Demonstrates advanced knowledge of claims administration, including property, auto, and casualty claims, while effectively communicating and negotiating with stakeholders. Proficient in evaluating claims, understanding insurance principles, and utilizing claims software to manage and resolve claims efficiently.

Highest-signal resume keywords

Claims Administration ExperienceAdvanced Knowledge Of Insurance PrinciplesNegotiation SkillsAdvanced Oral And Written Communication SkillsChartered Property Casualty Underwriter Certification

Tech Stack

Tools & technologies

Guidewire

About the role

Key responsibilities & impact

Handle moderate to high complexity claims involving material damage, property and/or liability lines of insurance
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
Explain benefits, coverages, fault and claims process verbally or in writing in compliance with regulatory and statutory requirements
Recognize and address moderate complexity coverage issues
Evaluate and determine claim values using property, bodily injury and liability data
Negotiate within settlement authority to resolve first- and third-party claims
Update database production reports and document and update claim files using company systems including CACS, HUON, HOC and Guidewire
Control expenses for areas of responsibility
Verify and interpret coverage and gather information to ensure policy applicability
Coordinate with internal and external departments
Respond quickly to customer needs and problems
Independently resolve claims within authority level

Requirements

What you’ll need

4-6 years Property, Auto, Casualty or relevant claims administration experience required
7-9 years prior claims handling experience preferred
Bachelor's degree or equivalent combination of education and experience preferred
Comprehensive knowledge of claims administration best practices and procedures
Advanced knowledge of insurance, fault assessment, negligence and subrogation principles required
Comprehensive understanding of building and vehicle repair procedures and third-party liability issues
Advanced 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
Advanced leadership skills among peers required
Proficiency and understanding of medical terminology and causality
Valid driver's license, acceptable Department of Motor Vehicles record and minimum liability insurance issued by state required
Chartered Property Casualty Underwriter certification preferred
Associate in Claims certification preferred
An insurance/claims adjuster license may be required for claims administration in specific states
Occasional travel to 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

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills

Claims EvaluationFault AssessmentNegligence PrinciplesSubrogation PrinciplesMedical TerminologyCACSHUONHOCGuidewireMicrosoft Office Suite

Soft Skills

Advanced Interpersonal SkillsAdvanced Organization SkillsLeadership SkillsCustomer Service OrientationProblem-Solving Skills

Certifications & Qualifications

Chartered Property Casualty Underwriter CertificationAssociate In Claims CertificationInsurance/Claims Adjuster License

Industry Keywords

Property ClaimsAuto ClaimsCasualty ClaimsClaims Administration Best PracticesBuilding Repair ProceduresVehicle Repair ProceduresThird-Party Liability IssuesRegulatory ComplianceClaims ProcessSettlement Authority