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Social insurance administrator skills for your resume and career

Updated January 8, 2025

3 min read

Quoted experts

Li Zhang Ph.D.,

Li Zhang Ph.D.

Below we've compiled a list of the most critical social insurance administrator skills. We ranked the top skills for social insurance administrators based on the percentage of resumes they appeared on. For example, 12.4% of social insurance administrator resumes contained patients as a skill. Continue reading to find out what skills a social insurance administrator needs to be successful in the workplace.

15 social insurance administrator skills for your resume and career

1. Patients

Here's how social insurance administrators use patients:

Assisted patients by updating and correcting statement errors, and annotated additional billing information requested on the behalf of insurance company.
Educated patients on insurance coverage and benefits regarding durable medical equipment.

2. Insurance Policies

Here's how social insurance administrators use insurance policies:

Tracked and kept records on current insurance policies provided-Communicated with agents and customers in all three languages-Created a filing system and documents
Audited insurance policies with internal computer system and changed incorrect information.

3. Insurance Benefits

Here's how social insurance administrators use insurance benefits:

Verify patient insurance benefits and determining the estimated patient responsibility.
Resolved issues/answers questions regarding employee life insurance benefits.

4. Insurance Claims

Here's how social insurance administrators use insurance claims:

Processed applications and insurance claims, authorizations, and referrals to insurance companies and/or specialty service providers.
Managed home office (20 employees) in charge of all Alcoa subsidiaries insurance claims, beneficiary changes and union agreements.

5. Medical Necessity

Here's how social insurance administrators use medical necessity:

Reviewed prescriptions, letters of medical necessity and/or chart notes for consistent and complete medical information.
Adhere to medical necessity to provide quality patient care.

6. Life Insurance

Here's how social insurance administrators use life insurance:

Processed life insurance applications, gathered information from clients regarding their applications, Managed insurance data files using computers.
Gathered data to produce life insurance applications and complete necessary carrier forms from inception to implementation.

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7. Insurance Programs

Here's how social insurance administrators use insurance programs:

Conducted insurance carrier due diligence with respect to Corporate insurance programs, analyze and aggregate underwriting data for policy renewals.
Communicated insurance program to all levels of management.

8. Insurance Coverage

Here's how social insurance administrators use insurance coverage:

Selected accomplishments: * Negotiated and coordinated insurance coverage with insurance broker and carriers to obtain pricing reductions.
Established and maintained insurance coverage to representatives in six regions.

9. HMO

Here's how social insurance administrators use hmo:

Processed electronic claims, pre-existing and subrogation investigation, point of service, and PPO and HMO processing.
Verify insurance information for eligibility and obtain HMO authorizations through insurance companies.

10. Insurance Carriers

Here's how social insurance administrators use insurance carriers:

Work with subcontractors and their insurance carriers to insure compliance with our corporate mandatory insurance requirements.
Obtain information from insured or designated individuals for purpose of finalizing claims with insurance carriers.

11. Health Insurance

Here's how social insurance administrators use health insurance:

Direct responsibility for management of the company health insurance for company employees.
Input data and generated health insurance cards, policy contracts, renewal documents and invoices.

12. Insurance Certificates

Here's how social insurance administrators use insurance certificates:

Created insurance compliance department by defining procedures for reviewing, approving and logging subcontractor insurance certificates.
Reviewed and approved all insurance certificates and endorsements ensuring proper alignment with specific contract requirements.

13. Insurance Products

Here's how social insurance administrators use insurance products:

Develop and implement marketing strategies to compete with other individuals or companies selling competitive insurance products.
Contacted and collected premiums from policyholders and set-up appointments with prospect regarding insurance products.

14. Front Desk

Here's how social insurance administrators use front desk:

Front desk duties including booking appointments, gathering new patient information, collecting co-payments
Assisted with front desk duties by assisting with clients and processing patient payments.

15. Payroll

Payroll is the sum of all the compensation that an organization has to pay to employees at a specified time. Payroll is managed by the finance or HR department while small business owners may handle it themselves. Payroll isn't fixed as it varies every month due to sick leaves, overtime, etc.

Here's how social insurance administrators use payroll:

Provided monthly insurance premium reports to payroll department.
Assess, communicate and convert benefits to non payroll status for all disabled participants and employees on unpaid leave of absence.

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What skills help Social Insurance Administrators find jobs?

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

What skills stand out on social insurance administrator 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 social insurance administrators 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 social insurance administrators?

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 social insurance administrator skills to add to your resume

The most important skills for a social insurance administrator resume and required skills for a social insurance administrator to have include:

Patients
Insurance Policies
Insurance Benefits
Insurance Claims
Medical Necessity
Life Insurance
Insurance Programs
Insurance Coverage
HMO
Insurance Carriers
Health Insurance
Insurance Certificates
Insurance Products
Front Desk
Payroll
General Liability

Insurance Verification
Medical Claims
CPT
Commercial Property
Medicaid
Patient Accounts
Insurance Payments
HR
Insurance Applications
Cobra
Insurance Eligibility
Hippa
Insurance Premiums
Inbound Calls
Outbound Calls
Dental Insurance

Insurance Brokers
Patient Appointments
Administrative Tasks
Unpaid Claims
Computer System
EOB
ICD-9
Insurance Billing
Medical Billing
Compensation Claims
Plan Provisions
RFP
Patient Payments
Multi-Line Phone System
PowerPoint

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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