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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong investigative skills in claims processing, including evidence review and negotiation. Maintains compliance with state licensing requirements and excels in customer service and communication.
Highest-signal resume keywords
Bachelor's DegreeInsurance ExperienceState Licensing ExamsCustomer Service SkillsVerbal And Written Communication 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 InvestigationEvidence ReviewNegotiationTyping SkillsMedical Terminology Research
Soft Skills
Customer ServiceCommunication Skills
Certifications & Qualifications
State Licensing
Industry Keywords
InsuranceClaims ProcessingComplianceTraining Programs
About the role
Key responsibilities & impact- Take statements from insureds, claimants, and witnesses
- Obtain and review evidence, reports, and medical records
- Investigate losses and identify coverage issues
- Negotiate settlements with claimants and claimant’s attorneys
- Research state laws and medical terms
- Attend Basic Claims training and other selected training programs
- Complete required state licensing exams
- Maintain required training performance and position competencies
Requirements
What you’ll need- Bachelor’s Degree or 1+ years of insurance experience or 3 years equivalent professional experience required
- Strong customer service skills
- Proficient typing/computer skills
- Excellent verbal and written communication skills
- State licensing exams required to fulfill licensing requirements in the States to be handled
- Compliance with any state-required licensing time period
- Must maintain a passing average in all formal training courses
- Must maintain an acceptable level of position competencies
- Formal performance evaluations must result in a “Meets Expectations” or higher rating
- Bilingual skills are a plus but not required
- Travel may be required during training
Benefits
Comp & perks- High-performing culture
- Opportunities for personal development and professional challenge
- Healthy work-life balance
- Equal opportunity and diversity-focused workplace