Sample Insurance Claims Representative Resume

Posted in Representative Resume Examples

Hai James
600 Straford Park
Lexington KY 40505

Job Objective Qualified Insurance Claims Representative seeking a position with growing firm in which to utilize my skills and expand my knowledge.

Highlights of Qualifications:

  • Huge experience in claims field and general group claims
  • Wide knowledge of medical terminology and computer programs
  • In-depth knowledge of insurance policies and coverage’s, claim payment procedures
  • Superior data entry skills and amazing ability to work autonomously
  • Ability to review and interpret complex and detailed documents
  • Ability to exercise judgment, and evaluate claims
  • Solid communication skills and excellent ability to nurture relationships
  • Efficiently professional and motivated with a sound positive attitude

Professional Experience:

Insurance Claims Representative
OrthoSynetics, Lexington KY
November 2006 – Present

  • Analyzed EOBs and evaluated patient’s provided insurance data and updated database and system.
  • Corresponded about denied claims to appropriate channels and resubmitted claims when required.
  • Evaluated accessions and submitted write-off.
  • Outlined course of action to smoothen payments and analyzed negotiated agreements.
  • Maintained proper patient billing and monitored mail/faxes and coursed appropriate actions.

Insurance Claims Representative
Nationwide Relocation Services, Lexington KY
February 2001 – October 2006

  • Updated imaged claims documents on Imaging System.
  • Aided Life, Short Term Disability and Long Term Disability claims areas.
  • Managed claims forms and document types.


Bachelor’s Degree In Business
Drew University, Madison, NJ

We know how to prepare a professional resume!