Claims Examiner Resume Template (2025)

Claims Examiner Resume Sample (2025)

Claims Examiners play a crucial role in the insurance industry by assessing insurance claims to verify their validity and deciding the amount of payout to the insured party. These professionals help ensure that claims are processed efficiently and fairly, maintaining trust between insurers and clients. The demand for Claims Examiners is projected to grow by 5% in the Middle East region by 2025, and the average salary ranges from $50,000 to $70,000 according to the Middle East region. A well-crafted resume is the first step toward showcasing your skills, achievements, and experience to potential employers. Now, we will guide you on how to write a great resume for a Claims Examiner.

How to Present Your Contact Information

Full name.
Professional email address (avoid unprofessional ones).
Link to your portfolio, LinkedIn, or relevant online profiles (if applicable).
Phone number with a professional voicemail.

How to Write a Great Claims Examiner Resume Summary

Detail-oriented Claims Examiner with over 5 years of experience in the insurance industry. Proven track record of assessing and processing claims accurately while maintaining high client satisfaction. Recipient of the 'Top Claims Examiner' award for resolving over 300 disputed claims with timely settlements. Seeking new opportunities to utilize my expertise in risk assessment and claims management within an established organization.

What Skills to Add to Your Claims Examiner Resume

Technical Skills:

Claims processing software
Risk assessment methodologies
Insurance regulations knowledge
Data analysis

Soft Skills:

Attention to detail
Analytical thinking
Communication
Time management

What are Claims Examiner KPIs and OKRs, and How Do They Fit Your Resume?

KPIs (Key Performance Indicators):

Number of claims processed monthly
Accuracy rate of claim assessments
Client satisfaction score

OKRs (Objectives and Key Results):

Reduce claim processing time by 20% in the next quarter
Achieve a 95% accuracy rate in claim settlements within the first year
Increase client satisfaction score by 10% through improved claim handling processes

How to Describe Your Claims Examiner Experience

List your experience in reverse chronological order. Focus on achievements, responsibilities, and quantifiable outcomes.

Right Example:

Managed and processed over 200 claims monthly with a 98% accuracy rate, reducing turnaround time by 15%.
Conducted thorough investigations resulting in saving $100,000 in fraudulent claims annually.
Resolved complex claims issues leading to a 25% increase in client satisfaction scores.

Wrong Example:

Handled claims processing.
Did investigations for claims.
Resolved some client issues.