Claims Examiner Resume

A sample claims examiner resume is given along with this article. Mr. Richard Anderson is the respective candidate applying for the post. Here is the resume sample for applying for the post of claims examiner. The following sample can provide you the relevant idea that you need for preparing a sample claims examiner resume.

Richard Anderson
1234, West 67 Street,
Carlisle, MA 01741,
(123)-456 7890.

Career Objective

To achieve a demanding as well as responsible place where practices like a Claims Inspector for Medical Support recipients and supplier connection can be made use of in corporation of company objectives.

Academic Background

  • Achieved Bachelor of Arts Degree in Political Science from the University of Caldwell, Caldwell, ID, in the year 1994.

Computer Knowledge

  • Knowing Office Package: Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft PowerPoint and Microsoft Outlook Express.
  • Knowing Operating Systems: Windows9X, Windows2000, Windows ME, Windows XP and Windows Vista.
  • Knowing IBM PC, Lotus 1-2-3 and MS-Dos, Logistics Radar Equipment.

Professional Excellence Summary

More than ten years of knowledge and practice in the positions of growing responsibility with speedily growing Health Protection association such as follows:

  • Creating and developing policies on behalf of Medical Support association.
  • Widespread client service and source communication.
  • Employee supervision and synchronization.
  • Auditing and excellence control.

Professional Background

Since 2004 working as a Quality Control Coordinator in Dallas HMO, Dallas and is efficiently maintaining statistics on 35 claims examiners on a daily, weekly and monthly basis, reporting claim inaccuracy through document tracking and day to day audit statement. Communicate annually with the State Fitness auditors.

From 2000-2003 worked as deputy Claims Examiner and Senior Unit Leader, and was responsible for training and monitoring five claims examiners, giving out claims for 10.000 Medical Support recipients. Responsibilities integrated organization of benefits, wide-ranging provider associations’ purpose of eligibility and client service communication.

From 1997-1999 worked as a Claims Examiner, and was responsible for creating new position, developing and creating policies on behalf of a Medical Support Organization that developed from 500 members in 1990 to its present 10,000.

From 1995-1996 worked as n Assistant Manager in the Power Dressing, Chicago and was responsible for training and organizing a group of 25 employees for men’s clothing store.


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