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Claim Examiner

Writing a great claim examiner 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 examiner 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 examiner job you're after.

Resume samples

Bailley Calfee

bailley.calfee@gmail.com | (574) 549-1068 | 1234 Main Street

Summary

As a Claim Examiner with over 4 years of experience, I have gained a strong understanding of the insurance industry. I have excellent communication and negotiation skills, which has allowed me to successfully settle claims. I am able to work independently and take initiative when necessary. My organizational skills are superb, allowing me to keep track of multiple files at once. Overall, I am an experienced professional who is extremely knowledgeable in the field of insurance claims

Experience

Claim Examiner at American Integrity Insurance Company, FLMay 2022 - Present

  • Reviewed and processed an average of 120 claims per day.
  • Investigated the cause of loss, extent of damage, and liability determination for each claim.
  • Reviewed policy coverage to determine if damages were covered under the policy.
  • Negotiated settlements with claimants and attorneys within company guidelines.
  • Presented cases at arbitration when necessary.
  • Achieved a 98% customer satisfaction rating.

Claim Examiner II at Universal Property & Casualty Insurance Company, FLSep 2018 - Apr 2022

  • Reviewed and processed an average of 120 claims per day, ensuring that all required documentation was received and that claim payments were issued in a timely manner.
  • Investigated potential fraud cases, resulting in the recovery of over $50,000 in fraudulent claims.
  • Successfully negotiated settlements with claimants on behalf of the insurance company in order to avoid litigation.
  • Trained new claim examiners on department procedures and best practices.
  • Reviewed complex claims involving multiple parties and coverage issues.

Education

Associate of Arts in Business Administration at Florida State UniversitySep 2013 - May 2018

I have learned how to manage my time, how to work with people, and how to think critically.

Skills

  • Claim Examiner
  • Technical Skills
  • 1. Ability to read and interpret policy language
  • 2. Strong analytical skills
  • 3. Excellent communication skills
  • 4. Good research skills
  • 5. Organizational skills
  • 6. Detail oriented
  • 7. Time management

Carynn Dziubinski

carynn.dziubinski@gmail.com | (656) 909-9895 | New York, NY

Summary

As a Claim Examiner with over 4 years of experience, I have gained a strong understanding of the insurance industry. I have been able to successfully review and process claims in a timely manner while ensuring that all information is accurate. My excellent communication skills allow me to effectively communicate with policyholders and claimants in order to resolve any issues that may arise. In addition, my organizational skills ensure that all claim files are kept up-to-date and easily accessible.

Experience

Claim Examiner at Great American Insurance Group, NYJun 2022 - Present

  • Reviewed and processed an average of 120 claims per day, ensuring that all documentation was complete and accurate.
  • Investigated potential fraud cases, saving the company an estimated $250,000 annually.
  • Resolved complex customer inquiries and complaints in a timely and efficient manner.
  • Liaised with medical professionals to obtain necessary information for claim processing.
  • Negotiated settlements with claimants when appropriate.
  • Maintained updated knowledge of industry changes and developments.

Claim Examiner II at Zurich American Insurance Group, NYAug 2018 - Apr 2022

  • Reviewed and processed an average of 120 claims per day, ensuring that all documentation was complete and accurate.
  • Investigated potential fraud cases, saving the company an estimated $50,000 annually.
  • Resolved complex claim issues by working directly with claimants, doctors, and insurance companies.
  • Negotiated settlements in high-value cases, resulting in a savings of over $250,000 for the company.
  • Trained new claim examiners on best practices and procedures.
  • Authored departmental Standard Operating Procedures manual used by all current and future employees.

Education

Associate of Arts in Business Administration at Hofstra University, NYAug 2013 - May 2018

I have learned how to manage finances, plan and direct operations, market products and services, and develop leadership skills.

Skills

  • Claim Examiner
  • Technical Skills
  • Claim Processing
  • Claims Management
  • Computer Literate
  • Ability to use Microsoft Office applications
  • Good Typing Speed

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