Injury Resolution Specialist

Encova Insurance

Injury Resolution Specialist addressing bodily injury claims for Encova Insurance. Investigating, evaluating, and negotiating claims within established guidelines while working remotely.

Posted 7/31/2026full-timeRemote • Connecticut, Florida, Illinois, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Minnesota, Missouri, Montana, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $69,152 - $110,642 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in investigating and negotiating bodily injury claims, with a strong understanding of insurance policies and tort law. Proficient in evaluating medical history and documentation to effectively manage claims resolution.

Highest-signal resume keywords

Claims Resolution Specialist ExperienceNegotiation SkillsUnderstanding of Tort LawMedical Documentation AnalysisKnowledge of Personal and Commercial Lines Policies

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Bodily Injury Claims InvestigationClaims EvaluationPolicy Coverage AnalysisSubrogation Potential AssessmentClaims Systems Management

Soft Skills

Detail-OrientedExcellent Communication SkillsOrganizational Skills

Certifications & Qualifications

College Degree or Equivalent

Industry Keywords

InsuranceClaims OrganizationPersonal Auto InsuranceCommercial Auto InsuranceUninsured Motorists

About the role

Key responsibilities & impact

Investigate, evaluate, negotiate and settle bodily injury claims
Handle injury claims including personal and commercial auto, uninsured and underinsured motorists
Review and analyze coverage, apply policy conditions, provisions, exclusions and endorsements
Investigate and gather information to determine facts of loss, liability, and subrogation potential
Proactively manage and continuously evaluate the claim with specific emphasis on the nature and extent of injury
Conduct medical history investigations as necessary
Determine and continually evaluate appropriate reserves
Establish a plan of action to move the file towards resolution
Negotiate and settle a minimum average of 20 losses per month
Maintain competency in the use of multiple claims systems and manage follow-up practices

Requirements

What you’ll need

This position requires a college degree or equivalent
Strong understanding of insurance and the claims organization
Considerable experience as a claims resolution specialist or equivalent experience in the industry or a related field
Excellent telephone and personal claims negotiations, communication and investigation skills
Understanding of tort law and thorough knowledge of medical terms and treatments
Ability to obtain, analyze and evaluate medical history and documentation
Detail-oriented organizational skills
Proven ability to evaluate serious and complicated injury claims and to negotiate to a successful conclusion
Excellent knowledge of all personal and commercial lines policies and coverage written by the company.

Benefits

Comp & perks

Health, Dental & Vision Insurance
Company-provided life and income protection plans
Eligibility to participate in a company incentive bonus program
401(k) Retirement Plan - 100% company match up to 7% on annual salary
Paid Time Off, Paid Holidays, and Floating Holidays
Flexible Work Arrangements - Hybrid and remote depending on the role