachelor's or master's degree, do not list your high school education.
  • If your graduation year is more than 15-20 years ago, it's better not to include dates in this section.

Here are some examples of good education entries for resumes:

Bachelor's Degree in business

Western Washington University, Bellingham, WA

1996 - 1999

Master's Degree in business

American InterContinental University, Chandler, AZ

2003 - 2004

Highlight your senior claims examiner certifications on your resume

Certifications can be a crucial part of your resume. Many jobs have required certifications.

Start simple. Include the full name of the certification. It's also good to mention the organization that issued the certification. Next, specify when you obtained the certification.

If you have any of these certifications, be sure to include them on your senior claims examiner resume:

  1. Associate in Claims (AIC)
  2. Medical Assistant
  3. Certified Billing and Coding Specialist (CBCS)
  4. California Workers Compensation Claims Professional (WCCP)
  5. Chartered Property Casualty Underwriter (CPCU)
  6. Associate in General Insurance (AINS)
  7. Certified Insurance Examiner (CIE)
  8. Associate, Life and Health Claims (ALHC)
  9. Associate in Risk Management (ARM)

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