Claims Analyst Resume and Template

In the world of insurances, one of the most important roles for the company’s profit is that of the person responsible with determining the company’s liability in each case. This is the duty of the claims analyst, an investigator whose job is to conduct interviews with the client, to determine the circumstances of the accident or the unfortunate situation and determine if the insurance policy covers damages.

The person holding this job should be ready for both an office setting and on the field investigations, if needed. Depending on the niche they focus on, it might imply evaluating car damage, fire or earthquake damage or just medical bills after a treatment. This job usually requires a bachelor’s degree, but more importantly, it calls for some years of hands on experience that help the claims analyst tell the truth from lies. Since this is a strictly regulated job you will also need some specific certifications.

When applying and interviewing for a claims analyst job, showing attention to details, analytical skills and dedicated knowledge in the domain of your choice.

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Tips for Claims Analysts Resumes

Eye for details

A claims analyst is a kind of detective, they need to go through each frame of the story they are presented with in order to see if the situation is real, if the costs are justified and to which extent the policy covers the damages. In this career there is no such thing as too insignificant information. Be ready to talk to different people, look at photo-video evidence or get deep into medical codes for diseases and associated medication.

Ask the right questions

The claims analyst is both the friend and enemy of the person filing the claim. If the client is truthful and makes the requirement in good faith, than the claim analyst’s interview will only certify the facts and help the client get the reimbursement as fast as possible. If, however, the client has set his mind to make some easy money from the policy, the job of the claim analyst is to politely uncover the greedy plan and make sure the right solution is enforced against a fraud. This is done be becoming a master communicator, a fine psychologist.

Paperwork wizard

The result of the claim analyst’s work is a report containing the acceptance or rejection of the claim and the documentation that backs-up the decision. Although most forms are standard and sometimes the job is done using an online application, it still requires patience and a taste for putting the puzzle pieces together to define the image of the case. Since you need to do this for each case you also need some patience to do repetitive work.

Claims Analyst’s Resume Samples

The following resume samples and templates for claims analyst can help you get a better idea of what your resume can look like.

A claims analyst should always adjust their resume to the specific job description and make sure they highlight their strong points.

Additional Claims Analysts Resume Tips

• Analytical thinking – As an important part of the job is to check fact accuracy, you need to break down the story into pieces and focus on each one at a time and then zoom out to see if the big picture is coherent.
• Writing skills – Claim analysts should describe their findings in the most precise way possible. This calls for concise and clear writing skills that give no room for error, misinterpretation and reclaims.

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