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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims handling, including liability investigation, coverage evaluation, and negotiation of claims. Proficient in utilizing claims software and maintaining accurate documentation while effectively communicating with insureds and claimants.
Highest-signal resume keywords
Claims Handling ExperienceLiability InvestigationNegotiation SkillsClaims Software ProficiencyAdvanced Communication Skills
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 AdministrationCoverage EvaluationLiability AssessmentProperty Damage EvaluationBodily Injury EvaluationNegotiationClaims Best PracticesBuilding Repair KnowledgeVehicle Repair KnowledgeDatabase Management
Soft Skills
Advanced Organization SkillsInterpersonal SkillsCustomer Service OrientationProblem-Solving SkillsOral Communication SkillsWritten Communication Skills
Tools & Technologies
CACSHUONHOCGUIDEWIREMicrosoft Office SuiteClaims Software
Certifications & Qualifications
Bachelor's DegreeAssociate in Claims - Insurance Institute of AmericaInsurance/Claims Adjuster License
Industry Keywords
InsuranceProperty ClaimsCasualty ClaimsNegligence PrinciplesSubrogation Principles
Tech Stack
Tools & technologiesGuidewire
About the role
Key responsibilities & impact- Handle low to moderate-complexity claims involving material damage, property, and/or liability lines of insurance
- Conduct liability investigation, coverage evaluation, and negotiation of claims
- Communicate with insureds, claimants, and other individuals about benefits, coverages, fault, and the claims process
- Conduct phone and/or field investigations to determine liability and damages
- Attend and participate in legal proceedings as needed
- Identify and obtain statements from insureds, claimants, and witnesses
- Evaluate and determine claim values using property, bodily injury, and liability data
- Negotiate within settlement authority to resolve first- and third-party claims
- Handle administrative functions and update database production reports
- Document and update claim files using company systems including CACS, HUON, HOC, and GUIDEWIRE
- Verify and interpret coverage and gather information to ensure policy applicability
- Coordinate with internal and external departments as required
- Independently resolve claim exposures within level of authority
- Respond quickly to customer needs and problems
Requirements
What you’ll need- Bachelor's degree or equivalent combination of education and experience preferred
- 4-6 years prior claims handling experience required
- 4-6 years property or casualty claims administration experience preferred
- Working knowledge of claims best practices and procedures
- Moderate understanding of building and vehicle repair practices
- General knowledge of insurance, fault assessment, negligence and subrogation principles
- Working knowledge of Microsoft Office suite, general computer software and claims software
- Advanced organization and planning recognition skills required
- Advanced oral and written communication skills required
- Advanced interpersonal skills required
- Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance, issued by State, required
- Associate in Claims - Insurance Institute of America preferred
- An insurance/claims adjuster license may be required for claims administration in specific states; preferred
- Occasional travel to off-site business meetings or conferences
Benefits
Comp & perks- Health coverage for medical, dental, vision
- 401(K) saving plans with company match
- Pension
- Tuition assistance
- Floating holidays and PTO for community volunteer programs
- Paid parental leave
- Wellness programs
- Employee discounts (membership, insurance, travel, entertainment, services and more!)
- Incentive program based upon the achievement of organization, team and personal performance
