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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in investigating and negotiating injury claims, with a strong understanding of insurance policies and relevant state laws. Proficient in analyzing claim information and effectively communicating with stakeholders to facilitate resolution.
Highest-signal resume keywords
Claims Handling ExperienceInsurance Policy KnowledgeAnalytical SkillsNegotiation SkillsEffective 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 InvestigationDamage AssessmentStatutory InterpretationMedical Record ReviewCoverage Verification
Soft Skills
InitiativeSound JudgementDiscretionTime ManagementCustomer Service
Tools & Technologies
Microsoft Office SuiteWeb-Based Applications
Certifications & Qualifications
State Licensing
Industry Keywords
Auto Insurance ClaimsLiabilityInjury ClaimsProperty Damage ClaimsClaim Resolution
About the role
Key responsibilities & impact- Investigate, evaluate, and negotiate non-attorney represented injury claims with varying degrees of complexity and injury severity.
- Conduct investigations of unrepresented casualty, physical, and property damage claims using investigative tools and department procedures.
- Develop strategies to identify and resolve coverage, liability, injury, and property damage claims.
- Conduct injury-specific research and interpret statutory provisions and case law relating to claimed injuries.
- Review medical records, bills, and other information to determine general and special damages.
- Develop and maintain rapport with claimants and insureds, informing them about the claim process and resolution options.
- Examine policy provisions, endorsements, and other records to verify coverage and make financial decisions within authority limits.
- Document claim progression and set bodily injury reserves.
- Collaborate with various departments to move claims toward final resolution.
- Perform other duties as assigned.
Requirements
What you’ll need- A high school diploma or equivalent is required.
- A minimum of two years of claims handling experience.
- Proficiency with basic computer skills including Microsoft Office Suite products and web-based applications.
- Must obtain and maintain state licensing, where applicable.
- Initiative, sound judgement, and discretion.
- Comprehensive understanding of insurance policies and knowledge of relevant state laws and regulations governing auto insurance claims.
- Time management skills ensuring deadlines are met for claim resolution.
- Strong analytical skills to evaluate claim information, assess damages, and make informed decisions regarding liability and settlement amounts.
- Effective communication skills, both verbal and written, to interact with various stakeholders.
- Excellent customer service skills.
- Strong negotiation skills are crucial for resolving disputes and reaching agreements.
Benefits
Comp & perks- Personal development opportunities
- Professional challenge
- Healthy work-life balance
- Equal opportunity workplace
- Diversity, equity, and inclusion initiatives
