Health Insurance Claims Resume
Health insurance claims resume is written by claims processor or claims specialist. The job applications has to demonstrate thorough knowledge of rules and regulations related to health insurance field. It should also highlight your experience in claims handling. The main objective of the document must be to portray your skills in analyzing information related to insurance, working with database, accepting and denying claims following Company guidelines and state and federal regulations. You have to project yourself as an expert in analysis, critical thinking, communication, and applying attention to details.
Sample Health Insurance Claims Resume
Michael K. Lambert
1741 Maple Court
Cape Girardeau, MO 63701
Phone: 573-335-9336
Email: mklambert@example.com
Career Objective:
An insurance specialist with strong track record of claims handling and analyzing insurance-related documents is looking for an health insurance specialist position with “Sun Insurance Group.”
Summary of Skills:
- Thorough knowledge of healthcare products and insurance policies
- Excellent analytical, communication, and critical thinking skills
- Adept in analyzing information and working with database
- Experience of accepting and denying questionable claims
- Strong familiarity with medical terminology, diagnosis, and treatment
- Strong knowledge of Medical Coding, Risk Management, and Process Management
Work Experience:
Insurance Claims Processor
ABC Company, Cape Girardeau, MO
October 2015 - Present
- Researching and processing claims as per Company guidelines and benefits
- Communicating with the insured via emails, phone, and personal meetings
- Drafting reports on acceptance and denial of applications for claim
- Meeting hospitals and clinics and collecting necessary documents
- Analyzing medical documents for authenticity and clearing doubts from subject-matter experts
- Answering incoming calls, emails, and inquiries personally
Junior Claims Processor
Noble Insurance Company, Cape Girardeau, MO
February 2013 - September 2015
- Made code calling to prospective customers and converted them into regular customers
- Demonstrated features and benefits of health insurance policies to customers
- Reminded customers on renewal of policies and fetched reference from them
- Validated insurance submitted for medical claims and re-worked on closed claims
- Coordinated with medical staff of respective hospitals and collected treatment papers
- Calculated the limit of amount to be cleared for medical billing
Education:
- Bachelor's Degree in Health Management Science
ABC University, Cape Girardeau, MO
2012
Reference:
On request.
