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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 and analyzing bodily injury claims within the auto insurance industry, while effectively negotiating and collaborating with various stakeholders to achieve claim resolution. Proficient in understanding insurance policies and relevant state laws, ensuring compliance and sound decision-making.
Highest-signal resume keywords
Casualty Claim ExperienceNegotiation SkillsAnalytical SkillsInsurance Policy KnowledgeEffective 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
Investigation TechniquesClaim AnalysisSettlement Strategy DevelopmentPolicy ExaminationBodily Injury Reserves Management
Soft Skills
InitiativeSound JudgementDiscretionTime ManagementCustomer Service
Tools & Technologies
Microsoft Office SuiteWeb Based Applications
Certifications & Qualifications
State Required Licensing
Industry Keywords
Auto InsuranceCoverage IssuesLiability AssessmentLegal ProceedingsStatutory Provisions
About the role
Key responsibilities & impact- Conduct investigations of varying complexity, including policy language and limits, and bodily injury claims using investigative tools and department guidelines.
- Develop strategies to identify and resolve coverage, liability, injury, and property damage issues efficiently and accurately.
- Examine policy provisions, endorsements, legal relationships, and 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 statutory provisions and case law, examine damage relative to claimed injuries, obtain medical reports and releases, document treatment history, and develop settlement strategies.
- Document claim progression and set bodily injury reserves.
- Mentor and provide staff 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- Medical insurance
- Dental insurance
- Vision insurance
- Paid time off (PTO)
- 401(k)
