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7-Eleven
Posted: 10/17/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing complex claims, interpreting legal and jurisdictional requirements, and maintaining compliance while fostering effective relationships with clients and team members. Proficient in analytical skills and customer service, ensuring optimal outcomes in claims management.
Highest-signal resume keywords
State Adjuster LicensesClaims ManagementLegal and Jurisdictional KnowledgeAnalytical SkillsCustomer Service Skills
About the role
Key responsibilities & impact- Manage a claim caseload from basic to highly complex claims within granted authority levels, including financial implications
- Obtain individual customer information and follow special account instructions
- Identify, initiate, 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 round table discussions within the assigned team
- 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, and jurisdictional law in claim handling
- Assess indemnity, medical, and expense exposure and apply insurance coverage appropriately
- Review client files and collaborate with the team on file strategies, claim status, and emerging trends
- Proactively manage litigation with clients, legal representatives, and client requirements
- 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 reports and document compliance with jurisdictional requirements, including EDI and benefit payment timeliness
- Assist the Team Lead with tracking team tasks and projects
- Review SAS/SOX documents and submit them timely
- Assist with takeover and reverse takeover projects, ensuring claim files are transferred and handled appropriately
- Perform other assigned duties
- Support the organization's quality programs
Requirements
What you’ll need- State adjuster licenses required
- Six (6) years of related experience and/or training or equivalent combination of education and experience required
- Bachelor's degree from an accredited college or university preferred
- Thorough legal and jurisdictional knowledge based on line of business
- Strong oral and written communication, including presentation skills
- PC literate, 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 multiple priorities simultaneously and meet deadlines
- Travel as required
Benefits
Comp & perks- Work-life balance
- Caring culture
- Reasonable accommodations when applicable and appropriate
- Equal Opportunity Employer
- 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 EvaluationFraud EvaluationSubrogation CoordinationIndemnity AssessmentMedical Report InterpretationCompliance MonitoringSAS/SOX Document ReviewPerformance CompetenciesProject ManagementFile Strategy Collaboration
Soft Skills
Strong Oral CommunicationStrong Written CommunicationInterpersonal SkillsOrganizational SkillsTeam Collaboration
Tools & Technologies
Microsoft Office
Certifications & Qualifications
State Adjuster Licenses
Industry Keywords
Claims Caseload ManagementFinancial ImplicationsCustomer Information ManagementLitigation ManagementQuality Programs