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Posted: 9/15/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in processing and managing low-level PD and 1st party auto liability claims, ensuring compliance with industry standards and effective negotiation of settlements. Proficient in claims documentation, client communication, and maintaining professional relationships while managing multiple priorities and deadlines.
Highest-signal resume keywords
Claims Management ExperienceNegotiation SkillsEast Coast Jurisdiction KnowledgeProfessional CertificationProblem Solving
About the role
Key responsibilities & impact- Process low level PD and 1st party auto 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 with general supervision
- Gather information to determine liability exposure
- Assign reserve values, make claims payments, and settle claims up to designated authority level
- Develop and coordinate claims action plans through resolution and return-to-work efforts
- Approve and process assigned claims and administer action plans pursuant to claim or client contract
- Process subrogation claims and negotiate settlements
- Communicate claim actions with claimants and clients
- Ensure claim files are properly documented and claims coding is correct
- Process low-level lifetime medical and/or defined period medical claims when applicable
- 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
- 2 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
- Career development and promotional growth opportunities
- Medical, dental, vision, 401K and matching, PTO, disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Hybrid/remote work flexibility based on commute distance
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 ProcessingAdjudicationSubrogationClaims PaymentClaims Action PlansClaims CodingMedical Claims ProcessingReserve AssignmentDocumentationClient Contract Administration
Soft Skills
Clear ThinkingExcellent JudgmentTroubleshootingDiscretionStress Management
Tools & Technologies
Computer Keyboarding
Certifications & Qualifications
Professional Certification
Industry Keywords
Auto Liability ClaimsClaims SettlementLiability ExposureClient RelationshipsEast Coast Jurisdiction