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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in managing complex property and casualty claims, with a strong focus on negotiation, coverage analysis, and relationship management with TPAs, carriers, and legal counsel. Proficient in developing KPIs and optimizing claims processes to enhance operational efficiency.
Highest-signal resume keywords
Complex Property And Casualty Claims ManagementInsurance Policy InterpretationNegotiation SkillsKPI DevelopmentTexas All-Lines Adjuster License
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims EvaluationCoverage DeterminationSettlement RecommendationsBusiness Interruption ClaimsCatastrophe Claims ManagementClaims DocumentationAnalytical SkillsRisk Mitigation StrategiesProcess Improvement InitiativesWorkflow Optimization
Soft Skills
Communication SkillsMentoringRelationship ManagementAnalytical ThinkingPrioritization
Certifications & Qualifications
AICCPCUARMCICSCLA
Industry Keywords
Insurance ClaimsTPA ManagementProperty ManagementReal EstateLarge Portfolio Environments
About the role
Key responsibilities & impact- Manage and oversee complex property, catastrophe, liability, auto, and workers' compensation claims.
- Evaluate claim investigations, reserves, settlement recommendations, and coverage determinations.
- Analyze claim documentation and supporting evidence to ensure appropriate claim outcomes.
- Provide recommendations regarding claim strategy, coverage application, and settlement opportunities.
- Maintain settlement authority up to assigned limits and provide recommendations on higher-exposure claims.
- Lead the review and management of catastrophe and large-loss property claims.
- Coordinate with carriers, TPAs, consultants, engineers, and forensic accounting firms.
- Review business interruption analyses and property damage valuations.
- Assist in claim preparation, documentation, and negotiation efforts.
- Support disaster response activities and claim recovery initiatives.
- Serve as a liaison with TPAs, carriers, brokers, attorneys, and external vendors.
- Challenge claim decisions, reserve positions, and coverage interpretations when appropriate.
- Monitor TPA performance and ensure adherence to service expectations.
- Negotiate favorable claim outcomes on behalf of the organization.
- Serve as a technical resource and trusted advisor for leadership and team members.
- Communicate clear expectations on claims packages to internal field teams and external vendors.
- Provide guidance and mentoring to less experienced claims professionals.
- Identify emerging claim trends and recommend proactive risk mitigation strategies.
- Participate in strategic planning discussions regarding claims management and risk financing.
- Identify opportunities to improve claims processes, workflows, and reporting.
- Assist in the development and implementation of claims KPIs and performance metrics.
- Support technology initiatives and workflow optimization efforts in support of claims and policy management.
- Contribute to the creation and maintenance of standard operating procedures and best practices.
Requirements
What you’ll need- Bachelor's degree or equivalent combination of education and experience.
- Minimum 8 years of progressive insurance claims experience.
- Demonstrated experience handling complex property and casualty claims.
- Strong understanding of insurance policy interpretation and coverage analysis.
- Experience managing relationships with TPAs, carriers, brokers, and legal counsel.
- Excellent negotiation, communication, and analytical skills.
- Ability to manage multiple priorities in a fast-paced environment.
- Preferred 10+ years of insurance claims experience.
- Catastrophe and large-loss property claims experience.
- Business interruption claims experience.
- Experience within real estate, property management, multifamily, or large portfolio environments.
- Self-insured retention program experience.
- Texas All-Lines Adjuster License.
- Professional designations such as AIC, CPCU, ARM, CIC, or SCLA.
- Experience developing KPIs, dashboards, and process improvement initiatives.
Benefits
Comp & perks- A competitive compensation package
- Annual bonus
- 401k match
- Flexible PTO including 7 paid holidays, 1 floating holiday, and 1 volunteer day
- Employer-paid benefits (medical, dental, vision, health savings account)
- Professional career development and reimbursement
- Up to 16 weeks paid maternity leave; up to 4 weeks of paid parental leave
- Backup childcare offered through Bright Horizons
