Insurance Verification Specialist Resume Example & Writing Guide

Use this Insurance Verification Specialist resume example and guide to improve your career and write a powerful resume that will separate you from the competition.

Insurance verification specialists are responsible for answering customer questions about their policies and helping them resolve claims. If you have an eye for detail and enjoy problem solving, insurance might be a great fit for you.

Insurance companies rely on their insurance verification specialists to provide accurate information quickly to help customers make informed decisions about their coverage. If you’re ready to join the industry but aren’t sure where to start with your resume, here are some tips and an example for reference.

Michael Garcia
New York City, NY | (123) 456-7891 | [email protected]

Driven insurance verification specialist with five years of experience in the medical field. Proven ability to navigate through insurance plans and benefits while providing excellent customer service. Skilled in data entry, insurance billing, and medical terminology.

Abraham Lincoln High School Jun '08
High School Diploma
Company A, Insurance Verification Specialist Jan '17 – Current
  • Verified insurance information for new and existing customers via phone, email, or web chat.
  • Provided excellent customer service by following the company’s mission statement and core values.
  • Communicated with customers to resolve issues in a timely manner while maintaining confidentiality of personal information.
  • Maintained knowledge of current products and services available through training provided by management as well as internal resources such as intranet site, online help desk system, etc..
  • Followed all procedures regarding privacy regulations including Personally Identifiable Information (PII) and Protected Health Information (PHI).
Company B, Insurance Verification Specialist Jan '12 – Dec '16
  • Worked with management to create a new system for tracking insurance verification requests, which increased efficiency by 25%
  • Created and maintained an Excel spreadsheet of all current and past clients’ information, including contact details and policy numbers
  • Answered phone calls from prospective customers who wanted more information about the company’s services
  • Maintained detailed records on each customer interaction in order to track sales leads effectively
  • Resolved billing issues by researching claims history, contacting agents or referring cases to underwriters as needed
Company C, Customer Service Representative Jan '09 – Dec '11
  • Answered customer inquiries via telephone, email, and live chat.
  • Assisted customers with account set-up and billing issues.
  • Resolved customer complaints in a timely and professional manner.

Industry Knowledge: Insurance, Claims, Underwriting, Statutory Compliance, Regulatory Compliance, Financial Reporting
Technical Skills: MS Office Suite, MS Project, Workday, Salesforce, SAP, Oracle Financials
Soft Skills: Written and Verbal Communication, Teamwork, Leadership, Self-Management, Process Improvement

How to Write an Insurance Verification Specialist Resume

Here’s how to write an insurance verification specialist resume of your own.

Write Compelling Bullet Points

When you’re writing bullet points, it can be tempting to simply list your responsibilities and duties. But that’s not going to make a recruiter take notice. Instead, you should use your bullet points to demonstrate how you contributed to the company and helped achieve specific results.

For example, rather than saying you “conducted research for new insurance policies,” you could say that you “conducted research for new insurance policies, resulting in a 15% increase in new business for the company.”

The second bullet point is much stronger because it provides specific numbers and details about what you did and the outcome of your work.

Related: What Is an Insurance Verification Specialist? How to Become One

Identify and Include Relevant Keywords

When you apply for an insurance verification specialist role, your resume goes through an applicant tracking system (ATS). This program looks for certain keywords related to the position in order to determine whether you are a good fit. If your resume doesn’t have enough of the right keywords, your application might not be seen by a recruiter.

One way to make sure your resume includes the right keywords is to read through job postings and take note of the terms that keep popping up. Then, use those same terms when you’re writing your resume. Here are some commonly used insurance verification specialist keywords:

  • Insurance Verification
  • Data Entry
  • Healthcare
  • U.S. Health Insurance Portability and Accountability Act (HIPAA)
  • Phone Etiquette
  • Healthcare Management
  • Microsoft Access
  • Medical Terminology
  • Administrative Assistance
  • Customer Service
  • Insurance
  • Hospitals
  • Telecommunications
  • Medical Billing
  • Cardiopulmonary Resuscitation (CPR)
  • Receptionist Duties
  • Filing
  • Electronic Medical Record (EMR)
  • Medical Records
  • Epic Systems
  • Healthcare Information Technology (HIT)
  • Typing
  • Health Insurance
  • Clinical Trials
  • U.S. Health and Human Services (HHS)
  • Medical Coding
  • Medicare
  • Health Policy
  • Medical Terminology Standards Development Committee (MTSDC)
  • Clinical Research

Showcase Your Technical Skills

Insurance verification specialists use technology to verify insurance coverage and benefits for patients. They typically use programs like EZinsured and iBlueButton to do this. Additionally, insurance verification specialists need to be familiar with the insurance policies of various healthcare providers.

Related: How Much Does an Insurance Verification Specialist Make?

Remember The Basics

As you draft your resume, you’ll want to keep a few basic guidelines in mind.

Make It Easy to Scan

There are a few things you can do to make your resume easier to read and understand quickly. Aligning everything to the left, using a standard font type and size, and keeping bullets under 2 lines will help make your resume more skimmable. You should also try to leave some white space on the page to help the recruiter easily scan through your information.

Be Concise

There is no one-size-fits-all answer to how long a resume should be. However, a one-page resume is typically the best option for recent graduates and those early in their careers. If you have more experience to include, a two-page resume is a better option. But be selective about the information that you include, and make sure to focus on the most relevant and recent details.

Check Your Work

Proofreading your resume is one of the most important things you can do to make sure it is effective and looks its best. There are several things to watch for when proofreading, including spelling mistakes, punctuation mistakes, and grammar mistakes. It is also important to be aware of easily confused words, such as their/there/they’re and to/too/two. Spell checking your resume is a good start, but you should also have someone else proofread it for you to catch any mistakes that you may have missed.

Consider Including a Summary

A resume summary statement can be an extremely useful way to communicate to potential employers who you are and what you’re looking for. By highlighting your most relevant skills and experiences, you can show that you have the potential to be a great fit for the role you’re applying for. Additionally, a well-written summary can help to engage the reader and keep them interested in learning more about your qualifications.

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