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Posted: 10/17/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims management, including investigation, evaluation, and resolution of complex claims while ensuring compliance with jurisdictional requirements. Proficient in mentoring team members and maintaining effective relationships with clients and stakeholders.
Highest-signal resume keywords
Claims ManagementState Adjuster LicensesLegal and Jurisdictional KnowledgeAnalytical and Interpretive SkillsCustomer Service Skills
About the role
Key responsibilities & impact- Manage a claim caseload ranging from basic to highly complex claims within granted authority levels
- Manage related financial implications and mentor Account Representatives and Account Specialists
- Use special account instructions to obtain customer information and coordinate specialized services such as subrogation, fraud evaluation, and case management review
- Establish and maintain effective relationships with internal and external customers and coworkers
- Mentor and coach account representatives and account specialists; facilitate team round table discussions
- Investigate, evaluate, and resolve claims
- Identify potential problems and trends in claim files and take corrective action or make recommendations
- Interpret medical reports, state law, jurisdictional law, and insurance coverage
- Assess indemnity, medical, and expense exposure of assigned claims
- Review client files and collaborate with the team on file strategies, claim status, and emerging trends
- Proactively manage litigation with clients and legal representatives
- Minimize financial liability and ensure compliance and best possible outcomes
- Compile requirements to prevent penalties and fines and issue state-required documentation accurately and timely
- Monitor assigned reports and document compliance with jurisdictional requirements
- Assist the Team Lead with tracking team tasks and projects
- Review and submit SAS/SOX documents in a timely manner
- Assist with takeover and reverse takeover projects
- Perform other duties as assigned
- Support the organization's quality programs
Requirements
What you’ll need- Bachelor's degree from an accredited college or university preferred
- State adjuster licenses required
- Six (6) years of related experience and/or training, or equivalent combination of education and experience required
- Thorough legal and jurisdictional knowledge based on line of business
- Strong oral and written communication, including presentation skills
- PC literacy, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Strong customer service skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
- Ability to handle work-related stress and multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding
- Travel as required
Benefits
Comp & perks- Work-life balance
- Caring culture
- Career growth opportunities
- Reasonable accommodations
- Equal opportunity workplace
- Drug-free workplace
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 InvestigationClaims EvaluationFinancial Implications ManagementIndemnity AssessmentMedical Report InterpretationSAS/SOX DocumentationCase Management ReviewFraud EvaluationPerformance CompetenciesCompliance Monitoring
Soft Skills
Strong Oral CommunicationStrong Written CommunicationInterpersonal SkillsOrganizational SkillsTeam Collaboration
Tools & Technologies
Microsoft OfficePC Literacy
Certifications & Qualifications
State Adjuster Licenses
Industry Keywords
Claims Caseload ManagementSubrogationLitigation ManagementCustomer Relationship ManagementQuality Programs