Claims examiner CV sample - claims examiner CV formats / templates

An effective CV of a claims examiner should highlight following qualities:

1. Thorough knowledge of policy
2. Ability to multitask
3. Detail oriented
4. Analytical
5. Well organized
6. Unbiased
7. Excellent communication skills

Refer to following Sample CVs :

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  • Claims examiner CV sample



    DEF
    91 800*******
    def948@example.com

    Objective

    Seeking a position of claims examiner in a well-established company where my skills can be used to process the lifetime investments of the people.

    Core Competencies

    -Impressive interpersonal skills
    -Good presentation skills
    -Problem solving skills.
    -Positive thinking.
    -Effective technical & managerial skills.
    -Sound knowledge of the insurance sector.
    -Well versed with the legal aspects, rules & regulations.
    -Good analytical ability.
    -Maintain confidentiality.

    Professional Experience

    Working as a Claims Examiner at MMY Inc. From 2008 – till date.

    -Collection of all applications received from insured customers.
    -Investigated the claims & the documents.
    -Collection of the necessary information & anaylzing the evidences in relation with the laws, regulations & policies.
    -Questioned the witnesses to check the viability of the claims.
    -Researched additional information to clarify the evidence.
    -Authority of making payments of the valid claims.
    -Notifying the rejected claimants.
    -Preparing the required documents & list of opinions and decisions.
    -Determined existence and amount of liability of the insured claims , according to law, administrative and judicial precedents and evidence.

    Worked as an Assistant Claims Processor at BTF Corp. From 2005-2008

    -Assisted the Claims Officer with the processing of the claims.
    -Investigating the viability of the claims.
    -Researching the evidences against the fraud claims.
    -Calculating the amount of claim
    -Reviewing the insurance policy for the premium payments & to determine the total coverage.
    -Communicating with the customers regarding their claim issues.

    Worked as a Claims Advisor at MIF Insurance Co. From 2002-2005

    -Collecting information to determine liability of the claims.
    -Coordinating with the customers regarding their premium payments.
    -Assisting the Claims Officer with the documentation of the claims of the insured customers.
    -Reviewing and processing all claims to verify necessary information.
    -Entering the claim data and information in the computer system.
    -Preserve confidentiality of all claims files, claims reports and claims-related issues.

    Educational Qualifications

    -Bachelor's Degree in Commerce from BDT University with 70.33%
    -HSC (Commerce) from BFX Board with 75%.
    -SSC from BUK Board with 78.46%.
    -In-house training program of Insurance Policy.
    -Graduated in the 3 years Law course from BBU University with 58%.

    Personal Details

    Birthdate:21st Oct 19**
    Address:KM Road, Sec-63, Nilayam,NNI.
    Languages known: English, Hindi & Sindhi.