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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive claims management expertise with a focus on litigation, including policy coverage evaluation, negotiation, and collaboration with various stakeholders. Possesses strong problem-solving, communication, and organizational skills essential for effective claim resolution and risk management.
Highest-signal resume keywords
Claims ManagementLitigation ExperiencePolicy Coverage EvaluationAdjuster LicenseProject Management
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 ExperiencePolicy Coverage KnowledgeNegotiation SkillsRisk ManagementFinancial Services OperationsStatutes UnderstandingDecision-Making SkillsProblem-Solving SkillsReporting SkillsLoss Prevention Consultation
Soft Skills
Excellent CommunicationOrganizational SkillsTime ManagementAdaptabilityCustomer Focus
Tools & Technologies
Microsoft Office SuiteWeb ApplicationsGeneral Computer Skills
Certifications & Qualifications
Adjuster LicenseAICCPCUContinuing Education
Industry Keywords
Litigated ClaimsThird-Party ClaimsClaim InvestigationsExpert AnalysisCommercial Insurance ClaimsCredit Union RisksProgram Third Party Administrators
About the role
Key responsibilities & impact- Proactively manage the litigation process on assigned claims
- Investigate, evaluate, negotiate and resolve large and/or complex third-party litigated claim files
- Evaluate coverage and liability exposures
- Decide when to hire external resources for claim investigations, expert analysis or legal services
- Collaborate with Underwriting, Risk Management, Actuarial and Legal staff
- Provide education and information to business partners and credit unions regarding risks, exposures, operations and efficiencies
- Provide consultation on credit union risks and loss prevention related to litigation
- Provide timely reporting according to claim handling guidelines
- Handle claims in multiple states
- Pursue maximum recovery or contribution
- Ensure consistent handling of commercial insurance claims
- Make decisions regarding investigators, experts and outside legal counsel
- Integrate recovery processes into claim resolution
Requirements
What you’ll need- Bachelor’s Degree or equivalent work experience
- Minimum of 7 years of claims experience with a focus on litigation
- Demonstrated knowledge of policy coverage and interpretation skills
- Dedicated to meeting the expectations and requirements of internal and external customers
- Demonstrated problem-solving skills
- Excellent verbal, written, and interpersonal communication
- Ability to work independently, including effectively in a remote office environment
- Strong experience in Microsoft Office Suite and web applications and general computer skills
- Some travel required for mediations, trials and credit union visits
- Understanding of applicable statutes, regulations and case law
- Demonstrated knowledge of financial services operations
- Adjuster License and Continuing Education as needed
- AIC, CPCU or other professional industry education a plus
- Project management experience a plus
- Prior experience working with Program Third Party Administrators a plus
- Strong organizational, time management and decision-making skills
- Ability to adapt to changing situations, requirements or priorities
Benefits
Comp & perks- Annual incentive (bonus) plan may be available
- Medical insurance
- Dental insurance
- Vision insurance
- Employee assistance program
- Life insurance
- Disability plans
- Parental leave
- Paid time off
- 401k
- Tuition reimbursement
- Flexible workplace and work-life balance
- Career growth
- Retirement assistance
- Flexibility to work in a preferred location
- Application or interview process accommodations