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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims analysis and management, ensuring timely resolution and adherence to industry best practices. Proficient in negotiating settlements and communicating effectively with clients and claimants.
Highest-signal resume keywords
Claims Management ExperienceNegotiation SkillsClaims AnalysisClient CommunicationProblem Solving
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 ProcessingInvestigative SkillsSettlement NegotiationDeadline ManagementComputer Keyboarding
Soft Skills
Clear ThinkingExcellent JudgmentTroubleshootingDiscretionStress Management
Certifications & Qualifications
Professional Certification
Industry Keywords
Claims AdjudicationJurisdiction KnowledgeExcess Carriers ReportingClient Service RequirementsAction Plans
About the role
Key responsibilities & impact- Analyze claims on behalf of clients to determine benefits due
- Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements
- Analyze and process claims through action plans to timely resolution
- Investigate and gather information to determine claim exposure
- Negotiate claim settlements within designated authority
- Communicate claim activity and processing with claimants and clients
- Report claims to excess carriers
- Respond professionally and promptly to requests for directions
Requirements
What you’ll need- High School Diploma or GED required
- 2 years of claims management experience or equivalent combination of education and experience required
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- Knowledge of all states' jurisdictions
- Ability to analyze and process claims
- Ability to investigate and gather information to determine claim exposure
- Ability to negotiate settlements within designated authority
- Ability to communicate claim activity and processing with claimants and clients
- Ability to report claims to excess carriers and respond to requests for directions
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress and multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding ability
- Hearing, vision, and talking abilities
- Employment may be contingent upon successful completion of a job-related MVR check
Benefits
Comp & perks- Professional development opportunities
- Flexible work schedule
- Referral incentive program
- Opportunity to work in an agile environment
- Career development and promotional growth opportunities
- Medical, dental, and vision coverage
- 401(k) and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Hybrid work arrangement
