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Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in complex claims management, providing technical leadership and mentorship while ensuring consistency in claims resolution. Possesses strong analytical and problem-solving skills, with a focus on litigation strategy and optimal case outcomes.
Highest-signal resume keywords
Complex Claims ManagementLitigation StrategyCalifornia OSIP CertificationMentorship and LeadershipPolicy Development
About the role
Key responsibilities & impact- Act as a department subject matter expert for the complex claims team
- Provide guidance to ensure consistency in resolving complex claims
- Oversee complex claim inventory and assess highly complex claims issues
- Utilize jurisdictional expertise and direct handling toward optimal resolution
- Evaluate exposure and recommend or direct action plans for issue or case resolution
- Document clear and concise file notes
- Facilitate roundtables and engage internal and external resources
- Provide technical leadership and co-own complex claim issues
- Support evaluation and development of policies and procedures
- Mentor complex claim consultants, adjusters, and team leads
- Lead calibration exercises to ensure consistency
Requirements
What you’ll need- Bachelor's degree from an accredited college or university preferred
- Industry designation(s) preferred
- Licenses as required for specific jurisdictions
- California expert with OSIP Certification
- Specialization in litigation strategy and resolution
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress
- Ability to handle multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding
- Hearing, vision, and talking
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Medical, dental, and vision coverage
- 401K and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Reasonable accommodations where applicable and appropriate
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 ResolutionFile DocumentationExposure EvaluationAction Plan DevelopmentComputer Keyboarding
Soft Skills
Clear ThinkingExcellent JudgmentProblem SolvingStress ManagementMultitasking
Certifications & Qualifications
OSIP Certification
Industry Keywords
Complex ClaimsJurisdictional ExpertiseCalibration ExercisesInternal and External ResourcesPolicy and Procedure Development