Claim Representative – Accident and Health

Intact Insurance Specialty Solutions

. Provide efficient and effective disposition of assigned claims through timely investigation, evaluation, and negotiation .

Posted 10/28/2026full-timeUnited StatesJunior💰 $62,000 - $80,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims investigation, evaluation, and negotiation, with a strong ability to assess liability and determine damages. Proficient in managing claims processes, including establishing reserves and directing resources effectively.

Highest-signal resume keywords

Claims InvestigationClaims NegotiationLiability AssessmentInitial Reserves EstablishmentUM/UIM Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ExperiencePIP ExperienceCoverage DeterminationDamage AssessmentSettlement Value Determination

Soft Skills

Effective CommunicationNegotiation SkillsAttention to Detail

Certifications & Qualifications

State License Requirements

Industry Keywords

Claims DispositionIndependent AdjustersAppraisersAccident ReportsWitness Statements

About the role

Key responsibilities & impact

Provide efficient and effective disposition of assigned claims through timely investigation, evaluation, and negotiation
Make timely and appropriate contacts and determine the appropriate level of investigation
Determine coverage, assess liability, and determine damages
Take recorded statements from all parties involved in claims
Determine exposure and establish adequate initial reserves, making timely adjustments
Assign and direct internal and external resources, including independent adjusters and appraisers
Determine whether additional evidence is required, including accident reports, scene reconstructions, witness statements, police reports, and expert opinions
Determine settlement value and negotiate proper claim settlements within authority
Recommend settlement and disposition of claims exceeding authority level to management
Document all relevant activity on assigned files and recommend additional activity as appropriate
Stay current with state license requirements and participate in required education

Requirements

What you’ll need

Bachelor’s degree preferred or equivalent claims technical experience required
1-3 years of claims experience
UM/UIM experience
PIP experience
Ability to investigate, evaluate, negotiate, and settle assigned claims
Ability to determine coverage, assess liability, and determine damages
Ability to establish initial reserves and adjust them as required
Ability to direct internal and external resources, including independent adjusters and appraisers
Knowledge of state license requirements
Participation in required education

Benefits

Comp & perks

Competitive paid time off programs
401(k) savings and annual contributions of up to 12% of annual salary
Comprehensive medical, dental and vision insurance with no waiting period
Mental health support programs
Life and disability insurance
Paid parental leave
Additional voluntary benefits
Bonus potential
Flexible work arrangements
Tools, opportunities, and flexibility to support employee goals
Education and learning opportunities
Performance-led financial rewards