Health insurance claims CV sample - CV formats / templates

An effective CV of a health insurance claims professional should highlight following qualities:

1. Analytical
2. Thorough knowledge of the scheme
3. Unbiased
4. Confidentiality
5. Multi tasking abilities
6. An eye for detail
7. Effective communications skills

Refer to following Sample CVs :

Sample CV format - sample curriculum vitae
CV templates - Curriculum Vitae Template
Sample CV for freshers
Sample CV for experienced
Professional CV samples
Sample CV for IT professionals
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  • RE: Health insurance claims CV sample - CV formats / templates -Ishita kispotta (09/27/12)
  • Insurance claim adjuster CV sample

    Mobile: +91-98********

    Career Profile

    -Highly motivated and results-driven professional, with five years of experience in legal administration, claims adjustment and business development.
    -Expertise in office administration and support automotive operations.
    -Excellent in utilizing strategic methods for evaluating, negotiating, and settling the claims.
    -Well verse with legal systems and functions related to insurance industries.
    -Wide experience of investigating claims against insurance and other loss/damages.
    -Expert in finding and diligence in negotiating settlements with claimants.

    Key Skills

    -Excellent negotiation and settlement skills.
    -Expertise in regulatory compliance and standards.
    -Ability to process and improve the productivity.
    -Expertise in handling claims and investigations.
    -Proficient in computer skills like SAP, CRM etc.

    Personality Traits

    -Skilled negotiator.
    -Team-focused and individual player.
    -Possess creative legal mind.
    -Hardworking and focused.

    Work Experience

    Company Name- XYZ
    Insurance Coordinator
    Aug 20**- Till Date

    -Study the insurance claims and negotiate for it.
    - Responsible for the settlement and approval for payments.
    -Review the provided documents or files like photographs, videotaped or any written statements.
    -Consult with accountants and lawyers for the evaluation of any claim.

    Company Name-XYZ
    Insurance Generalist
    Jan 20**- Dec 20**

    -Investigate the claim by interacting the claimant and the witnesses.
    -Consult the police, check hospital records and examine property harm to find out the extent.
    -Investigate and assess the value of the insured item.
    -Estimate the payments and granted payments of the claims.
    -Investigate and settle the assigned health claims.
    -Implement and compile the claims with policy and procedures.


    -Completed Six Sigma (Black belt) in risk management.
    -Recognized for adjusting maximum claims in the year 20**.


    -Certified Insurance advisor from IRDA in 20**.
    -MBA in Finance from “XYZ”in 20**.
    -Graduate in Commerce from “XYZ” in 20**.

    Personal Details

    Date of Birth: 19 September 19**.
    Languages known: Hindi and English.
    Address: XYZ.
  • RE: Health insurance claims CV sample - CV formats / templates -Shashank Chaturvedi (09/17/12)
  • Insurance claim agent CV sample

    Balram XXXXX
    Mobile: +91-99533*****
    Email: Balram***

    Career Summary

    -Experienced Insurance Claim Adjuster with extensive knowledge about clauses and schemes regarding different insurances claims
    -Profound knowledge of client relationship standards required for Insurance Activities
    -Complete adaptibilty to working for late hours even in highly pressurized situation

    Skill Sets

    -Profound knowledge of various claim standards of insurance products, policies
    -Expert in monitoring sales and marketing figures of insurance team
    -Expert in dealing with property inspection and claims management issues

    Personality Traits

    -Enthusiastic and innovative
    -Proficient speaker of Hindi, English
    -Self Starter Personality

    Duties & Responsibilities

    -Supervise insurance claims department and help agents in negotiating and approving payments
    -Consult clients and other related people for evaluation of the claim
    -Responsible for negotiating, maintaining proper client relationship by the method of reaching them up regulary
    -Monitor Ethical & Professional standard to check any discrepancy happening to client during insurance claim


    -Won 1st prize in Theatre Concert of XYZ


    -RTG Insurance, CVB City (2009-Present)


    -HSC (ASDF Board) 2001 Commerce Stream 78%
    -SSC (ASDF Board) 2003 Commerce Stream 68%
    -MBA Insurance Management (FGH University) 88%

    Personal Details

    -Date of Birth: DD/MM/YYYY
    -Address: QWERTY
  • RE: Health insurance claims CV sample - CV formats / templates -sonali taste (09/11/12)
  • Health insurance CV sample

    91 997*******

    Objective: To seek a position of Claims Advisor in a well reputed Insurance Company, where I will be able to utilize my skills and qualifications.

    Core Competencies

    -Ability to maintain the records & review them.
    -In-depth knowledge of medical terminology in relation to diagnoses and procedures
    -Possess good communication and excellent listening skills.
    -Strong positive attitude
    -Deep knowledge of the claim processing technicalities
    -Comprehensive knowledge of the Insurance terms & policies.
    -Well versed with IT skills such as MS-Office (Word, Excel, PowerPoint)


    -Awarded the Best Advisor reward for processing 100% claims in the quarter.
    -Rewarded the Awareness reward for detecting the potential frauds in claims processing
    -Participation in the National level Insurance Conference held at NUY in 2009.
    -Member of National Health Insurance Federation.
    -Participation in the District level Volleyball team.

    Work Experience

    POH Insurance Services, MNU. (May 2008- till date)
    Working as a Medical Claims Advisor

    -Entering the claims data into system
    -Processing the claims after proper investigation.
    -Understanding the medical history of the clients.
    -Reviewing the total premiums paid by the customer.
    -Resolved problems resulting from claim settlement
    -Performed audit of the claims to ensure quality processing
    -Followed adjudication policies and procedures to ensure proper payment of claims
    -Delivered timely service to the members, providers, billing departments on the subject of claims

    NHY Services, KOU (January 2006-April 2008)
    Worked as Health Claims Processor.

    -Collection of proper documents required for the claim processing.
    -Analyzing the claim cases for the detection of fraud claimants.
    -Processing the claims.
    -Prioritizing the claims on the basis of the clientele requirements.
    -Settlement of the claims in accordance with the norms of the Insurance policies.
    -Solving the queries of the customers in the Claim settlement issues.
    -Conducting Audit of the claim settlements for quality processing.

    KLT Insurance Inc. PMU (March 2004-December 2005)
    Worked as a Insurance Advisor

    -Collection of the database of the prospective clients.
    -Cold calling on the data.
    -Visiting the customers & closing the leads.
    -Processing the documents.
    -Solving the queries of the customers.
    -Reminders to the customers for the due premium amounts.
    -Maintaining good relations with the clients.

    Educational Summary

    -Bachelor of Commerce from VFT University with 59% marks.
    -Passed HSC from BHY Board with 67% marks.
    -Passed SSC from NUY Board with 72% marks.
    -Certification in Insurance Advisor course of National Insurance Association.

    Personal Information

    Date of Birth:23.09.19**
    Address:87, Smith Lane,Booker Colony,NYH
    Languages Known:English, Hindi, Punjabi & Spanish