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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in third-party liability claims management, including investigation, analysis, and negotiation, while ensuring compliance with legal and regulatory standards. Strong communication and organizational skills are essential for effective collaboration and claims processing.
Highest-signal resume keywords
Third-Party Liability Claims ExperienceCivil Litigation Legal Process KnowledgeAdjuster LicensesInsurance Industry KnowledgeAnalytical 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 InvestigationClaims AnalysisClaims NegotiationClaims ProcessingClaims Documentation ReviewClaims Reserve SettingRegulatory ComplianceAI and Automation UtilizationEffective CommunicationOrganizational Skills
Soft Skills
CollaborationProblem-SolvingAttention to Detail
Tools & Technologies
Claims Management SystemEmerging Technologies
Certifications & Qualifications
Adjuster LicensesInsurance Industry Designation
Industry Keywords
Insurance IndustryLegal EnvironmentClaims DispositionExpense ManagementPolicy Coverage
About the role
Key responsibilities & impact- Serve as point of contact for policy holders and brokers on recently reported claims
- Review documentation submitted when claims are reported
- Summarize facts supporting what happened and the extent of alleged injuries
- Follow up with involved parties for additional clarification
- Review relevant policies to confirm coverage details and limits
- Enter loss details into the claim system and send template correspondence
- Assess potential severity of alleged injuries using collected facts
- Flag issues and escalate urgent matters to management
- Monitor incoming correspondence and reassess potential severity
- Respond to inquiries on assigned claims and accounts
- Investigate, analyze, and evaluate assigned claims
- Set claim reserves in a timely and appropriate manner
- Negotiate and resolve claims
- Resolve workload and assignment issues to ensure effective claims processing, expense management, and claims disposition
- Comply with relevant state and federal regulations and company policies
- Use approved AI, automation, and emerging technologies to enhance productivity and business outcomes
Requirements
What you’ll need- A minimum of 2 years of third-party liability claims/legal experience
- Working knowledge of the civil litigation legal process
- Strong oral and written communication skills
- Strong analytical, organizational and investigation skills
- Currently holds or readily can obtain all required Adjuster Licenses
- Knowledge of the insurance industry, claims, and the legal and regulatory environment
- Collaborative mind-set and willingness to work with people outside the immediate reporting hierarchy
- Bachelor’s degree or equivalent work experience required
- Insurance industry designation(s)/certification(s) preferred
Benefits
Comp & perks- Health insurance coverage
- Employee wellness program
- Life and disability insurance
- 401k match
- Retirement savings plan
- Paid holidays
- Paid time off (PTO)
- Reasonable accommodations for persons with disabilities