How To Become A Claims Representative: What It Is and Career Path - Zippia (2024)

Key steps to become a claims representative

1. Explore claims representative education requirements

   The educational requirements for a claims representative are typically a bachelor's degree. According to the data, 69.21% of claims representatives have a bachelor's degree. The most common majors for this role are Business, Criminal Justice, Psychology, Communication, and Political Science.

   Professional certifications such as Associate in Claims, Certified Billing and Coding Specialist, and Associate in General Insurance can also be beneficial. Some of the top schools known for producing successful claims representatives are Stanford University, University of Pennsylvania, Northwestern University, Maine Maritime Academy, and University of Southern California.

   Most common claims representative degrees

   Bachelor's

   62.3

   %

   Associate

   15.5

   %

   High School Diploma

   10.0

   %

2. Start to develop specific claims representative skills

   A claims representative's job involves preparing state filings, managing litigation, and negotiating with attorneys. They also review and manage insurance claims, investigate coverage, liability, and damages, and communicate with policyholders, claimants, and attorneys. They must have strong investigation and negotiation skills, as well as the ability to maintain open communication with repair shops and keep customers informed. They must also adhere to policy provisions and conditions while ensuring a positive customer experience.

   Skills	Percentages
   Customer Service	25.90%
   Quality Standards	6.46%
   Policy Coverage	6.39%
   Reservations	5.21%
   Claims Handling	3.39%

   Show more

3. Complete relevant claims representative training and internships

   Accountants spend an average of 1-2 years on post-employment, on-the-job training. New claims representatives learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a claims representative based on U.S. Bureau of Labor Statistics data and data from real claims representative resumes.

4. Gain additional claims representative certifications

   Claims representative certifications can show employers you have a baseline of knowledge expected for the position. Certifications can also make you a more competitive candidate. Even if employers don't require a specific claims representative certification, having one may help you stand out relative to other applicants.

   See Also

   What Does a Claims Representative Do?Claims Representative Salary (June 2024) - ZippiaClaims Representative Job Description Template

   The most common certifications for claims representatives include Associate in Claims (AIC) and Certified Billing and Coding Specialist (CBCS).

   More About Certifications

5. Research claims representative duties and responsibilities

   A claims representative's responsibilities include preparing state filings, managing litigation, and negotiating with attorneys. They also investigate coverage, liability, and damages for various types of claims, obtain facts, and make decisions based on policy coverage and conditions. They handle commercial auto and general liability claims, review medical records, and take inbound and outbound calls. They also work directly with defense counsel, develop relationships, and decrease expenses while ensuring appropriate payment.

   • Perform initial set-up and continuously manage claims in the Juris claims management system.
   • Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
   • Prepare necessary state filings within statutory limits, manage litigation and vocational rehabilitation process, used appropriate cost containment techniques.
   • Assist the training department in developing CSR training in order to set expectations.

6. Prepare your claims representative resume

   When your background is strong enough, you can start writing your claims representative resume.

   You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a claims representative resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

   Choose From 10+ Customizable Claims Representative Resume templates

   Build a professional

   Claims Representative

   resume in minutes. Browse through our resume examples to identify the best way to word your resume.

   Then choose from 10+ resume templates to create your Claims Representative resume.

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

7. Apply for claims representative jobs

   Now it's time to start searching for a claims representative job. Consider the tips below for a successful job search:

   1. Browse job boards for relevant postings
   2. Consult your professional network
   3. Reach out to companies you're interested in working for directly
   4. Watch out for job scams

How do claims representatives rate their job?

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The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.