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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting investigations of bodily injury claims and developing negotiation strategies while ensuring compliance with state regulations. Proficient in analyzing insurance policies and effectively communicating with stakeholders to resolve claims efficiently.
Highest-signal resume keywords
Casualty Claim ExperienceInsurance Policy AnalysisNegotiation SkillsAnalytical SkillsEffective Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Bodily Injury Claims InvestigationCoverage VerificationSettlement Strategy DevelopmentClaim DocumentationTime Management
Soft Skills
InitiativeSound JudgementDiscretionCustomer Service
Tools & Technologies
Microsoft Office SuiteWeb Based Applications
Certifications & Qualifications
State Required Licensing
Industry Keywords
Auto InsuranceState Laws and RegulationsClaims ResolutionLegal ProceedingsPolicy Language
About the role
Key responsibilities & impact- Conduct investigations of varying complexity, including policy language and limits, and bodily injury claims using investigative tools and established claims and state regulatory guidelines.
- Develop strategies to identify and resolve coverage, liability, injury, and property damage issues efficiently and accurately.
- Examine policy provisions, endorsements, complex legal relationships, and other records to verify coverage and make financial decisions within authority limits.
- Develop and implement negotiation strategies with insureds, claimants, attorneys, body shop personnel, medical providers, and other parties.
- Attend depositions, mediations, arbitrations, pre-trials, trials, and other legal proceedings when needed.
- Analyze represented bodily injury claims, research and interpret statutory provisions and case law, review injury and damage information, obtain releases and medical reports, document treatment histories, and develop settlement strategies.
- Document claim progression and set bodily injury reserves.
- Mentor staff and provide training.
- 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 three years casualty claim experience in the auto insurance industry.
- Proficiency in basic computer skills including Microsoft Office Suite products and web based applications.
- Must obtain and maintain state required licensing, where applicable.
- Initiative, sound judgement, and discretion
- Comprehensive understanding of insurance policies and knowledge 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.
- Excellent negotiation skills for resolving disputes and reaching agreements
Benefits
Comp & perks- High-performing culture
- Opportunities for personal development and professional challenge
- Healthy work-life balance
- Equal opportunity workplace committed to diversity and equality