Claims Auditor Resume
Claims auditors work with insurance companies and perform audits on submitted claims by policyholders. Since there are high chances of people producing fake claims, the job of claims auditors is important from saving the company running into loss. These auditors have the training, tools, and experience to evaluate and validate reimbursement requests and pay the exact amount as agreed on contract terms.
To apply for the claims auditor job, your resume must show claim handling experience. It should also highlight your knowledge on various insurance products, laws, and procedures. Most importantly, the application must show customer service skills.
Claims Auditor Resume Example
Frederick C. Ross
4623 Goodwin Avenue
Spokane, WA 99201
Phone: 509-343-5552
Email: fcross@freemail.com
Career Objective:
I am looking for a claims auditor job with an insurance company where I can help the management in minimizing operational loss through careful audit.
Summary of Skills:
- Strong experience in handling all types of insurance claims
- Excellent knowledge of rules and procedures of reimbursements
- Remarkable communication, organizational, and customer service skills
- Adept in working with computers and evaluating claims
- Comprehensive knowledge of insurance laws and regulations
- Skilled in prioritizing and handling multiple task
- Proficient in meeting strict deadlines and solving claims problems
Work Experience:
Claims Auditor
KLM Insurance Services, Inc., Spokane, WA
October 2013 - Present
- Reviewing reimbursement request submitted by policyholders and determining their validity
- Referring terms and conditions of insurance contracts and settling claims disputes
- Computing accuracy of claim amounts using generally accepted auditing standards
- Processing and verifying claims submitted for car, property, and life insurance
- Informing policyholders about denial and acceptance of reimbursement requests
- Auditing check runs and performing check payment process
Claims Auditor
ABC Insurance Company, Spokane, WA
March 2012 - September 2013
- Identified frauds in claims and saved millions of dollars for the company
- Analyzed the pattern of claims and submitted report to the management
- Delegated auditing staff for sorting and processing reimbursement requests
- Tracked and generated request for claims overpayment
- Maintained policy records and conferred with attorneys for implementing laws that restrict reimbursement
- Developed relationships with internal and external stakeholders and informed them on company's financial conditions
Education:
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Bachelor's Degree in Accounting
Spokane University, Spokane, WA
2011
Reference:
On request.
