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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims operations with a focus on risk assessment, incident management, and the utilization of AI-enabled tools. Proven ability to mentor team members and enhance operational processes through analytical problem-solving and effective communication.
Highest-signal resume keywords
Claims Operations ExperienceRisk Assessment SkillsMentoring Claims SpecialistsAI-Enabled Tools UtilizationAnalytical Problem-Solving
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 OperationsRisk AssessmentIncident ManagementBodily Injury ClaimsProperty ClaimsCommercial Auto ClaimsGeneral Liability ClaimsWorkers' Compensation ClaimsRoot Cause AnalysisProcess Improvement
Soft Skills
Strong Communication SkillsSolution-Oriented MindsetMentoring AbilityDiscretion with Confidential Information
Tools & Technologies
AI-Enabled ToolsAutomation Tools
Industry Keywords
Claims ManagementRisk ManagementQuality AssuranceInsurance Operations
About the role
Key responsibilities & impact- Assess risk and severity on the most complex or sensitive incidents and recommend next steps
- Own high-severity escalations through closure
- Coordinate with Legal, Risk & Insurance, Actuarial, and Quality Assurance partners
- Serve as a go-to resource and subject matter expert for Claims Specialists
- Identify patterns, root causes, and process, policy, or workflow gaps
- Utilize, help build, and scale AI-enabled tools and automation
- Provide frontline feedback shaping AI tool rollout
- Review case work and share quality feedback
- Help close skill gaps on the team
- Contribute to training materials, playbooks, and process documentation
- Help the team navigate process, tool, and policy changes
- Report to a Supervisor, Insurance Claims Operations
Requirements
What you’ll need- 4+ years of hands-on claims operations experience, including bodily injury, property, Commercial Auto, General Liability, or Workers' Compensation claims
- Experience assessing risk and severity on high-value or sensitive claims
- Strong risk-assessment skills, including judging severity and exposure and knowing when and how to escalate
- Experience mentoring or informally guiding less experienced Claims Specialists
- Strong analytical and problem-solving skills
- Ability to identify root causes and recommend corrective action
- Comfort utilizing, building, and scaling AI-enabled tools and automation
- Ability to provide feedback that improves AI-enabled tools and automation
- Strong written and verbal communication skills, including with external carrier and TPA partners
- Ability to handle sensitive and confidential information with discretion
- Extremely solution-oriented mindset
- Education is optional
Benefits
Comp & perks- Equity grant opportunities
- 401(k) plan with employer matching
- 16 weeks of paid parental leave
- Wellness benefits
- Commuter benefits match
- Paid time off
- Paid sick leave
- Medical benefits
- Dental benefits
- Vision benefits
- 11 paid holidays
- Disability insurance
- Basic life insurance
- Family-forming assistance
- Mental health program
- Flexible paid time off/vacation for salaried roles
- 80 hours of paid sick time per year for salaried roles
- Wellness expense reimbursement
- Premium healthcare
- Accommodations for applicants with disabilities