Social Security Claims Specialist Resume Example & Writing Guide

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

As a claims specialist, you’ll work with insurance companies, healthcare providers, and other stakeholders to process insurance claims on behalf of your clients. You’ll also work with clients to help them understand their benefits, provide guidance on submitting claims, and resolve any issues that arise.

Because claims specialists often play a critical role in the insurance process, they must always be ready to respond quickly and provide accurate information. They must also be organized and detail-oriented. And because claims specialists often work with sensitive information like medical records and contact information for doctors, they must be trustworthy and discreet.

Here are some tips plus an example to help you write a compelling Social Security claims specialist resume that hiring managers will love.

James Smith
Houston, TX | (123) 456-7891 | [email protected]

Seasoned social security claims specialist with over 10 years of experience helping people through one of the most difficult times in their lives. Proven ability to manage a high caseload, navigate complex government systems, and provide compassionate support. Seeking a challenging new role that will allow me to use my skills to help others.

Houston Community College Jun '10
A.A. in Business Administration
Company A, Social Security Claims Specialist Jan '17 – Current
  • Processed and reviewed incoming Social Security claims for completeness, accuracy, and timeliness; ensured all required documentation was included with the claim.
  • Provided customer service to customers by answering questions regarding their claims status or benefits eligibility.
  • Assisted in training new employees on proper procedures for processing claims as well as other duties related to this position.
  • Maintained a high level of confidentiality when dealing with sensitive information pertaining to our customers’ personal data and protected health information (PHI).
  • Performed quality control checks on documents submitted with claims such as medical records, pay stubs, etc., ensuring that they are complete before forwarding them to the appropriate department for further review/processing.
Company B, Social Security Claims Specialist Jan '12 – Dec '16
  • Provided customer service to clients over the phone and in person, answering questions about benefits and eligibility requirements
  • Conducted thorough interviews with claimants to gather all necessary information for accurate benefit determinations
  • Maintained a working knowledge of Social Security regulations and policies as well as state-specific laws
  • Achieved high levels of customer satisfaction through exceptional interpersonal skills and patience
  • Collaborated with medical professionals to determine appropriate disability status based on client’s condition
Company C, Social Security Claims Processor Jan '09 – Dec '11
  • Reviewed and processed social security disability claims in accordance with state and federal regulations.
  • Determined eligibility for benefits and calculated benefit amounts.
  • Communicated decisions to claimants and their representatives.

Industry Knowledge: Social Security Administration (SS Administration) Regulations, Privacy Act, Federal Records Management, Freedom of Information Act, Office of Personnel Management (OPM) Records Management, Workforce Innovation and Opportunity Act (WIOA)
Technical Skills: Microsoft Office Suite, Adobe Reader, Adobe Acrobat, Windows, Blackberry, CISCO
Soft Skills: Communication, Critical Thinking, Problem-Solving, Decision Making, Teamwork, Customer Service, Attention to Detail, Multi-Tasking, Phone Etiquette, Conflict Resolution, Customer Satisfaction

How to Write a Social Security Claims Specialist Resume

Here’s how to write a resume of your own.

Write Compelling Bullet Points

When you’re writing bullet points, it can be tempting to focus on the tasks and responsibilities of your job. But that’s not enough to make a compelling resume.

Instead, you should focus on the results of your work. For example, rather than saying you “processed claims,” you could say that you “processed 1,000+ claims per month, resulting in 98% accuracy rate.”

The second bullet point is much stronger because it provides specific numbers and details about the project. It also includes a quantifiable result (98% accuracy rate).

Identify and Include Relevant Keywords

When you submit an application for a social security claims specialist role, it goes through an applicant tracking system (ATS) that scans it for certain keywords. This system looks for words and phrases related to the job like “seniority” or “work history” in order to determine whether your skills and experience are a match for the job. If your resume doesn’t include enough of the right terms, the ATS might automatically reject your application.

To increase your chances of getting an interview, use this list of common social security claims specialist keywords to help you identify the skills, experience, and terms most relevant to the role:

  • Social Security
  • Claims Processing
  • Life Insurance
  • Disability Insurance
  • Healthcare
  • Medicare
  • U.S. Social Security Administration
  • Healthcare Management
  • Resume Writing
  • Customer Service
  • Accounting
  • Time Management
  • Sales
  • Administrative Assistance
  • Microsoft Access
  • Public Speaking
  • Customer Satisfaction
  • Medicare Part D
  • Human Resources (HR)
  • Hospitals
  • Data Entry
  • Problem Solving
  • Social Media
  • Teamwork
  • Communication
  • Organization Skills
  • Coaching
  • Administrative Management
  • Teaching
  • Receptionist Skills

Showcase Your Technical Skills

As a Social Security claims specialist, you will need to be proficient in a number of software programs and systems in order to do your job effectively. This might include the Social Security Administration’s online claims system, as well as other software programs that are used to manage claims and track payments. Additionally, you will need to be familiar with Microsoft Office Suite in order to create reports and correspondence.


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