Claims Representative Resume Sample

Updated December 24, 2021
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A Claims representative position primarily deals with investigating the claim made by clients by following specific claims procedures logically.

This includes reviewing details and facts, interviewing the person of interest, and then making a decision based upon the approval and denial of a specific case for further in-depth assessment.

This position is also concerned with explaining claims processes to clients, identifying their issues, and guaranteeing them satisfactory and desired outcomes.

A resume for this position should comprise a focused career objective or summary statement, as well as the core competencies, skills/qualifications, and related experience of the candidate.

The following Claims Representative Resume sample will assist you to create your own perfect resume.

Claims Representative Resume Example

MATTHEW GRAYSON
Baylor Hawk Gate
Brookfield, WI 90888
mat.grayson @ email . com
(000) 222-9876


CLAIMS REPRESENTATIVE
Guaranteeing effective deployment of the company’s resources using related experience.

SUMMARY
Detail-oriented and driven claims representative with over 12 years of experience in performing and dealing with all sorts of claims and related tasks. Proficient in gathering required information including police reports, photos, recorded statements, and even criminal records to ensure the authenticity of the case by thoroughly reviewing details, investigating, and examining.

PROFESSIONAL SKILLS
• Operating claims software
• Reopening claims online
• Adjusting voids
• Reliable keyboarding speed – 60 wpm
• High degree of accuracy

PROFESSIONAL EXPERIENCE

Claims Representative
American National Group of Companies – Springfield, MO
2016 – 2021
• Assisted callers and customers by answering and responding to their issues related to certain policies, procedures, laws, contracts, adjudication of claims, and clarified benefits as well as drawbacks.
• Inquired and examined consigned losses by checking appropriate coverage through investigating details.
• Collected pieces of evidence that included not only reviewing injuries, determining liabilities but also estimating and appraising damages.
• Scheduled appointments, and maintained records of accidents and loss of personal assets.

Key Accomplishments
• Within the first two years of employment earned a reputation as an integral part of the company.
• Received pay rise based on the excellent performance.

Claims Assistant
Sid Wickham’s – Brookfield, WI
2009 – 2016
• Answered telephone calls and replied to e-mails.
• Registered claims and updated system notes.
• Voluntarily took part in claims workflow projects.
• Instantly progressed in acquiring practical training to deal with any issues regarding claims and their processing.
• Gained in-depth knowledge of carrying out the investigation, claims settlement, and resolution of rudimentary first and third-party claims.

Key Accomplishment
• As a dedicated and achievement-driven employee, was highly appreciated and offered a reward payment with the training certificate.

EDUCATION
Associate in Claims (AIC™)
The Institutes – Malvern, PA 
Related Coursework
• Claim Handling Principles and Practices