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Claims Representative
Davies. Investigate new claims . Make coverage decisions based on Named Peril Policies . Evaluate settlements of personal property damage claims . Establish contact with insured parties and storage facilities within
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in investigating claims, evaluating settlements, and applying state-specific laws and regulations. Proficient in managing documentation and communication while ensuring compliance with insurance policies and guidelines.
Highest-signal resume keywords
Claims InvestigationNamed Peril PoliciesState-Specific LawsMicrosoft Office ProficiencyStrong Writing 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 EvaluationDocumentation ManagementCoverage Decision MakingClaims Regulation ApplicationExpense Invoice Management
Soft Skills
Strong Verbal CommunicationTime ManagementMultitaskingCollaborative WorkAttention to Detail
Certifications & Qualifications
State LicenseClaims Designation
Industry Keywords
Insurance PoliciesPersonal Property Damage ClaimsClaims DocumentationDepartment of Insurance ComplaintsIndependent Adjusters
About the role
Key responsibilities & impact- Investigate new claims
- Make coverage decisions based on Named Peril Policies
- Evaluate settlements of personal property damage claims
- Establish contact with insured parties and storage facilities within established protocols
- Identify coverage issues and escalate them to the supervisor
- Develop an understanding of entities under the program and their certificates and policies
- Apply state-specific laws and claims regulations throughout the United States
- Send and secure proper claims documentation
- Respond to time-sensitive materials, including department of insurance complaints
- Manage a diary system to review and resolve claims within state and client compliance guidelines
- Maintain the state license through continuing education and/or work toward a claims designation
- Audit fees from independent adjusters, appraisers, and other vendors
- Manage and pay expense invoices
- Prepare written status reports for the principal
- Document all claim communications and activities
- Perform other duties assigned by the Claims Supervisor
Requirements
What you’ll need- 1-2 years relatable claims representative experience
- High School Diploma or Equivalent required
- Proficiency in Microsoft Office
- Experience with a variety of insurance policies is a plus
- Able to be licensed in states and countries where necessary
- Only US residents will be considered
- Must pass a background check
- Strong writing skills and proper use of grammar
- Ability to document claim files clearly using factual and objective information
- Ability to plan and control time spent on activities
- Strong verbal and written communication skills
- Ability to multitask and handle a high volume of concurrent tasks
- Ability to work collaboratively with others inside and outside the company
Benefits
Comp & perks- Salaried role
- Remote working arrangement
- Potential office work temporarily or permanently if called in
- Continuing education coursework and/or work toward a claims designation
- Opportunity to maintain state license through continuing education
- Disability accommodations available throughout recruitment and assessment process