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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims adjudication and customer service, with a strong focus on accuracy, efficiency, and compliance with insurance policies. Proficient in managing multiple client product lines while maintaining positive relationships with stakeholders.
Highest-signal resume keywords
Active All-Lines LicenseClaims Adjuster ExperienceCustomer Service ExcellenceAnalytical SkillsAttention to Detail
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 AdjudicationData EntryDocumentation ReviewProblem SolvingNegotiation Skills
Soft Skills
Verbal CommunicationWritten CommunicationOrganizational AbilityMulti-taskingListening Skills
Certifications & Qualifications
All-Lines License
Industry Keywords
Insurance ProgramsClaims ProcessCustomer SatisfactionPolicy ProvisionsIdentity Verification
About the role
Key responsibilities & impact- Educate clients/customers on card benefit insurance programs and procedures
- Provide accurate, professional service and maintain a customer-focused approach
- Review claim information and enter data using standard procedures
- Review submitted documentation for accuracy and completeness
- Investigate questionable claims in collaboration with management
- Adjudicate claims and provide settlements in accordance with laws and policy provisions
- Make claim approval/denial decisions within authority limits or escalate as needed
- Document all actions and outcomes in the system
- Strive for high performance in customer satisfaction, efficiency, and quality
- Maintain positive working relationships with internal and external stakeholders
- Support multiple client product lines and stay current with industry changes
- Guide policyholders through the claims process and proactively recommend ways to avoid future issues
Requirements
What you’ll need- Active All-Lines (Independent/Company) license and required continuing education hours up to date
- 2+ years of prior Claims Adjuster experience
- Relentless drive to provide exceptional customer service
- Excellent verbal and written communications skills and ability to draft business-level communications when responding to customers
- Strong listening, problem solving, and negotiating skills
- Strong analytical skills
- Proven organizational and multi-tasking ability with an ability to adapt quickly in a fast-paced work environment
- Detail oriented with a commitment to excellence
- Strong attention to detail and problem-solving skills
- Minimum high school diploma or GED
- Proven ability to work independently with minimal supervision to manage schedules and meet deadlines
- Employment contingent upon completion of a required identity verification process, which may include biometric technology, where permitted by applicable law
- Virtual interviews must be conducted on video
Benefits
Comp & perks- Medical benefits begin on your first day
- Tuition reimbursement available after 6 months, up to $5000/annually
- Competitive paid time off, including holidays
- Exceptional paid time off
- Hybrid work model for employees within a commutable distance of the Miami office