CLAIMS HANDLER RESUME EXAMPLE

Updated: Aug 11, 2024 - The Claims Handler manages all aspects of the claims process from initial notification to final settlement, verifying coverage, instructing repairs or replacements, and negotiating claim settlements. Daily tasks include maintaining communication with clients about their claim status, updating databases, and adhering to both company and regulatory guidelines. This role also emphasizes the importance of establishing strong relationships with service providers and handling all claims within designated authority limits, ensuring effective management and reporting through specialized systems.

Tips for Claims Handler Skills and Responsibilities on a Resume

1. Claims Handler, Allstate Insurance, Northbrook, IL

Job Summary:

  • Proactively manage a portfolio of claims from notification
  • Determine file strategy
  • Investigate and negotiate claims to a successful outcome within agreed authority limits
  • Arrange and attend liability and settlement consultations, where necessary
  • Monitoring provisions and ensuring cost effective and timely resolution of claims
  • Prioritise work and meet all targets
  • Work as part of a team internally but also externally with select retained expert advisors.
  • Ensure compliance with all regulatory, governance and quality standards
  • Focus on controlling the cost of claims, while meeting customer expectations.
  • Preparation and attendance at client reviews of their claims portfolio
  • Authorising claims cheques within designated authority levels
  • Continually seeking process improvements in team performance, process efficiency and client service.


Skills on Resume: 

  • Claims Management (Hard Skills)
  • Strategic Thinking (Soft Skills)
  • Negotiation Skills (Hard Skills)
  • Consultation and Communication (Soft Skills)
  • Financial Acumen (Hard Skills)
  • Target Orientation (Hard Skills)
  • Team Collaboration (Soft Skills)
  • Regulatory Compliance and Quality Standards (Hard Skills)

2. Claims Handler, Progressive Corporation, Mayfield Village, OH

Job Summary:

  • Manage all claims from first notification through to settlement, checking that cover applies and obtaining estimates for all claims that require them
  • Instruct suppliers to proceed with repairs or replacements
  • Instruct Loss Adjustors on large claims as agreed under the delegated authority agreement
  • Consider, evaluate and action any correspondence to negotiate and settle claims.
  • Identify and act upon Clients day to day needs and expectations by meeting agreed service levels and providing a professional service
  • Review and maintain diaries and database information daily, taking appropriate action
  • Develop and maintain excellent relationships with service providers
  • Ensure company and regulatory procedures are followed
  • Ensure that clients are fully informed of the process of their claims
  • Place handle claims within authority limits referring unusual cases to an experienced colleague or head office.
  • Undertake general claims activities including dealing with clients queries and correspondence.
  • Adhere to agreed policies and procedures as detailed in the claims procedures and in the compliance handbook.
  • Use all core PIB systems and any specific claims monitoring ensuring that are regularly updated for effective Management information and Reporting.


Skills on Resume: 

  • Claims Management (Hard Skills)
  • Negotiation Skills (Hard Skills)
  • Communication Skills (Soft Skills)
  • Relationship Management (Soft Skills)
  • Organizational Skills (Hard Skills)
  • Client Service Orientation (Soft Skills)
  • Technical Proficiency (Hard Skills)

3. Claims Handler, State Farm Insurance, Bloomington, IL

Job Summary:

  • Input, assess and manage a portfolio of claims, storing the relevant documents and evidence on the corresponding systems 
  • Answer all related queries via various mediums, including Email, Telephone and Post Escalate where appropriate any fraud indicators highlighted from fraud measures in place 
  • Enhance recovery potentials within a claim by issuing demand letters to the relevant parties 
  • Accurately manage and calculate financial payment requisitions as part of the claim ensuring payments are made to the policy holder efficiently with relevant tracking and recording in place 
  • Manage customer relationships effectively to ensure the claim progresses efficiently and any refunds due back to us are forthcoming 
  • Accurately manage and calculate financial payment requisitions at Vacant Possession stages of a claim ensuring that any proposed deposit use and/or dilapidations are validated and taken into consideration when calculating payments due.
  • Manage a diverse range of claims from beginning to end, from commercial and personal contract disputes through to employment, clinical negligence or motor claims, whilst keeping up with company and legislative requirements to deliver excellent service to customers.
  • Oversee the customer experience throughout the claim life-cycle from first point of contact to investigating evidence and making informed decisions on claims outcomes, displaying empathy and compassion throughout.
  • Provide clear, concise and accurate information to customers, business partners and internal customers.
  • Quickly develop knowledge of DAS products and policies to become an expert in assessing claims, identifying high-risk claims and managing appointments of litigators and solicitors where necessary.


Skills on Resume: 

  • Claims Management (Hard Skills)
  • Fraud Management (Hard Skills)
  • Demand Letter Issuance (Hard Skills)
  • Financial Management (Hard Skills)
  • Legal Compliance (Hard Skills)
  • Customer Service (Soft Skills)
  • Relationship Management (Soft Skills)
  • Communication (Soft Skills)

4. Claims Handler, Liberty Mutual Insurance, Boston, MA

Job Summary:

  • Capture and update claims data/information in compliance with best practices
  • Confirm policy existence by identifying coverage on low complexity claims
  • Carry out timely resolutions of claims
  • Calculating applicable damages or range of damages allowed by law
  • Ensure high levels of customer service by proactively communicating information
  • Staying current with industry trends
  • Collecting data to facilitate the accurate assessment and value of claims
  • Input relevant data into established systems accurately so that analysis can be undertaken
  • Management of a portfolio of claims to include all types of liability losses
  • Post-site inspection/ investigations
  • Management of Injuries Board Assessment Process (IB)
  • Management of litigation process
  • Production and reporting to the Regional Manager of management information (MI) – file status, file movement, new losses, settled losses
  • Insured and client relationship management


Skills on Resume: 

  • Claims Data Management (Hard Skills)
  • Policy Confirmation (Hard Skills)
  • Timely Resolutions (Hard Skills)
  • Damage Calculation (Hard Skills)
  • Customer Service (Soft Skills)
  • Industry Awareness (Hard Skills)
  • Data Collection and Assessment (Hard Skills)
  • Claims Portfolio Management (Hard Skills)

5. Claims Handler, Farmers Insurance Group, Woodland Hills, CA

Job Summary:

  • Approach to claims handling and liability investigation skills
  • Accurate assessment of quantum and carry out negotiations in order to reach optimum settlement
  • Establish potential Indemnity and Fraud concerns and complete necessary enquiries / referrals
  • Identify potential high value claims and carry out initial investigations
  • Deal with TP Insurance Companies, Claimant Lawyers and other external services providers in order to broker a good working relationship
  • Cost recovery and negotiation payment plans for recovery
  • Delivery of contract profitability
  • Analysing performance towards SLA’s, identifying steps to mitigate delivery issues and escalating to the Client Manager where necessary
  • Implement decisions made on activities within the team
  • Service delivery to specified clients
  • Provide technical training and assistance at times to other members of staff
  • Identify and escalate any issues impacting current and future business opportunities
  • Provide meaningful MI and analysis to Client Manager
  • Resolve issues internally and support resolutions externally


Skills on Resume: 

  • Claims Handling and Liability Investigation (Hard Skills)
  • Quantum Assessment and Negotiation (Hard Skills)
  • Fraud Detection and Indemnity Assessment (Hard Skills)
  • Management of High-Value Claims (Hard Skills)
  • Relationship Management (Soft Skills)
  • Financial Management (Hard Skills)
  • Service Level Agreement (SLA) Management (Hard Skills)
  • Training and Technical Support (Soft Skills)

6. Claims Handler, Nationwide Mutual Insurance Company, Columbus, OH

Job Summary:

  • Management of the end to end claims process
  • Accurately and promptly accept and process new instructions
  • Provide sound advice and keeping the claimant informed though the process
  • Work to set KPIs and SLAs
  • Reviewing cases and workflow in a proactive manner and taking action to move claims forward
  • Ensure work is prioritised effectively and that personal targets are met
  • Making Appointments with residents/client
  • Ensure all claims are logged accurately and in full on the company’s in-house claims system
  • Proactive claims management support for internal stakeholders
  • Review claims regularly using the diary system to ensure accurate reserves and timely closure
  • Priorities and respond to all written and phone enquiries clearly, courteously and promptly
  • Develop relationships with clients and claims handlers across all branches
  • Assisting with the compilation of relevant information and evidence for claim reviews


Skills on Resume: 

  • Claims Process Management (Hard Skills)
  • Customer Communication (Soft Skills)
  • Setting KPIs and SLAs (Hard Skills)
  • Case Review and Workflow Management (Hard Skills)
  • Prioritization and Target Achievement (Hard Skills)
  • Appointment Scheduling (Hard Skills)
  • Data Management (Hard Skills)
  • Stakeholder Management (Soft Skills)

7. Claims Handler, Geico, Chevy Chase, MD

Job Summary:

  • Manage a busy caseload and work to a high professional standard.
  • Providing an excellent claims handling service to customers and clients (across written and telephone based platforms).
  • Answering questions and queries, together with providing assistance on the progress of the claims.
  • Organising site attendances whilst liaising with all stakeholders and contractors to help bring each claim to a timely and successful outcome for all.
  • Ensure the efficient handling of the customer and client journey by managing the progress of the claim.
  • Ensure that service levels and KPIs are adhered to and met on a daily basis across all claims.
  • Support a designated group of Project Managers to ensure that are delivering the greatest possible journey for customers and clients, whilst adhering to internal processes and compliance.
  • Act as in-house expert on insurance claims, to help us understand how customers think.
  • Partner with Data Science teams in training machine learning models through annotation of insurance claim data.
  • Leverage expertise to inform the product-development process and help us deliver outstanding value for customers.
  • Help with first line support, ensuring exceptional outcomes for customers


Skills on Resume: 

  • Claims Management Expertise (Hard Skills)
  • Customer Service Excellence (Soft Skills)
  • Stakeholder Coordination (Soft Skills)
  • Operational Efficiency (Hard Skills)
  • Support and Training (Soft Skills)
  • Insurance Industry Knowledge (Hard Skills)
  • Data Analysis and ML Collaboration (Hard Skills)
  • Problem Resolution and Support (Soft Skills)

8. Claims Handler, Travelers Companies, Inc., Hartford, CT

Job Summary:

  • Opening and registration of new claims
  • Support and servicing of claimants, brokers and intermediaries
  • Liaising with third party insurers, parts suppliers and repairers
  • Technical analysis of a claim and determination of liability
  • Attend mandatory arbitration and court sittings when necessary
  • Supporting lawyers in the defence of mandatory arbitrations and court cases
  • Negotiate claim settlements with claimants
  • Delivery of a high quality service to clients and intermediaries
  • Proposing suggested solutions to the Insurance and Claims Manager and the business
  • Support the Insurance and Claims Manager in the procurement and renewal processes.
  • Provide a high quality customer focused service at all times on the telephone and face to face.


Skills on Resume: 

  • Claim Opening and Registration (Hard Skills)
  • Customer Service (Soft Skills)
  • Communication and Liaison (Soft Skills)
  • Technical Analysis (Hard Skills)
  • Legal Support (Hard Skills)
  • Negotiation (Hard Skills)
  • Problem-Solving (Soft Skills)
  • Procurement and Renewal Support (Hard Skills)

9. Claims Handler, USAA, San Antonio, TX

Job Summary:

  • Helping customers define their insurance needs and answering any questions during the quote journey, closing sales through exceptional customer service.
  • Swiftly and accurately processing pending claims in accordance with company policy, policy terms and conditions, and the Department of Insurance (DOI) regulations.
  • Managing a wide range of customer queries and requests through several channels (email, telephone, social media etc.)
  • Providing superb customer support to policyholders, allowing them to promptly resolve questions and complaints. 
  • Handling any complaints constructively - in line with company and DOI guidelines.
  • Escalating tricky complaints to the Team Leader, ensuring a prompt and effective resolution.
  • Carrying out investigations to ensure all relevant documents and information have been evaluated and checked, prior to completing the claim.
  • Identifying possible fraudulent or questionable claims and alerting Team Leader to any potential risks.
  • Adhering to legal and regulatory (DOI) policies and procedures, ensuring compliance with requirements.
  • Playing an active part in the development and training of peers
  • Ensuring the wider team has the best cross-functional coverage.
  • Identifying and sharing trends and potential issues or risks - escalating them
  • Providing feedback for development of new products by the Product team.
  • Championing product and process improvements to benefit the overall customer experience.


Skills on Resume: 

  • Customer Service Excellence (Soft Skills)
  • Claims Processing (Hard Skills)
  • Multichannel Communication (Soft Skills)
  • Conflict Resolution (Soft Skills)
  • Complaint Handling (Soft Skills)
  • Investigation Skills (Hard Skills)
  • Risk Management (Hard Skills)
  • Regulatory Compliance (Hard Skills)

10. Claims Handler, Chubb Limited, Whitehouse Station, NJ

Job Summary:

  • Dealing with the full process of a customer's claim.
  • Providing support to these customers throughout the claim process.
  • Assisting other colleagues/departments
  • Attending client visits and safe to do so.
  • Maintenance of own and the team’s portfolio.
  • Working towards and achieving own targets.
  • Handling telephone enquiries and reviewing claims.
  • Producing and maintaining diaries for clients and insurers.
  • Monitoring and recording of claims and uninsured losses,
  • Gathering evidence to defend claims,
  • Gathering information on assets and risks,
  • Initiating further investigations
  • Draft and serve legal notices seeking possession.


Skills on Resume: 

  • Claims Processing (Hard Skills)
  • Customer Support (Hard Skills)
  • Collaboration (Soft Skills)
  • Client Interaction (Soft Skills)
  • Portfolio Management (Hard Skills)
  • Target Achievement (Hard Skills)
  • Communication Skills (Hard Skills)
  • Documentation and Investigation (Hard Skills)

11. Claims Handler, American Family Insurance, Madison, WI

Job Summary:

  • Managing financial lines and liability claims within specified financial authority limits.
  • Ensuring all claims are handled in accordance with internal procedures and regulatory requirements.
  • Applying legal principles to financial lines and liability claims portfolio.
  • Developing and maintaining positive working relationships with internal and external stakeholders.
  • Providing support and operational assistance to Senior Claims Handlers and the Claims Manager.
  • Ensuring claims are managed from initial notification through to completion
  • Preparing files/reports for each job
  • Scheduling required surveyor or relevant tradesmen/contractor appointments to attend site
  • Deal with high value, complex claims
  • Assist with complaints
  • Allocating work to the appropriate trades
  • Act as a technical referral point to other members in the team
  • Ordering materials for delivery to site


Skills on Resume: 

  • Claims Handling Expertise (Hard Skills)
  • Legal and Regulatory Knowledge (Hard Skills)
  • Stakeholder Management (Soft Skills)
  • Team Leadership and Support (Soft Skills)
  • Project and Resource Coordination (Hard Skills)
  • Complex Problem Solving (Hard Skills)
  • Complaint Handling (Soft Skills)
  • Communication and Negotiation (Soft Skills)

12. Claims Handler, Erie Insurance Group, Erie, PA

Job Summary:

  • Taking first notification of loss for a range of commercial claims
  • Play an important role in the day-to-day handling of commercial insurance claims for a range of clients, ensuring a smooth transition through the process
  • Liaise with insurers to ensure effective claims outcomes and smooth handling of the claims in a professional manner
  • Maintaining all claim’s records aligned with the company’s best practices and SLA’s
  • Work closely with the Claims Manager to deliver consistently high levels of service
  • Preparation of claims reports for review and renewal client meetings
  • Handling complaints in line with company complaints policy
  • Support other needs of the business from time to time
  • Undertake detailed fact finds for claims submitted, paying great attention to detail.
  • Liaise via phone and email with customers to obtain relevant information and documentation to fully assess the claim.
  • Convey the outcome of assessment, whether accept or decline in a concise and informative way.
  • Contact tenants and guarantors to discuss all aspects of the tenancy breach


Skills on Resume: 

  • Commercial Claims Handling (Hard Skills)
  • Customer Service (Soft Skills)
  • Communication Skills (Soft Skills)
  • Attention to Detail (Hard Skills)
  • Claims Assessment (Hard Skills)
  • Report Preparation (Hard Skills)
  • Team Collaboration (Soft Skills)
  • Adaptability and Flexibility (Soft Skills)

13. Claims Handler, Hartford Financial Services, Hartford, CT

Job Summary:

  • Answering calls and emails from Policyholders, providing advice on the claims process and an excellent customer experience at all times.
  • Act as the main point of contact for Policyholders who have submitted a claim
  • Collect accurate information and documents to proceed with a claim ensuring that all information is accurately recorded and maintained on the claim file.
  • Assess a claim made by a policyholder fairly and consistently to ensure that correct coverage decisions are made.
  • Manage own caseload of Structural Warranty claims, of medium to large value and complexity, ensuring that are correctly handled and that there is a fair and prompt settlement of any valid claims.
  • Work with the Recoveries Team to highlight potential recovery and/or mitigation opportunities
  • Set and maintain appropriate reserves throughout the lifecycle of all claims
  • Handle claims declinatures and appeals
  • Ensure the customer is treated fairly at all times
  • Work closely with insurers and solicitors
  • Adhere to legal requirements, industry regulations, and customer quality standards set by the company.
  • Regularly review and improve existing processes


Skills on Resume: 

  • Customer Service Skills (Soft Skills)
  • Communication Skills (Soft Skills)
  • Documentation and Information Management (Hard Skills)
  • Claims Assessment (Hard Skills)
  • Caseload Management (Hard Skills)
  • Collaboration Skills (Soft Skills)
  • Financial Management (Hard Skills)
  • Compliance and Process Improvement (Hard Skills)