Claims Auditor Resume

[First Name] [Last Name]

Contact Address: [street]

[Country] [City] [State/Province] [Zip Code]

Contact Number: (012)-345-6789

Email Address: [[email protected]]

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Career Objective:

I am looking for a claims auditor job with an insurance company where I can help the management in minimizing operational loss through careful audit.

Summary of Skills:

  • Strong experience in handling all types of insurance claims
  • Excellent knowledge of rules and procedures of reimbursements
  • Remarkable communication, organizational, and customer service skills
  • Adept in working with computers and evaluating claims
  • Comprehensive knowledge of insurance laws and regulations
  • Skilled in prioritizing and handling multiple task
  • Proficient in meeting strict deadlines and solving claims problems

Work Experience:

Claims Auditor
KLM Insurance Services, Inc., Spokane, WA
October 2013 – Present

  • Reviewing reimbursement request submitted by policyholders and determining their validity
  • Referring terms and conditions of insurance contracts and settling claims disputes
  • Computing accuracy of claim amounts using generally accepted auditing standards
  • Processing and verifying claims submitted for car, property, and life insurance
  • Informing policyholders about denial and acceptance of reimbursement requests
  • Auditing check runs and performing check payment process

Claims Auditor
ABC Insurance Company, Spokane, WA
March 2012 – September 2013

  • Identified frauds in claims and saved millions of dollars for the company
  • Analyzed the pattern of claims and submitted report to the management
  • Delegated auditing staff for sorting and processing reimbursement requests
  • Tracked and generated request for claims overpayment
  • Maintained policy records and conferred with attorneys for implementing laws that restrict reimbursement
  • Developed relationships with internal and external stakeholders and informed them on company’s financial conditions

Education:

  • Bachelor’s Degree in Accounting
    Spokane University, Spokane, WA
    2011

Reference:

On request.