FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing insurance claims, determining coverage obligations, and settling claims in accordance with policy provisions and applicable law. Strong communication skills are essential for interacting with relevant parties and documenting investigation results.
Highest-signal resume keywords
Insurance Claims AnalysisClaims SettlementAIC DesignationPolicy Terms UnderstandingCustomer Service 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
Claims EvaluationCoverage AffirmationInvestigation TechniquesReserve EstablishmentLegal Proceedings Attendance
Soft Skills
CommunicationFairnessExpeditious Decision-Making
Certifications & Qualifications
AIC Designation
Industry Keywords
InsurancePolicy ProvisionsClaims ManagementCustomer ServiceMediation
About the role
Key responsibilities & impact- Analyze insurance claims to determine extent of Insurer's obligations
- Settle claims with first claimants in accordance with policy provisions and applicable law
- Evaluate each claim in light of facts
- Affirm or deny coverage
- Investigate to establish proper reserves
- Settle or deny claims in a fair and expeditious manner
- Communicate with all relevant parties and document communication and investigation results
- Attend customer service calls, mediations, and other legal proceedings
Requirements
What you’ll need- High School Diploma required
- Bachelor's degree from a four-year college or university preferred
- Five plus years related experience and/or training; or equivalent combination of education and experience
- Three plus years of PIC related experience and an AIC Designation will be considered for employees in good standing with excellent claim audit scores
- Thorough understanding of coverage, policy terms and conditions for broad insurance areas, products or special contracts
- Ability to travel to attend customer service calls, mediations, and other legal proceedings
Benefits
Comp & perks- Hybrid work model providing flexibility to work remotely while maintaining meaningful in-office collaboration
- Tuition reimbursement
- Generous 401K match
- Volunteer Benefits
- Paid Vacation
- Medical Benefits
- Educational Incentives
- Family Friendly Benefits
- Investment Incentives
- Internal career opportunities