Gestionnaire CV: Example and Template
This is how, as a Gestionnaire in benefits and claims, you show on two pages which caseloads, competence levels and system skills you bring.
Currently 38 open Insurance Claims Handler positions in Switzerland, across 7 cantons, 3 of them from the last 7 days. Coop advertises the most.
CV example — two-page template
This template is editable straight away — or upload your existing CV and it is carried into this layout automatically.
Which qualifications belong on a Gestionnaire CV?
List the federal diploma of higher education or the EFZ with sector first, as Swiss insurers and social insurance offices check exactly these titles.
The classic entry point is the Commercial EFZ in the private insurance sector, with the qualification Insurance Assistant VBV. Building on this, the federal diploma of higher education as Insurance Specialist VBV and the Federal Diploma in Social Insurance also count. Anyone working at compensation offices, IV offices or health insurance funds should also list the title of Certified Social Insurance Expert or ongoing modules at the Bildungszentrum Sozialversicherung, including the year and examination status.
Write the titles exactly as they appear in the federal register, and avoid translating them. For a foreign diploma, add a note on recognition by the SBFI and your residence status, for example settlement permit C or cross-border commuter permit G. Recruiters look specifically for this information during the first screening.
Field-specific courses belong in their own section: tariff review with Sumex II, daily allowance and overcompensation calculation, recourse law under Art. 72 ATSG, case management, or training on the revised Data Protection Act for health data. These credentials set you apart from general case handlers without benefits experience.
How do I present my work experience as a Gestionnaire convincingly?
For each position, describe your caseload, the legal bases, your signing authority and measurable results.
Begin each position with two lines of context: type of company, number of insured persons or corporate clients, team size and your line of business. Follow this with three to four bullet points containing figures, such as a caseload of 320 files, 62 objection decisions per year, signing authority up to CHF 150'000, or reductions of CHF 640'000 from invoice review. Without such figures, your profile remains interchangeable.
Make the level of complexity visible. A Gestionnaire who only settles minor claims up to CHF 5'000 has a different profile from a specialist handling pension cases, relapses, integrity damage assessments and coordination with IV and Suva. Therefore, name the types of cases, your role in the process up to the ruling, and your collaboration with medical services or legal departments.
System skills are a hard selection criterion. List Adcubum Syrius, Sumex II, Medidata, Sunet plus, SAP FS-CD, or the processing system of your compensation office, along with the respective area of application. If you have tested releases as a key user or conducted training sessions, this belongs on the CV together with the number of test cases or people trained.
How long should the CV be, and does it need a photo?
Two pages are standard; a professional photo is still customary in Switzerland and expected by many insurers.
Stick to a maximum of two pages, even with ten or more years of experience. Describe positions from the last ten years in detail, and summarize older positions in one line with role, employer and period. Explain gaps of more than three months briefly and directly, for example further training for a federal diploma or caregiving duties.
A professional portrait in business attire, head and shoulders, neutral background, is still common practice at insurers and compensation funds. In the header, add your place of residence with canton, permit or citizenship, phone number in the format 079 000 00 00, and a professional email address. Date of birth and marital status are optional but are still often included.
Note two Swiss particularities: language skills are often decisive for Gestionnaires, since files and phone calls come from the Romandie or Ticino - state your levels according to the CEFR and mention whether you draft correspondence yourself. In addition, employers expect work reference letters as an enclosure; refer to them in the CV and provide references only upon request.
Where Insurance Claims Handler are hired in Switzerland
How the 38 open positions are spread across the cantons.
Figures as a table
| Canton | postings |
|---|---|
| Waadt | 8 |
| Genf | 6 |
| Freiburg | 2 |
| Jura | 1 |
| Graubünden | 1 |
| Zürich | 1 |
| Neuenburg | 1 |
Which languages the postings require
Of 33 postings that state a language — in brackets, those requiring professional level.
Figures as a table
| Language | postings |
|---|---|
| French | 32 (32) |
| German | 11 (4) |
| English | 5 (1) |
| Italian | 2 (1) |
Who hires Insurance Claims Handler in Switzerland
Employers with the most open positions. Staffing agencies are excluded.
Figures as a table
| Employer | postings |
|---|---|
| Coop | 8 |
| die Mobiliar | 3 |
| FMV | 2 |
| Zurich Insurance | 2 |
| Interdiscount | 2 |
| Groupe E | 2 |
Full-time or part-time?
How the positions are advertised.
Figures as a table
| Workload | postings |
|---|---|
| Vollzeit / plein temps | 36 |
| Teilzeit / partiel | 1 |
| Temporär | 1 |
The CV in full
To read through and reuse.
Nadine Brunner
Gestionnaire Benefits UVG/KVG/KTG, Social Insurance Specialist with Federal Diploma of Higher Education
Gestionnaire with eleven years of experience in benefits assessment for accident, health and daily sickness allowance cases at private insurers. I independently manage a caseload of around 320 files through to the decision and objection ruling under ATSG, and coordinate benefits with IV, Suva and pension funds. My strength lies in combining medical case understanding, precise tariff review under Tarmed/TARDOC, and clear correspondence in German and French.
What sets me apart
Benefits assessment across multiple legal bases: I assess cases under both UVG and KVG as well as VVG supplementary coverage, and I am familiar with the distinction between accident and illness under Art. 4 ATSG, as well as relapse and late-effects practice.
Procedural expertise under ATSG: I draft rulings, preliminary notices and objection decisions in a legally sound and well-reasoned manner; of 62 objections in 2023, only 4 were overturned by the social insurance court.
Tariff and invoice review with cost-saving impact: Using Sumex II, I review Tarmed, TARDOC, SwissDRG and analysis list items; systematic rejections resulted in reductions of CHF 640'000 in 2023 across 11'400 reviewed invoices.
Recourse and coordination: I identify recourse cases under Art. 72 ATSG at an early stage, document the grounds for liability, and coordinate daily allowance payments with IV, Suva and BVG institutions to avoid overcompensation.
Key achievements
Reduced processing time for new cases by 38 percent. With standardized triage criteria for accident notifications from Sunet plus, the time from notification to the first benefits decision dropped from 13 to 8 working days across 2'100 new cases per year.
Achieved recourse revenue of CHF 480'000. Through a new checklist for traffic and liability cases, the number of recourse files opened rose from 34 to 89 per year; the recovery rate improved by 21 percentage points.
Stabilized daily sickness allowance caseload of 210 cases. Early intervention from day 30 with case management and employer discussions shortened the average case duration from 94 to 71 days and reduced the daily allowance burden by CHF 1.2 million.
Experience
Senior Gestionnaire Benefits UVG & KTG — Helvidia Versicherungen AG, Zurich, 03/2020 - present
Group insurer with 6'800 corporate clients; team of 9 Gestionnaires, benefits assessment for UVG, UVGZ and KTG under VVG.
- Own caseload of 320 files, including 45 complex and pension cases, with signing authority up to CHF 150'000
- Drafted 62 objection decisions per year, with a 94 percent confirmation rate in court
- Provided technical supervision for 3 apprentices and 2 career changers; reduced onboarding time from 6 to 4 months
- As key user, supported 140 test cases in the Adcubum Syrius release and reported 27 defects before go-live
Gestionnaire Benefits Health and Accident Insurance — Aarelinth Krankenversicherung AG, Winterthur, 08/2016 - 02/2020
Health insurer with 190'000 insured persons; basic insurance under KVG and supplementary insurance under VVG.
- Reviewed around 950 benefit statements monthly, with an error rate of 0.8 percent in internal audits
- Achieved reductions of CHF 640'000 per year through systematic Sumex II review of 11'400 invoices
- Coordinated 180 cases with the IV office and Suva, preventing overcompensation of CHF 210'000
- Fully cleared a backlog of 1'400 unprocessed invoices within 5 months
Benefits Case Handler (Junior Gestionnaire) — Sanacor Assekuranz AG, St. Gallen, 08/2013 - 07/2016
Multi-line insurer, personal insurance department with 22 employees.
- Recorded and conducted initial review of 4'300 claims notifications per year from Sunet plus and paper files
- Prepared daily allowance calculations for 260 cases per year, with post-correction rate under 2 percent
- Provided telephone information to around 40 insured persons and employers daily, with an 86 percent first-contact resolution rate
- Co-managed digitization of the case archive of 12'000 files over 14 months
Education
Social Insurance Specialist with Federal Diploma of Higher Education, Accident and health insurance, procedural law — Bildungszentrum Sozialversicherung, Lucerne · 2021
Insurance Specialist VBV with Federal Diploma of Higher Education, Personal insurance and benefits management — VBV Berufsbildung Versicherungswirtschaft, Zurich · 2018
Commercial Employee EFZ, Private Insurance Sector, Insurance Assistant VBV — Kaufmännische Berufsschule St. Gallen · 2013
Social Insurance Specialist with Federal Diploma of Higher Education, 2021 · Insurance Specialist VBV with Federal Diploma of Higher Education, 2018 · Certificate course in Case Management for Daily Allowances, 2022 · Training on revised Data Protection Act (revDSG) and processing of health data, 2023