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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims handling, including loss assessment, negotiation, and policy interpretation, while maintaining strong client relationships and adhering to industry regulations. Proficient in utilizing advanced computer skills for reporting and communication, ensuring timely and accurate documentation.
Highest-signal resume keywords
Claims Handling ExperienceNegotiating SkillsCIP DesignationAdvanced Computer SkillsInterpersonal Communication 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 HandlingLoss AssessmentPolicy InterpretationNegotiationReport PreparationCost EstimationCoverage AnalysisBilling ManagementTime ManagementAnalytical Skills
Soft Skills
Customer Service SkillsAttention to DetailOrganizational SkillsTeam CollaborationInterpersonal Skills
Tools & Technologies
Microsoft OfficeOutlookWeb-Based ApplicationsCompany Computer Systems
Certifications & Qualifications
CIP DesignationLocal Province License
Industry Keywords
Property and Casualty InsuranceClaims ManagementLitigation SupportClient RelationshipsBusiness Development
About the role
Key responsibilities & impact- Handle losses and claims for property and casualty insurers
- Examine insurance policies and records to determine coverage
- Interview, telephone, and correspond with claimants and witnesses
- Consult police and hospital records and inspect property damage to determine liability
- Estimate repair, replacement, or compensation costs
- Prepare findings reports and negotiate settlements
- Recommend litigation when settlements cannot be negotiated and attend litigation hearings
- Revise case reserves to cover probable costs
- Manage desktop investigations, obtain loss details, determine coverage and claim validity, communicate with insureds and claimants, prepare reports, and negotiate settlements
- Maintain accurate records using company computer systems
- Coordinate task assignments with field adjusters
- Review and interpret policy wording to confirm and apply coverage
- Manage billing for assigned files within specified timelines
- Maintain client relationships and support business development
- Keep current with industry and legislative changes
- Assist with loss experience reports and calculate adequate future rates
- Handle losses under the general supervision of a TPA Team Lead
- Perform other duties as assigned
Requirements
What you’ll need- Enrolled in CIP program or completed CIP designation
- Obtain license in local province or other provinces combination within 6 months of hire date
- 4-Year college degree or equivalent or relative claim experience or 2-year Associates Degree in related field
- Success as Sedgwick trainee or prior TPA/Field and/or carrier experience
- Licensed in local province
- 1-3 years claims handling experience
- Proven adjusting, negotiating skills and analytical skills
- Excellent interpersonal and communication skills
- Advanced computer skills including office, outlook and web-based applications
- Strong oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Demonstrated commitment to timely reporting
- Strong customer service skills
- Strong interpersonal skills
- Attention to detail and accuracy
- Good time management and organizational skills
- Ability to work independently or in a team environment
- Ability to meet or exceed Performance Competencies
- Must constantly demonstrate a commitment to timely reporting and professional communication skills, good Client service, and meet or exceed required production level
- Must be familiar with reviewing coverage analysis
- Understanding of customer expectations
- History of satisfactory dealings with client carriers, brokers and assisting in business development
Benefits
Comp & perks- Work-life balance
- Inclusive, barrier-free recruitment and selection processes
- Accommodation support during recruitment if required