Claims Adjuster Resume Example

Professional Summary

Claims adjuster with 4 years investigating and settling property and casualty insurance claims for a national carrier handling 150+ claims per month. Experienced in coverage determination, damage assessment, liability analysis, and negotiating fair settlements while maintaining customer satisfaction and regulatory compliance.

Key Skills

What to Include on a Claims Adjuster Resume

• A concise summary that states your claims adjuster experience level, strongest domain, and the business problems you solve.
• A skills section that mirrors the job description language for Claims Investigation, Coverage Determination, Damage Assessment, Settlement Negotiation.
• Experience bullets that connect claims adjuster, claims investigation, settlement negotiation to measurable outcomes such as cost savings, faster delivery, better quality, or improved customer results.
• Tools, platforms, certifications, and methods that are current for finance & accounting roles.
• Recent projects that show ownership, cross-functional work, and a clear result instead of generic responsibilities.

Sample Experience Bullets

• Managed a caseload of 150+ open property and casualty claims per month with combined reserves of $8M, settling an average of 40 claims per month with a 92% customer satisfaction rate on post-settlement surveys
• Investigated 500+ claims per year including property damage, bodily injury, and liability claims, conducting recorded statements, reviewing police reports, and analyzing coverage to make accurate coverage and liability determinations
• Negotiated settlements on 200+ disputed claims per year, achieving outcomes within 5% of initial reserve estimates for 85% of claims and saving the company an estimated $400K annually compared to pre-litigation settlement costs
• Reduced average claim cycle time from 35 days to 22 days by implementing a structured triage process that prioritized claims by complexity and severity, assigning routine claims to a fast-track workflow with expedited approval authority
• Conducted 100+ field inspections annually for property damage claims, using Xactimate to prepare damage estimates that averaged within 3% of contractor repair bids and supported fair settlement negotiations
• Identified 15 fraudulent claims per year totaling $350K through investigation techniques including surveillance coordination, social media analysis, and inconsistency detection in claimant statements, referring all cases to the SIU for further action
• Managed 20+ catastrophe claims following a major storm event, deploying to the affected area for 3 weeks to conduct damage assessments, issue emergency payments, and coordinate contractor access for 200+ policyholders
• Maintained claims documentation in Guidewire ClaimCenter that met regulatory standards and survived 2 state department of insurance audits with zero compliance findings across 50 sampled claim files
• Handled 25 litigated claims in coordination with defense counsel, preparing claim summaries, attending mediations, and providing testimony in 3 depositions that contributed to favorable settlements saving $600K in potential jury verdicts
• Achieved the lowest cost-per-claim average in the regional office at $4,200 against a $5,100 team average, through thorough initial investigations that established accurate reserves and prevented claim development surprises
• Trained 6 new adjusters on claims handling procedures, coverage interpretation, and negotiation techniques through a 90-day mentorship program, with all trainees achieving independent claim-handling authority by the end of the program

ATS Keywords for Claims Adjuster Resumes

Use these terms naturally where they match your experience and the job description.

Recommended Certifications

• Associate in Claims (AIC)
• Xactimate Certified Professional
• Chartered Property Casualty Underwriter (CPCU)

What Does a Claims Adjuster Do?

• Design, develop, and maintain software solutions using Claims Investigation, Coverage Determination, Damage Assessment and related technologies
• Collaborate with cross-functional teams including product managers, designers, and QA engineers to deliver features on schedule
• Write clean, well-tested code following industry best practices for claims adjuster and claims investigation
• Participate in code reviews, technical discussions, and architecture decisions to improve system quality and team knowledge
• Troubleshoot production issues, optimize performance, and ensure system reliability across all environments

Resume Tips for Claims Adjusters