Claims Examiner Cover Letter Examples

Claims Examiners are employed by insurance companies to investigate, evaluate, and determine the extent of an insurance company’s liability for a claim. They work in the field and in office settings.

Employment of claims examiners is projected to grow 3 percent from 2019 to 2029, about as fast as the average for all occupations.

The median annual salary for Claims Examiners was $61,610 in 2016.

What to Include in a Claims Examiner Cover Letter?

Roles And Responsibilities

Processing and reviewing claims to determine if they are accurate and valid.
Maintaining a claim case management system that helps ensure prompt and effective processing of insurance claims.
Reviewing claims submitted by insured individuals or businesses to ensure they are accurate and valid.
Paying approved claims, denying invalid claims, or negotiating settlements.
Tracking payments made on each claim.
Keeping records of all claims processed, including the original claim, the investigation results, and any payments made.
Ensuring that all relevant information is documented in the file for each claim filed.
Working with insurance agents to gather additional information about a claim when needed.
Communicating with claimants about the status of their claim and what to expect next.

Education & Skills

Claims Examiner Skills:

Have good interpersonal, communication and negotiation skills.
Accurately compile data and information.
Possess good computer skills in order to efficiently process claims.
Proficient at conducting research, fact-checking and verifying information.
Familiar with the policies and procedures that govern insurance claims.

Claims Examiner Education Requirements:

Most claims examiners have a bachelor’s degree in business administration or a related field. Many insurers also require claims examiners to have passed one or more insurance exams administered by state insurance departments.

Claims Examiner Cover Letter Example (Text Version)

Dear Mr. / Ms. [Recruiter Name],

I am applying for the Claims Examiner position with [Company Name].

My qualifications include a degree in business administration and ten years of experience in insurance claims. I have a thorough knowledge of policy coverage, state/federal laws and regulations, and I am familiar with the major insurance associations.

In my current role as Claims Examiner for [Company Name], I handle end-to-end processing of claims. My responsibilities include evaluating claims to ensure validity, researching coverage, and providing clear communication between the company and claimants to ensure everyone is on the same page regarding coverage.

Some of my Achievements include:

Achieved a record-breaking 60% decrease in the average time of claim resolution.
Improved claims processing accuracy by 43% through developing a new set of internal procedures.
Decreased claims processing costs by 40%.
Successfully handled all types of claims, including those with high complexity and large value.

In addition to my duties as a Claims Examiner, I also manage training new employees on policy procedures. It is a responsibility that I enjoy because it allows me to make sure that new employees have an excellent base understanding of insurance policies and know how to evaluate claims fairly and accurately.

I have attached my resume for your review and look forward to speaking with you further about this opportunity.

Sincerely,
[Your Name]