Claims Examiner Resumes List

Claims Examiner Resumes Tips

Claims examiners are usually employed by Insurance companies to evaluate the genuineness and extent of claims made on them by their clients when unusual claims are made on them. Claims Examiners first study whether the claim falls within the purview of the conditions of the policy taken out by the claimant and then evaluates the claim for the extent of the claim.

While no specific educational qualifications are necessary, most employers prefer to hire graduates. What is more important is experience in the field and this is acquired by initially assisting Senior Claim Examiners for a few years before being allowed small independent examinations gradually moving up to major ones.

Most states in the USA have licensing requirements before one can perform as a Claims Examiner and one normally is expected to pass a State Examination as a prerequisite to being licensed. Employers prefer to hire Claims Examiners duly licensed by the local governments.

After about ten years of experience as a Claims Examiner one is permitted to add certification letters to their names granted by the International Claims Association such as ALHC (Associate, Life & Health Claims) and FLHC (Fellow, Life & Health Claims) To retain such designations, a Claims Examiner must have five to ten years of experience, pass an exam and complete continuing education courses yearly. Most employers conduct or sponsor Examiners to training programs and seminars periodically to enable them to retain the designations.

Since quite a lot of investigation is called for in the duties of Claims Examiners, many employers prefer people with police and private detective experiences who have had the benefit of formal training as well as experience in investigation techniques. Similarly, people with automobile repair workshops are desired for examining Accident Claims on automobiles. Since such work inevitably requires talking to many people, excellent communication skills are expected as a matter of course.