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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing insurance policies and handling complex 1st Party Property Claims, while effectively communicating with clients and managing claims inventory. Proficient in evaluating claims, negotiating settlements, and ensuring compliance with industry best practices.
Highest-signal resume keywords
Property & Casualty Insurance License1st Party Property Claims HandlingClaims Analysis and InvestigationSettlement NegotiationCustomer Service Excellence
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 HandlingClaims AnalysisSettlement EvaluationFraud DetectionSubrogation IdentificationVendor Performance MonitoringReserving PhilosophyLitigation SupportClaims AuditingTechnical Knowledge in Insurance
Soft Skills
Effective CommunicationRelationship DevelopmentCustomer ServiceCollaborationProblem Solving
Certifications & Qualifications
Property & Casualty Insurance LicenseState Adjuster’s License
Industry Keywords
Insurance ClaimsBest PracticesTPA OversightMediationArbitrationLiability DeterminationClaims Inventory ManagementContinuing Education RequirementsSIU ReferralClaims Expense Control
About the role
Key responsibilities & impact- Analyze insurance policies and documents to determine coverage
- Investigate and analyze claim information to determine liability
- Handle high-complexity 1st Party Property Claims
- Assist with suits, mediations and arbitrations and work with Counsel in litigation defense
- Set timely, adequate reserves according to company reserving philosophy
- Engage experts to evaluate claims
- Monitor vendor performance and control expenses
- Evaluate, negotiate and determine settlement values
- Communicate with interested parties about coverage decisions, additional information and settlements
- Handle claims according to Best Practices
- Monitor and complete assigned claims inventory
- Provide best-in-class customer service to insureds and agents
- Update and maintain claim files
- Identify subrogation opportunities and protect recovery interests
- Identify fraud indicators and refer files to SIU
- Participate in internal and external claims audits
- Provide oversight of TPAs
Requirements
What you’ll need- High School/GED
- 5–9 years' experience in claims
- Must have Property & Casualty Insurance License
- Acquire and maintain a state adjuster’s license and meet state continuing education requirements
- Technical knowledge in insurance claims handling
- Ability to develop relationships and effectively communicate with a diverse range of clients, carriers and colleagues
- Experience handling complex 1st Party Property Claims
Benefits
Comp & perks- Not specified 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score