How To Become A Claims Coordinator: What It Is and Career Path - Zippia (2024)

Key steps to become a claims coordinator

1. Explore claims coordinator education requirements

   The educational requirements for a claims coordinator are a bachelor's degree in business, accounting, health care administration, psychology, or liberal arts. According to the requirements, 69.21% of claims coordinators hold a bachelor's degree. While a high school diploma, certificate, or associate degree may suffice for some positions, a bachelor's degree is often preferred.

   Furthermore, claims coordinators may also benefit from obtaining certifications such as the Certified Billing and Coding Specialist or Associate in General Insurance. These certifications can demonstrate expertise in specific areas of claims management and may set candidates apart in a competitive job market.

   Most common claims coordinator degrees

   Bachelor's

   47.7

   %

   Associate

   25.7

   %

   High School Diploma

   11.4

   %

2. Start to develop specific claims coordinator skills

   A claims coordinator should maintain legal files and coordinate litigation activities. They must also investigate and evaluate claims, determining coverage issues and processing claims into a computer system. They need to be able to audit performance levels and construct final reports for completed claims.

   Skills	Percentages
   Customer Service	22.98%
   Patients	8.79%
   Data Entry	8.10%
   Phone Calls	5.93%
   Insurance Claims	4.66%

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3. Complete relevant claims coordinator training and internships

   Accountants spend an average of 1-2 years on post-employment, on-the-job training. New claims coordinators learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a claims coordinator based on U.S. Bureau of Labor Statistics data and data from real claims coordinator resumes.

4. Research claims coordinator duties and responsibilities

   A claims coordinator's responsibilities can be summed up as managing and processing claims, ensuring accuracy and timeliness in the process. They handle all aspects of processing insurance claims, including investigation, liability determination, and claims coverage issues. They also ensure that data is captured accurately and customer claims are resolved timely and cost-effectively. As Yenumula Reddy, an IEEE Senior Member, ACM Senior Member, and IARIA Fellow at Grambling State University, puts it, "Communication skills and analytical and research skills will help claims coordinators earn the most."

   • Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
   • Process and adjust Medicare claims, provide feedback to providers on proper CPT, ICD-9 coding for billing purposes.
   • Serve as point of contact for all legal issues relate to HIPAA.
   • Streamline audit procedures of TPA and maintain extremely high production rate which help in keeping staffing requirements lower.

5. Prepare your claims coordinator resume

   When your background is strong enough, you can start writing your claims coordinator resume.

   You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a claims coordinator resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

   Choose From 10+ Customizable Claims Coordinator Resume templates

   Build a professional

   Claims Coordinator

   resume in minutes. Browse through our resume examples to identify the best way to word your resume.

   Then choose from 10+ resume templates to create your Claims Coordinator resume.

   

   

   

   

   

   

   

   

   

6. Apply for claims coordinator jobs

   Now it's time to start searching for a claims coordinator job. Consider the tips below for a successful job search:

   1. Browse job boards for relevant postings
   2. Consult your professional network
   3. Reach out to companies you're interested in working for directly
   4. Watch out for job scams

How do claims coordinators rate their job?

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.