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Claims Processor

Writing a great claims processor 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 claims processor 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 claims processor job you're after.

Resume samples

Korynn Latourelle

korynn.latourelle@gmail.com | (104) 996-4547 | 1737 S. State St.

Summary

As a claims processor, I have over 1 year of experience working in the insurance industry. I am responsible for reviewing and processing insurance claims in a timely and efficient manner. I have a strong attention to detail and work well under pressure. In my previous role, I processed an average of 500 claims per month with a 98% accuracy rate.

Experience

Claims Processor at Blue Cross Blue Shield of Illinois, ILMar 2022 - Present

  • Reviewed and processed an average of 120 claims per day, ensuring that all documentation was complete and accurate.
  • Investigated and resolved claim discrepancies by working directly with claimants, providers, and insurance companies.
  • Achieved a 97% accuracy rate for processing claims.
  • Exceeded departmental standards for number of completed tasks on a daily basis.
  • Consistently achieved quality scores above 95% during performance reviews.
  • Maintained up-to-date knowledge of industry changes and updates to ensure compliance.

Claims Processor Trainee at Health Care Service Corporation, ILSep 2021 - Jan 2022

  • Completed training program and passed final exam with a score of 95%.
  • Processed an average of 120 claims per day.
  • Resolved complex issues for customers and provided excellent customer service.
  • Developed expert knowledge of company's claim processing systems and procedures.
  • Demonstrated accuracy and attention to detail in all work completed.

Education

High School Diploma at Highland Park High SchoolSep 2017 - May 2021

Some skills I've learned are time management, how to study for exams, and how to do research.

Skills

  • Claims processing
  • Data entry
  • Microsoft Office
  • 10-key typing
  • Customer service
  • Attention to detail

Hulda Vielle

hulda.vielle@gmail.com | (379) 174-5042 | 1624 Kanawha Blvd E, Charleston, WV 25311, USA

Summary

I am a Claims Processor with over 1 year of experience. I have processed claims for both private insurance companies and government programs. I have a strong understanding of the appeals process and have successfully appealed denied claims. I am well-versed in medical coding and billing procedures. My attention to detail ensures that all claim forms are completed accurately and timely filed

Experience

Claims Processor at National Heritage Insurance Company, WVApr 2022 - Present

  • Investigated and processed 100+ claims per day, ensuring that all relevant information was gathered in order to make a fair judgement.
  • Approved or denied claimants based on the evidence collected during the investigation process.
  • Maintained an error rate of less than 1% when approving or denying claims.
  • Exceeded targets for number of cases closed per week by 10-15%.
  • Liaised with internal and external stakeholders (e.g. policyholders, insurance companies) on a daily basis in order to resolve any queries or issues they had regarding their claim.
  • Successfully completed training course on new company software within 2 weeks of starting.

Claims Processor Trainee at West Virginia Mutual Insurance Company, WVSep 2021 - Mar 2022

  • Trained in processing insurance claims and related paperwork.
  • Processed an average of 10claims per day.
  • Learned to use various software programs to process claims.
  • Assisted customers with questions and concerns about their claims.
  • Maintained a high level of accuracy when Processing Claims.

Education

High School Diploma at Parkersburg High School, Parkersburg, WVSep 2017 - May 2021

I've learned how to effectively communicate with others, how to manage my time wisely, and how to think critically and solve problems.

Skills

  • Claims processing
  • Data entry
  • Microsoft Office
  • 10-key by touch
  • Typing speed of at least 40 wpm • Detail oriented
  • Ability to work independently

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