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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims management, including analyzing auto claims, negotiating settlements, and ensuring compliance with industry standards. Proficient in maintaining client relationships and producing accurate documentation and reports.
Highest-signal resume keywords
Claims Management ExperienceNegotiation SkillsInsurance Principles ExpertiseAnalytical SkillsState Adjusting Licenses
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 AnalysisClaims AdjudicationSubrogation ManagementClaims DocumentationClaims CodingReserve ValuationReport WritingLiability AssessmentMicrosoft Office ProficiencyPerformance Competencies
Soft Skills
Excellent Communication SkillsStrong Organizational SkillsInterpersonal SkillsTeam CollaborationPresentation Skills
Certifications & Qualifications
Bachelor's DegreeProfessional CertificationState Adjusting Licenses
Industry Keywords
Auto ClaimsCommercial Lines ClaimsPersonal Lines ClaimsInsurance LawsClaims Settlements
About the role
Key responsibilities & impact- To analyze mid- and higher-level general auto claims to determine scope of damages.
- To ensure ongoing adjudication of claims within company standards and industry best practices.
- To identify subrogation of claims and negotiate settlements.
- Manages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure.
- Assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
- Assesses liability and resolves claims within evaluation.
- Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
- Manages subrogation of claims and negotiates settlements.
- Communicates claim action with claimant and client.
- Ensures claim files are properly documented and claims coding is correct.
- Maintains professional client relationships.
Requirements
What you’ll need- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Secure and maintain the State adjusting licenses as required for the position.
- Four (4) years of claims management experience or equivalent combination of education and experience required.
- Subject matter expert of appropriate insurance principles and laws for line-of-business handled.
- Excellent oral and written communication skills, including presentation skills.
- PC literate, including Microsoft Office products.
- Analytical and interpretive skills.
- Strong organizational skills.
- Excellent interpersonal skills.
- Excellent negotiating skills.
- Ability to create and complete comprehensive, accurate and constructive written reports.
- Ability to work in a team environment.
- Ability to meet or exceed Performance Competencies.
Benefits
Comp & perks- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options
