Claims Adjuster Resume| The Ultimate Guide to Claim Your Dream Job

Claims adjusters are the detectives of the insurance industry. With their investigative work, claims adjusters help evaluate insurance claims on behalf of insurance companies in order to determine liability. Claims adjusters are responsible for on-site work where they assess the situation and the damage that has occurred.

Last update:
01/01/2024

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Claims adjusters play an integral part for both the insurance company and the individual/company policy holder making the claim. It is the claims adjuster’s fieldwork and research that determines the amount to be paid by the insurance company. It is essential to understand what job title entails along with its prospects so you have a comprehensive understanding of the job description. To get a job with a role as important as this, it is imperative to have an impressive claims adjuster resume. In this guide, we will walk you through the methods( with examples) you can use to make an outstanding claims adjuster resume so it gets noticed by hiring managers.

Claims adjusters are responsible for ensuring that policyholders are aided and informed at every step of the insurance claiming process. A claims adjuster is not just an unbiased third-party investigating claims but also acts as a bridge between the insurance companies and the respective policy holder. A claims adjuster's responsibilities range from investigating and analyising iclaims, determining the coverage and facilitating the settlement process. Let's take a look at the claims adjuster job description and the roles and responsibilities that come with it.


Claims Adjuster Resume

Investigate Claims

  • Claims adjusters are required to conduct thorough investigations with absolute scrutiny. This process includes collection of evidence, conducting witness interviews, reviewing the insurance policy terms and conditions and assessing the extent of damage to validate the claims.

Assess Coverage

  • Another crucial role of a claims adjuster is to evaluate the insurance policies and determine the exact coverage and deductibles. Claims adjusters are also expected to make the policy holders understand the terms given in the insurance policy and explain the extent of the coverage they get.

Damage Evaluation

  • A very important aspect of the job is to assess damages. This can include property damage claims, bodily injury claims etc. In such cases, the claims adjuster is required to assess the extent of the damage and calculate the compensation amount that needs to be paid to the policyholder.

Negotiation

  • It is the responsibility of the claims adjuster to negotiate settlements between the insurance companies and the policyholders. It is their duty to arrive at a fair and mutually agreed upon settlement while adhering to the policy and company guidelines.

Identifying Fraudulent Claims

  • A claims adjuster is required to utilise their investigative and analytical skills to sift through all the insurance claims and identify the fraudulent claims being made.

Adhering to Regulations

  • A claims adjuster should be well-versed in insurance laws and regulations to ensure compliance at the state and federal level.

Customer Satisfaction

  • A claim adjuster acts as a liaison between the insurance companies and the policy holders. Since the claims process can be stressful, they are expected to provide support and reassurance to the policy holders.

Claims Adjusters Resume Samples

To best explain the process of making a job-winning claims adjuster resume, we will demonstrate with examples detailing what a claims adjuster resume should cover for both an experienced and an entry-level candidate.

Experienced Claims Adjuster Resume Sample

Cathy Newman
Claims Adjuster
(000)-578-8920
cathy.newman@example.com
Chicago, Illinois
linkedin.com/in/cathy-newman

Professional Summary

Detail-oriented and reliable claims adjuster with 5+ years of experience of working in insurance claims assessment and settlement. Highly experienced at investigating claims, negotiating settlements and committed to providing outstanding customer service. Possess the technical knowledge and an in-depth understanding of insurance policies and regulations with a proven history of delivering prompt and accurate claims resolution.

Work Experience

Claims Adjuster
T&H Insurance Company
Chicago, Illinois
March 2019-April 2023

  • Developed 50+ business relationships with internal and external customers.
  • Successfully settled 90% of insurance claims.
  • Conducted thorough on-site investigation and interviews with claimants to gather the necessary data required for the insurance claims.
  • Investigated and detected fraudulent claims, saving the company a total of $400,000 per annum.
  • Ensured seamless pre and post claim communication with customers resulting in a 20% increase in customer satisfaction.
  • Adopted the use of claims management software to streamline the claims processing workflow.

Claims Adjuster
S&Y Insurance Company
Chicago, Illinois
January 2018-February 2019

  • Conducted preliminary investigations and gathered documentation for claims assessment.
  • Coordinated with underwriters and risk assessors to check the validity of the claims.
  • Processed 20 claims a week to evaluate company liability.
  • Trained and mentored junior claims associates in investigation standards and practices and using claims processing software.

Education

Bachelor of Science in Business Administration
Chicago University, Chicago
2017

Skills

Hard Skills
  • Insurance policy knowledge (property and casualty)
  • Insurance claims investigation
  • Insurance claims analysis
  • Auto insurance claims adjustment
  • Bodily injury claims
  • Damage assessment
  • Policy Coverage
Soft Skills
  • Excellent communication skills
  • Negotiation
  • Problem-solving
  • Interpersonal skills
  • Attention to detail
  • Analytical skills
  • Customer service

Certifications & Licenses

  • Licensed Claims Adjuster (State of Illinois)
  • Certified Insurance Claims Professional (CICP)
  • Insurance Law and Regulations Certification (Insurance Institute of Illinois)

Entry-level Claims Adjuster Resume Sample

Sam Robertson
(000)-678-7920
samrobertson@example.com
Tampa, Florida
linkedin.com/in/sam-robertson

Objective

Motivated and detail-oriented college graduate with a bachelor’s degree in business administration seeking an opportunity to work as a claims adjuster. Eager to gain more field experience to utilise my analytical skills, technical knowledge and prove my commitment to excel in the insurance industry.

Education

Bachelor of Science in Business Administration
Florida University, Tampa, Florida
January 2019- January 2023
Graduated with a 4.0 GPA

Certifications & Licenses

Insurance Claims Adjuster License
Awarded by the State of Florida
2023

Skills

  • Proficient in Microsoft Office (Word, Excel and Powerpoint)
  • Basic knowledge of claims management software
  • Knowledge of insurance policies
  • Customer service
  • Basic knowledge of data analysis tools
  • Effective time management
  • Strong analytical skills
  • Detail oriented
  • Problem solving
  • Team player
  • Excellent communication skills
  • Quick learner

Internships

Claims Intern
Tampa Insurance & Co
Tampa, Florida
January 2020-May 2020

  • Assisted a senior claims adjuster in processing 5 insurance claims per week.
  • Helped with initial investigation, evidence collection and recorded essential information from claimants.
  • Assisted senior claims adjuster with the maintenance and organisation of claims records and related documents.
  • Gained hands-on experience with using claims management software and data entry.

Assistant Retail Associate
Tammy's Clothing
Tampa, Floria
March 2019-September 2019

  • Assisted in the execution of visual merchandising displays to improve the visibility of the products and increase sales.
  • Helped with inventory management which included restocking and organising shelves on a daily basis.
  • Operated the cash register and exhibited a positive attitude resulting in customer satisfaction.

Extra-Curricular Activities

Treasurer
Math Club
Florida University
February 2020-March 2021

  • Responsible for fixing and preparing the club’s annual budget for the academic year.
  • Organised fundraising events periodically to raise money for the math club

How to Write a Claims Adjuster Resume?

The ultimate purpose of your claims adjuster resume is to grab the attention of potential hiring managers. The only way to do that is by having a clean layout and design and incorporating relevant keywords and phrases so that your claims adjuster resume doesn't get filtered out by the ATS (Applicant Tracking System) software. Let's explore how to effectively showcase your skills, qualifications and experience so that your claims adjuster resume is impossible to ignore.


Claims Adjuster Resume

Choose an Appropriate Resume Format

One of the first things that will get noticed in your claims adjuster resume is the format. It should be organised, structured, appealing and easy to read for hiring managers. While there is an array of format options you could choose from, the three most commonly used formats are as follows.

  • Chronological- Focusses on your prior work experience and lists all the jobs you have done in a reverse chronological order.
  • Functional- Focusses on your skills and qualifications rather than your work history.
  • Hybrid- Combination of the chronological and functional format where it begins with the candidate’s skills and then goes into the work history.

We recommend the chronological format for a claims adjuster resume. It is the most commonly used and is highly preferred by hiring managers as it enables them to scan through your work history and decide whether you are a suitable candidate for the position. Also, this format is the most favoured by applicant tracking systems (ATS) and using this format can ensure your claims adjuster resume doesn't get filtered out by the ATS software before reaching a potential employer.

Ideal Structure for Claims Adjuster Resumes

Once you have decided on a resume format, it is important to organise and structure your claims adjuster resume according to that format. In this case, it will need to be structured according to the chronological resume format. Use the following structure while making your claims adjuster resume.

  • Header
  • Resume summary
  • Work Experience
  • Education
  • Relevant skills
  • Certifications
Let's take a look at what should be included in each of these key sections of your claims adjuster resume.

Header

The header is the top part of your resume that contains your contact information. This is a simple yet important section so don't forget to double check your details and ensure that all the information provided is accurate and up to date. The following needs to be included in your header section
  • Full name
  • Phone number
  • Email address
  • Location
  • LinkedIn profile

Resume Summary

This section provides an employer with a concise overview of your professional expertise, qualifications and lets them know what you have to offer. Remember not to make this too long and keep it to the point. The key elements that need to be included to write an exceptional professional summary are your job title, work experience (number of years),achievements and the solid expertise you bring to the position you are applying for. Here is an example of a competent and professional resume summary for a claims adjuster resume. Diligent and detail-oriented claims adjuster with 6+ years of experience managing complicated claims processes adhering to regulatory requirements. Highly experienced at investigating claims, negotiating fair and equitable settlements. Adept at delivering high-quality customer service and maintaining profitable business relationships. Proven track record of executing best claim practices and a commitment to upholding company ethics.

Work Experience

This is the section that will receive the most attention by any hiring manager so take your time with it. The purpose of this section is to showcase the high points of your career in a structured and professional manner. Include the following details in each of the job sections in your claims adjuster resume.

  • Job title
  • Company name
  • Dates of employment (month and year)
  • Location
  • Description of your role, responsibilities, accomplishments and contributions using bullet points.
Begin every bullet point with an action verb and draw attention to your achievements using specific metrics to not sound vague. Here are a couple of examples demonstrating the usage of action verbs and highlighting your professional accomplishments.
  • Developed 50+ profitable business relationships with internal and external customers.
  • Investigated and identified fraudulent claims, saving the company a total of $500,000 annually.

Education

The minimum educational requirement for a claims adjuster position is a high school diploma. However most companies hiring for a claims adjuster role will prefer an applicant with at least an undergraduate degree. Even though there isn't a specific college course that directly applies to claim adjusters, you can choose from courses like business administration, finance or accounting. So, list your educational background and include the following details

  • Degree
  • Name of the college or university
  • Graduation date

Skills

The skills section of a claims adjuster resume should consist of your top attributes that align with the skills and qualifications mentioned in the job description by the employer. It is highly recommended to use the exact keywords used in the job description wherever applicable while listing your relevant skills. Consider categorising your key skills to make it easier to read. Here are some examples of the key skills that are applicable to the claims adjuster resume.

Hard Skills
  • Insurance policy knowledge (property and casualty)
  • Insurance claims investigation
  • Insurance claims analysis
  • Auto claims
  • Bodily injury claims
  • Damage assessment
  • Policy Coverage
Soft Skills
  • Excellent communication skills
  • Negotiation
  • Problem-solving
  • Interpersonal skills
  • Attention to detail
  • Analytical skills
  • Customer service

Certifications

If you have completed any relevant certificate courses or been issued a license directly related to claims adjusting or pertaining to the insurance industry, add them to this section. Also mention the organisation from where you have received said certifications. Even though it is not mandatory to acquire these certifications, it can still give you an extra dose of credibility in the eyes of a potential employer. Some of the certifications you can receive as a claims adjuster are as follows.

  • Certified Professional Claims Adjuster (CPCA)
  • Certified Claims Adjuster (CCA)
  • Certified Insurance Counselor (CIC)

Statistics on the Career Prospects as a Claims Adjuster

Job Outlook

According to the U.S. Bureau of Labour Statistics, overall employment of claims adjusters is projected to decline 3% from 2022-2032. This is due to the automation of routine tasks performed by claims adjusters. However, it is not all bleak because despite a declining rate of employment, about 21,500 openings for claims adjusters are being projected for each year over the next decade. There will be a consistent demand for claims adjusters primarily in the health insurance industry. An increase in the number of claims made by the elderly population, will propel a healthy demand for claims adjusters.


Claims Adjuster Resume

With the growing use of technology and subsequent automation of daily routine tasks of a claims adjuster it is important to embrace the change and make yourself indispensable by adapting quickly to these new norms in the workplace. It is also highly advisable to keep updating your skill set. Keep up with industry trends and try to specialise in specific types of insurance to cover your bases. This opens up the doors to building niche opportunities for yourself and working around the dynamic world of insurance.

Salary

According to the U.S. Bureau of Labour Statistics, the median annual wage for claims adjuster, examiners and investigators was calculated at $72,230 in May,2022. The bottom 10 percenters earned $46,040 and the top 10 percenters earned more than $102,630. Let's take a look at the median annual wage of claims adjusters, examiners and investigators in the top industries in the U.S.

  • Federal Government-$83,870
  • Direct insurance carriers (excluding life, health and medical)- $75,740
  • State Government (excluding education and hospitals)- $67,120
  • Direct health and medical insurance carriers- $51,300

Dos and Don'ts

Now that we have extensively explored many ways to spotlight your claims adjuster resume, let's reiterate some of the essential dos and don'ts you should keep in mind while creating your professional resume.

Dos

  • Do tailor your resume for every job application as per the job description given by the employer
  • Do use bullet points
  • Do use action verbs to start your bullet points and strongly convey your professional accomplishments
  • Do validate your achievements with tangible examples
  • Do use relevant keywords to increase your chances of bypassing the applicant tracking system (ATS)
  • Do proofread thoroughly as typos and grammatical errors can have a negative impact on your claims adjuster resume being taken seriously

Don’ts

  • Don't include irrelevant information on your claims adjuster resume
  • Don’t use paragraphs in your work experience section
  • Don’t take the shortcut of using acronyms without explanation as it looks unprofessional on a claims adjuster resume
  • Don’t make it too long and aim for a concise and crisp claims adjuster resume
  • Don’t forget to always update your contact information on your resume

Conclusion


Claims Adjuster Resume

So, as we have demonstrated in the above guide, with careful planning and attention to detail you can create a stellar and an extremely professional claims adjuster resume. For a more enhanced experience of building the perfect job winning claims adjuster resume, check out our vast collection of resume templates and examples.

Frequently Asked Questions (FAQs)

What should a claims adjuster put on their resume?

A claims adjuster needs to highlight their skills, qualifications and a strong professional background on their resume. It is important to have fieldwork experience highlighted with quantifiable examples. Use action verbs in the job description section. It is also advisable to use relevant keywords and phrases wherever possible to give your claims adjuster resume the best chance to get noticed. Follow the below structure for your claims adjuster resume.

  • Header
  • Professional Summary
  • Work Experience
  • Education
  • Relevant skills
  • Certifications

What skills should a claims adjuster put on their resume?

A claims adjuster should enlist those skills that accurately describe their top attributes. This should be a mix of both hard skills and soft skills. Take a look at some of the key skills that are often used in a claims adjuster resume.

Hard Skills
  • Insurance policy knowledge (property and casualty)
  • Claims analysis
  • Auto claims
  • Bodily injury claims
  • Damage assessment
  • Policy Coverage
Soft Skills
  • Excellent communication skills
  • Negotiation
  • Problem-solving
  • Interpersonal skills
  • Attention to detail
  • Analytical skills
  • Customer service

What are the responsibilities of a claims adjuster?

Claims adjusters are required to investigate insurance claims by interviewing witness, reviewing police reports and collecting evidence from various sources. They negotiate settlements and ensure that the claims are paid to policyholders. Here is a list of some of the key responsibilities of a claims adjuster.

  • Investigate Insurance Claims
  • Assess Coverage
  • Damage Evaluation
  • Negotiation
  • Detecting Fraudulent Claims
  • Adhering to Regulations
  • Customer Satisfaction

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