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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims management, including analyzing auto claims, negotiating settlements, and ensuring compliance with industry standards. Proficient in maintaining client relationships and producing accurate documentation while managing multiple priorities effectively.
Highest-signal resume keywords
Claims Management ExperienceNegotiation SkillsInsurance Principles ExpertiseState Adjusting LicensesAnalytical Skills
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 AnalysisSubrogation ManagementClaims Payment ProcessingClaims DocumentationCost Containment PrinciplesReport WritingClaims CodingLiability AssessmentPerformance CompetenciesMicrosoft Office Proficiency
Soft Skills
Excellent Communication SkillsStrong Organizational SkillsInterpersonal SkillsTeam CollaborationAbility to Handle Multiple Priorities
Certifications & Qualifications
Bachelor's DegreeProfessional CertificationState Adjusting Licenses
Industry Keywords
Auto ClaimsGeneral ClaimsAdjudication StandardsNegotiationInsurance LawsClaims ExposureClient ContractsClaims SettlementsPerformance CompetenciesDocumentation Standards
About the role
Key responsibilities & impact- Analyze mid- and higher-level general auto claims to determine scope of damages
- Ensure ongoing adjudication of claims within company standards and industry best practices
- Identify subrogation of claims and negotiate settlements
- Manage mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure
- Assign reserve values to claims, make claims payments as necessary, and settle claims up to designated authority level
- Assess liability and resolve claims within evaluation
- Approve and process assigned claims, determine benefits due, and manage action plans pursuant to the claim or client contract
- Manage subrogation of claims and negotiate settlements
- Communicate claim action with claimants and clients
- Ensure claim files are properly documented and claims coding is correct
- Maintain professional client relationships
- Perform other duties as assigned
- Travel as required
Requirements
What you’ll need- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- Secure and maintain the State adjusting licenses as required for the position
- Four (4) years of claims management experience or equivalent combination of education and experience required
- Subject matter expertise in appropriate insurance principles and laws for the line of business handled
- Knowledge of recoveries, offsets and deductions, claim and disability duration, and cost containment principles as applicable
- Excellent oral and written communication skills, including presentation skills
- PC literacy, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Excellent negotiating skills
- Ability to create and complete comprehensive, accurate and constructive written reports
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
- Ability to handle multiple priorities simultaneously and meet deadlines
Benefits
Comp & perks- Work-life balance
- Reasonable accommodations for candidates requiring them
- Inclusive, barrier-free recruitment and selection processes
