Demonstrates expertise in managing complex casualty claims, including negotiation, compliance with regulatory standards, and effective communication with diverse stakeholders. Proficient in utilizing advanced analytics to enhance claims-handling efficiency and mentor junior staff.

Highest-signal resume keywords

Claims Handling ExperienceState Adjuster LicenseNegotiation SkillsRegulatory ComplianceRisk-Transfer Identification

About the role

Key responsibilities & impact

Independently manage moderate to complex, high-value casualty claims
Lead investigations, assess coverage, issue reservation of rights and coverage letters, and escalate issues as needed
Identify risk-transfer and subrogation opportunities
Resolve disputes, deescalate sensitive situations, and manage negotiation and litigation strategies
Ensure compliance with regulatory and company standards
Maintain accurate claim records and prepare comprehensive reports
Execute jurisdictional compliance requirements and support others in understanding regulatory obligations
Set reserves, authorize payments, and make financial decisions within authority
Coordinate with legal, underwriting, vendors, agents, and other stakeholders
Lead cross-functional meetings and communicate complex information to diverse audiences
Use advanced tools and analytics to identify trends, correct inconsistencies, and improve claims-handling efficiency
Ensure proper data ingestion, labeling, and protection of personally identifiable information (PII)
Mentor junior claim handlers and support training and best-practice development
Represent the company in forums related to claims litigation

Requirements

What you’ll need

Bachelor’s degree preferred, or a combination of education and equivalent experience
Typically requires 5–10 years of claims handling experience
Must possess or obtain and maintain appropriate state adjuster licenses and continuing education credits
Skilled in negotiating complex claims and developing strategies to influence outcomes
Sound judgment and decision-making on high-exposure cases, including litigation and compliance matters
Clear and effective verbal and written communication
Empathy toward all stakeholders
Highly organized with strong time management and desk management skills
In-depth understanding of the regulatory environment and jurisdictional requirements
Ability to manage escalated claims and sensitive customer concerns professionally
Ability to use a personal computer and standard office equipment
Ability to sit and/or stand for extended periods
Required to work on-site as needed
Ability to travel as necessary
Ability to work in a fast-paced, changing, or stressful environment
Ability to perform work in a noisy/loud work environment
May be required to have and maintain sufficient home-based internet connection

Benefits

Comp & perks

Remote work arrangement
Full-time exempt position
Continuing education credits associated with maintaining adjuster licensing

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementCoverage AssessmentFinancial Decision-MakingData AnalysisReport PreparationLitigation StrategyReservation of RightsSubrogation OpportunitiesJurisdictional ComplianceTrend Identification

Soft Skills

Effective CommunicationEmpathyTime ManagementOrganizational SkillsConflict Resolution

Tools & Technologies

Advanced Analytics ToolsPersonal ComputerStandard Office Equipment

Certifications & Qualifications

State Adjuster LicenseContinuing Education Credits

Industry Keywords

Casualty ClaimsRegulatory EnvironmentClaims LitigationHigh-Value ClaimsCross-Functional Coordination