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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing third-party bodily injury and property damage claims, including evaluation, negotiation, and settlement processes. Proficient in maintaining compliance with state regulations and providing exceptional customer service throughout the claims lifecycle.
Highest-signal resume keywords
Casualty Claims Adjusting ExperienceState Adjuster LicenseAnalytical SkillsNegotiation SkillsMicrosoft Office Proficiency
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 EvaluationSettlement NegotiationInvestigation SkillsCoverage DeterminationFraud IdentificationSubrogation OpportunitiesClaims DocumentationClaims Inventory ManagementLarge-Loss ReportingDefense Counsel Management
Soft Skills
Customer ServiceOrganizational SkillsTime ManagementWritten CommunicationMentoring
Tools & Technologies
Microsoft OfficeMicrosoft TeamsClaims Management Systems
Certifications & Qualifications
Insurance DesignationsState Adjuster License
Industry Keywords
Bodily Injury ClaimsProperty Damage ClaimsUnfair Claims PracticesClaims LifecycleInsurance Policies
About the role
Key responsibilities & impact- Handle third-party bodily injury and property damage claims involving low to moderate complexity from initial assignment through resolution, including settlement negotiations
- Evaluate insurance policies and make coverage determinations
- Draft Reservation of Rights letters and coverage disclaimers
- Contact policyholders, claimants, and other parties to gather information, take recorded statements, and conduct investigations
- Investigate claim validity and potential liability against insureds
- Evaluate bodily injury and property damage, determine exposures, and set appropriate reserves
- Manage claim loads efficiently and independently
- Manage defense counsel, including claim strategy, exposure evaluation, invoice review, mediations, and settlement conferences
- Engage and monitor experts and vendors while controlling expenses
- Draft large-loss and leadership reports
- Evaluate, negotiate, and determine claim settlement values
- Communicate with interested parties throughout the claim lifecycle
- Maintain an organized diary system and complete assigned claims inventory
- Comply with state and local regulations, including NJ/PA Unfair Claims Practices and Guidelines
- Provide customer service to insureds, agents, claimants, and business partners
- Maintain relationships with internal and external stakeholders
- Identify fraud indicators and alert the Special Investigation Unit when applicable
- Identify subrogation opportunities and protect recovery interests
- Mentor less experienced Claims Examiners
- Maintain accurate claim file notes and documentation
- Assist with special projects as required
Requirements
What you’ll need- Bachelor’s degree or equivalent work experience
- 5+ years of casualty claims adjusting experience
- First-Party Property experience is a plus
- Insurance designations preferred
- Must have a State Adjuster License(s); California, Florida, and Texas licenses are desirable, with willingness to expand licenses as needed
- Ability to communicate clearly and professionally and provide superior customer service by phone and written correspondence
- Strong organizational and time management skills
- Strong writing skills
- Excellent analytical, investigative, and negotiation skills
- Proficient with Microsoft Office, Teams, Word, Excel, and other computer systems and technologies
- Ability to work independently with little to minimal supervision in a fast-paced environment
- Ability to acquire and maintain multiple state adjuster’s licenses and continuing education requirements
Benefits
Comp & perks- Not specified in the posting
