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Claims Adjuster Job Description for Resume in 2025 – Key Duties, Action Verbs

Resume Builder

October 13, 2025

Claims Adjuster Job Description for Resume

The role of a claims adjuster is critical in the insurance industry, serving as the bridge between policyholders and insurance companies. A claims adjuster evaluates insurance claims, investigates the circumstances surrounding them, and determines the appropriate payout. Crafting a compelling resume that highlights your skills and experiences in this field is essential for standing out in a competitive job market.

In this article, we will explore the key duties associated with the claims adjuster job description for your resume. Additionally, we will provide action verbs that effectively communicate your capabilities, ensuring your application resonates with potential employers and showcases your expertise in managing claims efficiently.

Claims Adjuster Job Description for Resume

A Claims Adjuster is a professional responsible for evaluating insurance claims to determine the extent of the insurance company's liability. Their primary purpose is to investigate claims, gather evidence, assess damages, and negotiate settlements between the insured and the insurer. They play a crucial role in the insurance industry, ensuring that claims are processed fairly and efficiently, which helps maintain trust between clients and insurance providers.

Claims Adjusters typically work in the property and casualty insurance sectors, handling claims related to auto accidents, property damage, and personal injury. Career levels range from entry-level positions, where new adjusters learn the ropes, to mid-level and senior roles that involve more complex claims and leadership responsibilities. They often work in office environments, but may also conduct fieldwork to inspect damages or meet with claimants.

How a Claims Adjuster Job Description Enhances Resume

A strong job description is crucial for a Claims Adjuster resume because it serves as a roadmap for recruiters to quickly assess qualifications and fit for the role. Here’s why this section grabs recruiter attention:

  • Clarity of Role: A well-defined job description outlines the specific responsibilities and expectations of a Claims Adjuster, making it easier for recruiters to identify candidates who meet their needs.

  • Keyword Matching: Many organizations use Applicant Tracking Systems (ATS) that filter resumes based on relevant keywords. A strong job description ensures your Claims Adjuster resume includes these essential terms, increasing the likelihood of passing through initial screenings.

  • Demonstrating Achievements: Highlighting key accomplishments related to the job description allows you to showcase your impact, making your Claims Adjuster resume stand out.

  • Relevance: Tailoring your Claims Adjuster resume to align with the job description demonstrates your understanding of the role and its requirements, appealing directly to the recruiter’s needs.

  • Measurable Impact: Including quantifiable results in your Claims Adjuster resume reinforces your capabilities and effectiveness, further capturing the attention of hiring managers.

To see a complete guide on strengthening your resume, read our article on Fitness Trainer Job Description for Resume.

Claims Adjuster Job Description Examples

Entry Level Resume Job Description Examples

  1. Job Role: Entry Level Claims Adjuster
    Job Description: Responsible for investigating insurance claims, gathering information, and assessing damages. Communicate with policyholders and third parties to determine the validity of claims and negotiate settlements. Ensure compliance with company policies and regulatory requirements.

  2. Job Role: Entry Level Claims Adjuster
    Job Description: Assist in the evaluation of insurance claims by collecting relevant documentation and evidence. Support senior adjusters in analyzing claims and preparing reports. Provide excellent customer service by addressing inquiries and guiding clients through the claims process.

  3. Job Role: Entry Level Claims Adjuster
    Job Description: Conduct initial claim assessments and document findings in a clear and concise manner. Collaborate with team members to review claims and recommend appropriate actions. Maintain accurate records and follow up on outstanding claims to ensure timely resolution.

  4. Job Role: Entry Level Claims Adjuster
    Job Description: Perform data entry and maintain claims databases. Assist in the investigation of claims by interviewing claimants and witnesses. Prepare and present findings to senior adjusters while ensuring a high level of customer satisfaction throughout the claims process.

  5. Job Role: Entry Level Claims Adjuster
    Job Description: Support the claims department by processing new claims and updating existing records. Analyze claim information to identify discrepancies and gather additional details as needed. Work closely with various departments to facilitate efficient claim resolutions.

Mid-Level Resume Job Description Examples

  1. Job Role: Mid-Level Claims Adjuster
    Job Description: Responsible for investigating, evaluating, and settling insurance claims in a timely manner. Collaborate with policyholders, agents, and legal representatives to gather necessary documentation and provide recommendations for claim resolutions. Utilize analytical skills to assess damages and determine appropriate compensation amounts.

  2. Job Role: Mid-Level Claims Adjuster
    Job Description: Manage a caseload of claims by conducting thorough investigations and analyzing policy coverage. Communicate effectively with clients and stakeholders to facilitate the claims process. Prepare detailed reports and maintain accurate records to ensure compliance with company policies and regulatory requirements.

  3. Job Role: Mid-Level Claims Adjuster
    Job Description: Evaluate and process insurance claims, ensuring adherence to company guidelines and industry standards. Conduct interviews with claimants and witnesses, review medical records, and assess property damage to determine liability and settlement amounts. Collaborate with team members to improve claims handling efficiency.

  4. Job Role: Mid-Level Claims Adjuster
    Job Description: Oversee the claims adjustment process from initial contact through resolution. Analyze complex claims involving multiple parties and jurisdictions, providing expert recommendations for settlement. Develop strong relationships with clients and vendors to enhance customer satisfaction and retention.

  5. Job Role: Mid-Level Claims Adjuster
    Job Description: Investigate and assess claims for various types of insurance, including auto, home, and commercial. Utilize negotiation skills to reach fair settlements while minimizing company exposure. Stay updated on industry trends and regulations to ensure compliance and best practices in claims handling.

Experienced Level Resume Job Description Examples

  • Claims Adjuster: Responsible for evaluating insurance claims, conducting thorough investigations, and determining the validity of claims based on policy coverage. Collaborates with claimants, witnesses, and experts to gather necessary documentation and evidence, ensuring timely resolution and fair settlements.

  • Senior Claims Adjuster: Manages complex claims involving significant financial exposure, analyzing coverage and liability issues. Works closely with legal teams and external stakeholders to negotiate settlements, while maintaining compliance with industry regulations and company policies.

  • Field Claims Adjuster: Conducts on-site inspections of property damage and personal injury claims, assessing the extent of loss and determining appropriate compensation. Engages with claimants and witnesses to gather statements and evidence, ensuring accurate reporting and timely processing of claims.

  • Auto Claims Adjuster: Specializes in evaluating automobile-related claims, including accidents and theft. Reviews police reports, assesses damage through physical inspections or photographs, and liaises with repair shops and medical professionals to facilitate swift and fair claim resolution.

  • Workers' Compensation Claims Adjuster: Oversees claims related to workplace injuries, coordinating with employers, healthcare providers, and legal representatives. Evaluates medical documentation, monitors claim progress, and ensures compliance with state regulations while advocating for fair treatment of injured workers.

List of 15 Key Duties of a Claims Adjuster

As a Claims Adjuster, you play a crucial role in evaluating insurance claims, ensuring fair assessments, and facilitating smooth transactions between policyholders and insurance companies. Here’s a list of key duties to highlight on your resume:

  1. Investigate and evaluate insurance claims.
  2. Gather evidence and documentation related to claims.
  3. Interview claimants, witnesses, and involved parties.
  4. Analyze policy coverage and liability issues.
  5. Determine the validity of claims based on investigations.
  6. Negotiate settlements with claimants and legal representatives.
  7. Prepare detailed reports and case files.
  8. Maintain accurate records of claims activity.
  9. Communicate findings to management and stakeholders.
  10. Collaborate with legal teams on complex cases.
  11. Stay updated on industry regulations and best practices.
  12. Provide excellent customer service to policyholders.
  13. Review and interpret insurance policies.
  14. Conduct field inspections when necessary.
  15. Assist in training and mentoring junior adjusters.

Key Responsibilities of a Claims Adjuster

Claims Adjusters play a crucial role in the insurance industry, evaluating claims, negotiating settlements, and ensuring compliance with regulations. Here are key responsibilities to highlight on your resume:

  • Investigate Claims
    Review and analyze claims to determine their validity, gathering information from various sources to support decision-making.

  • Assess Damages
    Evaluate property damage or personal injury claims using expert assessments, photographs, and witness statements to establish the extent of losses.

  • Negotiate Settlements
    Communicate with claimants and insurance representatives to negotiate fair settlements, ensuring all parties are satisfied while adhering to company guidelines.

  • Document Findings
    Maintain detailed records of investigations, findings, and communications to support claims decisions and facilitate future reference or audits.

  • Provide Customer Support
    Assist claimants throughout the claims process, answering questions and providing updates to enhance customer satisfaction and trust in the insurance provider.

  • Ensure Compliance
    Adhere to state regulations and company policies regarding claims handling, ensuring all processes are compliant to avoid legal issues.

  • Collaborate with Experts
    Work alongside medical professionals, engineers, and other specialists to gather accurate information and expert opinions for complex claims.

Essential Skills to Highlight on Claims Adjuster Resume

When crafting a resume for a Claims Adjuster position, it's crucial to highlight the essential skills that showcase your qualifications and expertise. Here’s a list of skills to consider:

  1. Analytical skills
  2. Attention to detail
  3. Communication skills
  4. Negotiation skills
  5. Problem-solving abilities
  6. Time management
  7. Customer service orientation
  8. Knowledge of insurance policies
  9. Conflict resolution
  10. Report writing
  11. Decision-making skills
  12. Interpersonal skills
  13. Technical proficiency
  14. Research skills
  15. Organizational skills
  16. Adaptability
  17. Team collaboration
  18. Financial acumen
  19. Risk assessment
  20. Claims processing knowledge

Other Resume Job Descriptions

How to Quantify Achievements in Claims Adjuster Job Description

To effectively quantify achievements in a Claims Adjuster job description for your resume, focus on specific metrics, results, and improvements you've made in your role. This not only demonstrates your capabilities but also showcases your impact on the organization. Here’s how to do it:

  • Claims Processed: Managed and processed over 300 claims per month, achieving a 95% accuracy rate in documentation.

  • Reduction in Processing Time: Implemented a new claims review system that reduced processing time by 20%, enhancing customer satisfaction.

  • Cost Savings: Negotiated settlements that saved the company $150,000 annually while maintaining customer relationships.

  • Customer Satisfaction: Achieved a 98% customer satisfaction score through proactive communication and timely claim resolutions.

  • Training and Mentoring: Trained 5 new adjusters, leading to a 30% increase in team efficiency within the first quarter.

  • Compliance and Audit Success: Maintained a 100% compliance rate during internal audits, ensuring adherence to industry regulations.

By using quantifiable metrics, you provide concrete evidence of your contributions, making your resume stand out to potential employers.

Tips to Tailor Claims Adjuster Job Description for ATS

When crafting a Claims Adjuster job description for ATS, start by including relevant keywords that align with the skills and qualifications you seek. Use terms like "claims processing," "investigation," and "customer service" to ensure your description is optimized for search algorithms. This will help your Claims Adjuster Resume stand out to potential candidates who possess the necessary expertise.

Next, clearly outline the essential duties and responsibilities of the role. Be specific about tasks such as evaluating insurance claims, negotiating settlements, and maintaining accurate records. This clarity will attract candidates who are well-suited for the position, allowing you to filter applicants more efficiently through their Claims Adjuster Resume.

Finally, emphasize the qualifications and skills required for the job. Include necessary certifications, years of experience, and soft skills like communication and analytical thinking. This will help ensure that applicants tailor their Claims Adjuster Resume to highlight their most relevant experiences, increasing the chances of finding the ideal candidate.

Action Verbs & Power Words for Claims Adjuster Job Description

When crafting a resume for a Claims Adjuster position, using powerful action verbs can significantly enhance your job description. Here’s a list of impactful words to consider:

  1. Analyzed
  2. Negotiated
  3. Investigated
  4. Evaluated
  5. Resolved
  6. Assessed
  7. Documented
  8. Communicated
  9. Coordinated
  10. Facilitated
  11. Reviewed
  12. Recommended
  13. Streamlined
  14. Collaborated
  15. Adjudicated

Sample Resume with Claims Adjuster Job Description

Following is the ATS-friendly sample resume of Claims Adjuster with job description with all necessary resume sections. Now have a look at Claims Adjuster Job Description for Resume.

John Doe
123 Main Street
Anytown, USA 12345
(555) 123-4567
[email protected]

Objective
Detail-oriented and dedicated Claims Adjuster with over 5 years of experience in evaluating insurance claims, negotiating settlements, and ensuring compliance with industry regulations. Seeking to leverage expertise in claims management and customer service at XYZ Insurance Company.

Professional Experience

Claims Adjuster
ABC Insurance Company, Anytown, USA
June 2018 – Present

  • Investigated and evaluated insurance claims to determine liability and settlement amounts, managing a caseload of over 100 claims per month.
  • Conducted thorough interviews with claimants, witnesses, and professionals to gather relevant information and assess damages.
  • Collaborated with legal teams to resolve disputes and negotiate settlements, achieving a 95% satisfaction rate among clients.
  • Maintained accurate records and documentation of claims processes in compliance with state regulations and company policies.

Junior Claims Adjuster
123 Insurance Group, Anytown, USA
January 2016 – May 2018

  • Assisted senior adjusters in reviewing and processing claims, ensuring timely and accurate evaluations.
  • Analyzed claim data and prepared reports for management, identifying trends and areas for improvement.
  • Provided exceptional customer service by addressing inquiries and concerns, resulting in a 20% increase in client retention.

Education

Bachelor of Science in Business Administration
University of Anytown, Anytown, USA
Graduated May 2015

Certifications

  • Licensed Claims Adjuster, State of Anytown
  • Certified Insurance Counselor (CIC)

Skills

  • Strong analytical and problem-solving abilities
  • Excellent communication and negotiation skills
  • Proficient in claims management software (e.g., Xactimate, Guidewire)
  • Knowledge of insurance regulations and compliance
  • Customer-focused with a commitment to service excellence

Professional Affiliations

  • Member, National Association of Insurance Adjusters
  • Member, Anytown Claims Adjusters Network

References
Available upon request.

Common Mistakes to Avoid When Adding Claims Adjuster Job Description

When crafting a Claims Adjuster Job Description for Resume, it's crucial to avoid common pitfalls that can undermine your chances of landing an interview. A well-structured job description not only highlights your skills but also aligns with what employers are seeking. Avoiding these mistakes will ensure your resume stands out in a competitive market.

  • Vague language: Using ambiguous terms can confuse hiring managers. Be specific about your roles and achievements.
  • Ignoring relevant keywords: Not incorporating industry-specific keywords can lead to your resume being filtered out by Applicant Tracking Systems (ATS).
  • Overloading with jargon: While industry terminology is important, excessive jargon can alienate readers. Aim for clarity and accessibility.
  • Neglecting quantifiable achievements: Failing to include measurable results can make your experience seem less impactful. Use numbers to showcase your contributions.
  • Inconsistent formatting: A disorganized layout can distract from your qualifications. Ensure uniformity in font, bullet points, and spacing for a polished look.

By steering clear of these mistakes, your Claims Adjuster Job Description for Resume will effectively convey your expertise and enhance your appeal to potential employers.

Do & Don't Do in Resume for Claims Adjuster Job Description

When crafting a Claims Adjuster job description for your resume, focus on key responsibilities such as evaluating insurance claims, conducting investigations, and negotiating settlements. Highlight your ability to analyze policy coverage and assess damages, showcasing your attention to detail and problem-solving skills. Use action verbs to convey your proactive approach and emphasize your experience in managing multiple claims efficiently.

Additionally, incorporate relevant achievements that demonstrate your effectiveness in the role. For example, mention any successful negotiations that resulted in favorable outcomes for both the company and clients. Tailoring your Claims Adjuster resume with specific metrics and accomplishments will make it stand out to potential employers.

Do

Do: Evaluate claims by thoroughly reviewing policy details, loss reports, and applicable laws to determine coverage and liability.
Do: Conduct interviews with claimants and witnesses to gather necessary information and clarify the circumstances surrounding the claim.
Do: Negotiate settlements with claimants and service providers to reach fair and equitable resolutions while adhering to company policies and regulations.
Do: Document findings and maintain accurate records of all claims activities, ensuring compliance with legal standards and company procedures.
Do: Communicate effectively with clients and stakeholders, providing updates and explanations throughout the claims process to enhance customer satisfaction.

Don't Do

Don't: Neglect to thoroughly investigate claims - Ensure all aspects of the claim are examined, including documentation and evidence, to make informed decisions.

Don't: Overlook communication with clients - Maintain clear and consistent communication with policyholders to address their concerns and keep them informed throughout the claims process.

Don't: Rush through the assessment process - Take the necessary time to evaluate claims accurately, as hasty decisions can lead to errors and potential disputes.

Don't: Ignore company policies and regulations - Adhere strictly to internal guidelines and legal requirements to maintain compliance and protect the company’s interests.

Don't: Fail to document findings and decisions - Keep detailed records of all claims assessments and communications to ensure transparency and provide a reference for future inquiries.

Similar Job Roles & Titles

If you're exploring career opportunities similar to a Claims Adjuster, consider the following job roles that share similar responsibilities and skill sets within the insurance and risk management sectors:

  1. Claims Examiner
  2. Insurance Adjuster
  3. Risk Analyst
  4. Underwriter
  5. Loss Adjuster
  6. Claims Representative
  7. Insurance Appraiser
  8. Claims Specialist
  9. Settlement Negotiator
  10. Insurance Investigator

FAQs about Claims Adjuster Resume Job Description

How detailed should the job description be on a Claims Adjuster resume?

The job description on a Claims Adjuster resume should be detailed enough to highlight key responsibilities, achievements, and relevant skills while remaining concise and tailored to the job application.

How can I make my Claims Adjuster job description stand out?

Highlight unique responsibilities, emphasize company culture, showcase growth opportunities, include specific skills required, and use engaging language to attract top talent while clearly outlining expectations and benefits.

Can I include duties I performed outside the official Claims Adjuster title?

Yes, you can include relevant duties performed outside the official Claims Adjuster title, as long as they demonstrate your skills and experience applicable to the role.

How to handle limited experience in a Claims Adjuster job description?

Emphasize transferable skills, showcase relevant coursework or certifications, highlight internships or volunteer experiences, and express eagerness to learn and adapt quickly in the claims adjusting field.

What are the Key Duties of Claims Adjuster Job Role?

Investigate claims, assess damages, evaluate policy coverage, negotiate settlements, communicate with clients, gather evidence, prepare reports, ensure compliance, and provide recommendations for claim resolution.

Claims Adjuster Job Description for Resume

Claims Adjuster Job Description for Resume

Discover essential insights in our article "Claims Adjuster Job Description for Resume." Explore key duties, impactful action verbs, and expert tips to enhance your resume and stand out in the competitive job market. Perfect for aspiring claims adjusters looking to make a lasting impression!

Key Duties

Evaluate insurance claims for accuracy

Investigate claim details and evidence

Communicate with claimants and providers

Negotiate settlements and payments

Prepare detailed reports and documentation

Required Skills

Analytical skills

Communication skills

Negotiation skills

Attention to detail

Time management skills

Mistakes to Avoid in Job Description

Vague job responsibilities listed

Overly technical jargon used

Lack of quantifiable achievements

Tips for Job Description

Highlight relevant industry experience

Use action verbs for clarity

Quantify achievements with metrics

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