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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 ExperienceClaims InvestigationCustomer Service SkillsBilingual
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 ProcessingEvidence ReviewNegotiationTyping SkillsMedical Terminology Research
Soft Skills
Verbal CommunicationWritten Communication
Certifications & Qualifications
State Licensing
Industry Keywords
InsuranceClaims TrainingCoverage IssuesPerformance StandardsState Laws
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
- Travel may be required during training
- Maintain required course performance, position competencies, and performance standards
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
- Bilingual is a plus but not required
- Must attend Basic Claims training and other selected training programs
- Must maintain a passing average in all formal courses developed for the employee
- Must maintain acceptable position-related competencies
- Formal performance evaluations must result in a “Meets Expectations” or higher rating
- Must fulfill state licensing requirements and pass required state licensing exams
- Must comply with any state-required licensing time period
Benefits
Comp & perks- Valuable opportunities for personal development and professional challenge
- Healthy work-life balance
- Equal opportunity and diversity-focused workplace
- Training programs and formal courses
- State licensing support through required licensing exams and compliance training
