Insurance Claims Adjuster Resume Examples and Templates: A Complete Guide

A professional insurance claims adjuster resume is essential for standing out in India’s growing insurance sector. Whether you’re applying for positions at general insurance companies like ICICI Lombard, HDFC ERGO, or Bajaj Allianz, life insurance firms like LIC or SBI Life, or third-party administrators, your resume should highlight your claims expertise, investigative skills, and ability to process claims efficiently while maintaining customer satisfaction.

This guide walks you through insurance claims adjuster resume examples and templates, formatting tips, and keywords to help you write a resume that stands out to recruiters at leading insurance organisations in India.

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Understanding the Claims Adjuster Role in India

Insurance claims adjusters are critical professionals responsible for investigating, evaluating, and settling insurance claims. From motor insurance claims at New India Assurance to health claims at Star Health, claims adjusters ensure fair and timely resolution while protecting the company from fraudulent claims.

Key responsibilities include:

• Investigating insurance claims and verifying coverage
• Assessing damage through site inspections and documentation
• Reviewing policy terms and determining claim validity
• Negotiating settlements with policyholders
• Detecting and preventing fraudulent claims
• Coordinating with surveyors, assessors, and repair services
• Processing claim payments and documentation
• Maintaining claims records and regulatory compliance

India’s expanding insurance penetration and increasing claim volumes create strong demand for skilled claims professionals across motor, health, property, and life insurance segments.

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Preparing to Write Your Claims Adjuster Resume

Before drafting your resume, gather all relevant information:

Professional details to compile:

• Complete employment history in claims roles
• Types of claims handled (motor, health, property, life)
• Claims volume processed monthly/annually
• Settlement ratios and turnaround times
• Software and systems used (claims management systems)
• Investigation and fraud detection experience
• Team sizes managed if applicable
• Notable achievements and recognition

Research target employers:

• Review requirements from general insurers like ICICI Lombard, HDFC ERGO
• Understand expectations at life insurers like LIC, HDFC Life
• Note specific certifications and skills mentioned in job descriptions

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Choosing the Best Resume Format

Select a format that best presents your claims experience:

Chronological Format

Best for claims adjusters with steady career progression through claims processing roles. Highlights your work at organisations in reverse chronological order.

Functional Format

Suitable for career changers entering claims field or customer service professionals transitioning to insurance claims.

Combination Format

Ideal for mid-career professionals balancing diverse experience across multiple insurance lines or combining field and office-based claims roles.

Format recommendations by experience: | Experience Level | Recommended Format | Resume Length | |-----------------|-------------------|---------------| | Entry-level (0-2 years) | Chronological | 1 page | | Mid-level (3-7 years) | Combination | 1-2 pages | | Senior (7+ years) | Chronological | 2 pages |

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Professional Summary Examples

Your professional summary should immediately communicate your claims expertise:

Entry-Level Claims Adjuster

Commerce graduate from Mumbai University seeking claims adjuster position in general insurance. Completed training programme at ICICI Lombard handling motor insurance claims. Proficient in claims documentation, policy verification, and customer communication. Strong attention to detail and analytical skills. Eager to contribute to efficient claims processing while developing expertise in claims investigation.

Experienced Claims Adjuster

Results-driven claims adjuster with 6+ years of experience processing motor and health insurance claims. Currently Senior Claims Officer at HDFC ERGO Mumbai handling 150+ claims monthly with 95% settlement ratio. Expertise in claims investigation, fraud detection, and customer dispute resolution. Reduced average claim turnaround from 15 to 8 days through process improvements. Licentiate of Insurance Institute of India (LIII).

Claims Manager

Strategic claims leader with 12+ years of experience managing claims operations for general insurance. Currently Claims Manager at Bajaj Allianz Pune leading team of 30 claims professionals. Oversee claims portfolio worth ₹200 crore annually with 92% settlement ratio. Expertise in motor, property, and liability claims. Reduced fraudulent claims by 35% through enhanced detection protocols. MBA from Symbiosis with Associateship of Insurance Institute of India (AIII).

Motor Claims Specialist

Specialised motor claims adjuster with 8 years of experience in auto insurance claims assessment. Currently Lead Motor Claims Adjuster at Tata AIG handling high-value and complex motor claims. Expertise in accident investigation, vehicle damage assessment, and third-party negotiations. Processed 5,000+ motor claims with ₹150 crore cumulative settlement. Certified Motor Vehicle Assessor with IRDA registration.

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Showcasing Your Work Experience

Present your claims experience with specific achievements and metrics:

Claims Manager

Bajaj Allianz General Insurance | Pune April 2019 – Present

• Lead claims department managing 30 claims officers and assessors
• Oversee claims portfolio worth ₹200 crore annually across all lines
• Achieved 92% claims settlement ratio with 99% compliance
• Reduced average claim turnaround time from 12 to 7 days
• Implemented fraud detection system reducing fraudulent claims by 35%
• Established network of 500+ garages and service providers
• Introduced digital claims assessment reducing processing costs by 25%
• Chair weekly claims review committee ensuring quality standards
• Received “Excellence in Claims Management” award (2022)

Senior Claims Officer

ICICI Lombard General Insurance | Mumbai June 2015 – March 2019

• Processed 150+ motor and health claims monthly
• Achieved 95% settlement ratio with average TAT of 8 days
• Conducted field investigations for suspicious claims
• Negotiated third-party settlements up to ₹50 lakh
• Trained 15 new claims officers on processing procedures
• Implemented digital documentation reducing paperwork by 40%
• Identified fraudulent claims saving ₹2 crore annually
• Received “Claims Star” award for exceptional performance (2018)

Claims Officer

New India Assurance | Delhi July 2012 – May 2015

• Processed motor and property insurance claims
• Achieved 90% first-contact resolution for customer queries
• Coordinated with surveyors and assessors for damage evaluation
• Maintained claims records with 98% documentation accuracy
• Assisted in policy verification and coverage confirmation
• Participated in claims audit and compliance reviews
• Completed Insurance Institute examinations during tenure

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Essential Skills for Claims Adjusters

Technical Skills

• Claims investigation and assessment
• Policy interpretation and coverage analysis
• Damage evaluation and estimation
• Fraud detection and prevention
• Claims management systems
• Documentation and record keeping
• Regulatory compliance (IRDAI)
• Survey and loss assessment
• Subrogation and recovery
• Reinsurance claims handling

Software Proficiency

• Claims management software
• Policy administration systems
• Microsoft Office Suite
• Digital documentation tools
• Video calling for remote assessment
• Mobile claims apps
• CRM systems
• Analytics and reporting tools
• Fraud detection software
• Document management systems

Soft Skills

• Attention to detail and accuracy
• Customer service and empathy
• Negotiation and conflict resolution
• Communication (verbal and written)
• Analytical and investigative thinking
• Decision-making under pressure
• Time management and organisation
• Team collaboration
• Problem-solving
• Ethical judgement

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Certifications for Claims Adjusters

Professional Certifications

Certification	Issuing Body	Relevance
Licentiate (LIII)	Insurance Institute of India	Foundation certification
Associateship (AIII)	Insurance Institute of India	Intermediate level
Fellowship (FIII)	Insurance Institute of India	Senior certification
Motor Vehicle Assessor	IRDAI	Motor claims authority
Certified Fraud Examiner (CFE)	ACFE	Fraud investigation
Loss Adjuster Licence	IRDAI	Independent adjustment

Academic Qualifications

• B.Com/M.Com from recognised universities
• BBA/MBA in Insurance Management
• LLB for legal claims expertise
• B.Sc/M.Sc for technical claims
• Diploma in Insurance (III, ICSI)

Additional Certifications

• IRDAI Insurance Agents Licence
• General Insurance Surveyors Licence
• Fire and Allied Perils Surveyor
• Marine Surveyor certification
• Health Insurance certification
• Motor Insurance training programme

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Tips by Experience Level

Entry-Level Claims Adjusters (0-2 years)

• Highlight commerce or related degree
• Include internship and training programme experience
• Emphasise customer service and communication skills
• Showcase attention to detail and documentation abilities
• Include Insurance Institute examinations completed

Target employers: General insurers, TPAs, BPOs handling claims

Mid-Level Claims Adjusters (3-7 years)

• Quantify claims volume and settlement ratios
• Highlight specialisation (motor, health, property)
• Showcase fraud detection and investigation skills
• Demonstrate process improvement contributions
• Include certifications like AIII or specialised licences

Target positions: Senior Claims Officer, Lead Adjuster, Team Lead

Senior Claims Adjusters (7+ years)

• Emphasise team management and budget responsibility
• Highlight strategic contributions and cost savings
• Showcase vendor and network management
• Demonstrate regulatory compliance expertise
• Include industry recognition and thought leadership

Target positions: Claims Manager, Head of Claims, Regional Claims Head

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ATS Optimisation for Claims Adjuster Resumes

Ensure your resume passes Applicant Tracking Systems:

Essential keywords to include:

• Claims adjuster, claims officer, claims processing
• Motor claims, health claims, property claims
• Settlement, investigation, assessment
• IRDAI, Insurance Institute of India
• Fraud detection, claims verification
• TAT, turnaround time, settlement ratio
• Survey, damage assessment
• Policy interpretation, coverage
• Customer service, dispute resolution
• General insurance, life insurance

ATS-friendly formatting:

• Use standard section headings (Summary, Experience, Skills, Education)
• List certifications with issuing body names
• Avoid tables, graphics, and complex formatting
• Use standard fonts (Arial, Calibri, Times New Roman)
• Include claims volumes and settlement ratios as numbers

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Conclusion

A professional insurance claims adjuster resume is essential for success in India’s expanding insurance sector. Whether you’re targeting positions at general insurers like ICICI Lombard, HDFC ERGO, and Bajaj Allianz, or exploring opportunities at life insurers and third-party administrators, your resume must demonstrate your claims expertise, investigative skills, and customer focus.

Focus on quantifying your achievements—claims volumes processed, settlement ratios achieved, and turnaround times maintained. Highlight your certifications from the Insurance Institute of India and any specialised licences that validate your expertise. With India’s growing insurance market and increasing claim volumes, skilled claims professionals have excellent career opportunities across all segments.

Use our resume builder to create an ATS-optimised claims adjuster resume, or explore our professional templates designed specifically for insurance professionals in India.