Demonstrates expertise in analyzing general liability claims, negotiating settlements, and managing claims processes while ensuring compliance with industry standards. Proficient in maintaining client relationships and handling multiple priorities effectively.

Highest-signal resume keywords

Claims Management ExperienceNegotiation SkillsEast Coast Jurisdiction KnowledgeProfessional CertificationAnalytical Problem Solving

About the role

Key responsibilities & impact

Analyze mid- and higher-level general liability claims to determine benefits due
Ensure ongoing adjudication of claims within company standards and industry best practices
Identify subrogation of claims and negotiate settlements
Gather information to determine liability exposure
Assign reserve values to claims, make claims payments, and settle claims up to designated authority level
Assess liability and resolve claims within evaluation
Approve and process assigned claims and determine benefits due
Manage action plans pursuant to the claim or client contract
Communicate claim action with claimant and client
Ensure claim files are properly documented and claims coding is correct
Process complex lifetime medical and/or defined period medical claims when applicable, including state and physician filings and utilization-review treatment decisions
Maintain professional client relationships

Requirements

What you’ll need

High School Diploma or GED required
Bachelor's degree from an accredited college or university preferred
Professional certification as applicable to line of business preferred
4 years of claims management experience or equivalent combination of education and experience required
East Coast jurisdiction knowledge: NJ, PA & FL
Home state licensing preferred
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
Opportunity to work in an agile environment
Career development and promotional growth opportunities
Medical, dental, vision, 401K and matching on day one
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Remote work option if outside of commutable distance to office

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims AnalysisClaims AdjudicationSubrogation IdentificationClaims Payment ProcessingLiability AssessmentClaims DocumentationMedical Claims ProcessingReserve Value AssignmentUtilization-Review Treatment DecisionsClaims Coding

Soft Skills

Excellent JudgmentClear Thinking AbilityProblem SolvingAbility to Handle StressAbility to Meet Deadlines

Tools & Technologies

Computer Keyboarding

Certifications & Qualifications

Professional Certification

Industry Keywords

General Liability ClaimsEast Coast JurisdictionClient RelationshipsClaims Management StandardsClaims Settlements