Claim Analyst

Writing a great claim analyst resume is important because it is one of the first things a potential employer will see when they are considering you for a position. It is your opportunity to make a good first impression and sell yourself as the best candidate for the job.

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If you're looking for inspiration when it comes to drafting your own claim analyst resume, look no further than the samples below. These resumes will help you highlight your experience and qualifications in the most effective way possible, giving you the best chance of landing the claim analyst job you're after.

Resume samples

Angela Polniak

angela.polniak@gmail.com | (613) 912-4960 | 1234 Example Street

Summary


Over three years of experience as a Claim Analyst. Reviewed and processed medical claims in order to obtain reimbursement from insurance carriers. Investigated claim denials and underpayments, resolved errors, and billed secondary insurers when appropriate. Developed an expert knowledge of CPT/HCPCS coding, ICD-9/10 diagnosis codes, CMS1500 & UB04 claim forms, and Medical Necessity guidelines.

Experience


Claim Analyst at Express Scripts, MOMay 2022 - Present

  • Researched and processed an average of 10 claims per day, totaling over 3,600 claims in one year.
  • Investigated the root cause of each claim to ensure that proper protocol was followed and documented any discrepancies.
  • Analyzed data to identify areas for improvement in company's policies and procedures.
  • Trained new employees on claim processing procedures.
  • Worked with customers to resolve outstanding issues and disputes.
  • Negotiated settlements with vendors on behalf of the company.

Claim Analyst Trainee at Cigna, MOSep 2019 - Apr 2022

  • Reviewed and processed an average of 50 claims per day.
  • Investigated the claim to determine next steps in the process.
  • Worked with clients to gather information needed for their claim.
  • Negotiated settlements with vendors on behalf of clients.
  • Represented the company at industry conferences.

Education


Associate's degree in business administration or a related field at Missouri State UniversityAug 2015 - May 2019

Some skills I've learned are time management, teamwork, and communication.

Skills


  • Claim Analysis
  • Claim Investigation
  • Claim Documentation
  • Claims Management Systems
  • Microsoft Office Suite
  • Customer Service Skills

Andrea Zautner

andrea.zautner@gmail.com | (587) 243-8580 | Stamford, CT

Summary


A Claim Analyst with over 3 years of experience investigating and resolving property and casualty insurance claims. I have a strong background in customer service, as well as excellent organizational skills to manage my workload efficiently. With my analytical skills, I am able to quickly identify any issues with a claim and work diligently to resolve them. My goal is always to provide the best possible outcome for both the insured and the insurer.

Experience


Claim Analyst at Cigna, CTMar 2022 - Present

  • Investigated and processed 100+ claims per day, ensuring that all deadlines were met.
  • Reviewed claim documents for accuracy and completeness.
  • Utilized critical thinking skills to resolve complex issues.
  • Negotiated settlements with claimants and attorneys.
  • Effectively communicated with clients regarding status of their claims.
  • Maintained a 97% satisfaction rating from customers.

Claim Analyst Trainee at Travelers, CTJul 2019 - Mar 2022

  • Reviewed and processed an average of 120 insurance claims per day.
  • Investigated potential fraud cases, saving the company an estimated $100,000 annually.
  • Successfully completed training program and achieved Claim Analyst certification.
  • Reduced claim processing time by 10% through process improvements.
  • Developed new reporting system that reduced paper waste by 30%.
  • Implemented customer satisfaction survey process that increased customer satisfaction scores by 5%.

Education


Associate's degree in business administration or a related field at Central Connecticut State UniversityAug 2015 - May 2019

Some skills I've learned are time management, organization, leadership, and public speaking.

Skills


  • Claim Analysis
  • Claim Investigation
  • Fraud Detection
  • Claims Management Systems
  • Medical Billing and Coding
  • Legal Research