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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive claims management experience with a strong understanding of personal and commercial auto policies, legal pleadings, and negotiation strategies. Capable of developing effective resolutions for complex cases while maintaining compliance with state regulations and quality programs.
Highest-signal resume keywords
Claims Management ExperiencePersonal And Commercial Auto PoliciesState Adjusting LicensesNegotiation SkillsAnalytical And Interpretive 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 ManagementLegal PleadingsDiscoveryAccrued Liability AssessmentSubrogation ManagementAction Plan DevelopmentPerformance CompetenciesClient Authorization ProcessesSettlement IdentificationMediation And Arbitration Participation
Soft Skills
Excellent Oral And Written CommunicationStrong Organizational SkillsTeam CollaborationJudgement And DiscretionClear And Conceptual Thinking
Tools & Technologies
Microsoft Office ProductsPC Literacy
Certifications & Qualifications
State Adjusting Licenses
Industry Keywords
Claims ManagementPersonal Auto InsuranceCommercial Auto InsuranceLegal InquiriesComplex Coverage Scenarios
About the role
Key responsibilities & impact- Address and handle high-end cases involving serious injuries, complex coverage scenarios, and legal inquiries or disputes
- Develop strategies to bring cases to satisfactory resolution
- Review and act on reports and forms; respond to inquiries; seek legal opinion and early resolution; communicate resolutions to appropriate parties
- Handle high-end cases with serious injuries and/or complex coverage scenarios
- Respond to decisions, agreements, and/or court orders; create action plans; determine need for examination; gain client authorization
- Identify cases for settlements/redemptions
- Gather and document additional information and coordinate with client designees
- Request legal/private investigations; assign to and coordinate with local counsel; monitor local counsel performance
- Respond to plaintiff's counsel, union, employee, or client requests
- Identify issues and formulate defense strategies
- Establish or adjust accrued liability and approve administrative expenses
- Identify subrogation opportunities and manage the process
- Attend and participate in mediations, trials, arbitrations, or hearings as needed
- Work with partners to effect early return-to-work
- Support the organization's quality programs
- Perform other duties as assigned
Requirements
What you’ll need- Five (5) years of claims management experience or equivalent combination of education and experience required
- In-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws
- Secure and maintain the state adjusting licenses as required for the position
- Technically skilled and familiar with legal pleadings and discovery
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
- Computer keyboarding
- Hearing, vision, and talking
- Clear and conceptual thinking ability
- Excellent judgement and discretion
- Ability to meet deadlines
Benefits
Comp & perks- Medical insurance
- Dental insurance
- Vision insurance
- 401(k) and matching
- PTO
- Disability insurance
- Life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Work-life balance
- Caring culture
- Career growth opportunities
