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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing complex claims within Property and Casualty Insurance, including negotiation, investigation, and resolution of litigated claims. Proven ability to develop strategies, improve processes, and foster relationships with stakeholders such as Program Managers and Brokers.
Highest-signal resume keywords
P&C Insurance Claims ExperienceAdjuster LicenseProperty and Casualty Lines ExpertiseStrong Critical Thinking SkillsCPCU, AIC, ASLI Certifications
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 InvestigationClaims NegotiationClaims ResolutionClaims Protocol DevelopmentData Collection and AnalysisProcess ImprovementFile Reviews and AuditsEmerging Claim Trends IdentificationOperational CoordinationCustomer Service Management
Soft Skills
Strong Interpersonal SkillsEffective CommunicationCreativityEmotional IntelligenceProblem-Solving Skills
Certifications & Qualifications
Adjuster LicenseCPCUAICASLI
Industry Keywords
Third Party AdministratorsLitigation ClaimsGeneral LiabilityAutomobile LiabilityPhysical Damage LiabilityProfessional LiabilityProgram ManagementReinsuranceActuarial CollaborationFinance Collaboration
About the role
Key responsibilities & impact- Oversee assigned Program Third Party Administrators (TPAs)
- Handle new and existing litigation claims, including complex professional and general liability litigated claims
- Serve as primary point of contact and relationship manager for program claims
- Investigate, evaluate, negotiate, and resolve assigned claims
- Coordinate operational and leadership responsibilities to ensure consistent claim results, quality, and customer service
- Develop claim protocols, strategies, and handling authority; provide education and training
- Collaborate with business partners to vet and onboard new programs and TPAs
- Monitor and improve communication of essential claim information and monthly data collection
- Collaborate with Underwriting, Actuarial, Product, Finance, and Treasury on program business
- Conduct in-person or remote claim file reviews and audits across multiple TPA claim systems
- Travel to program managers, brokers, reinsurance intermediaries, TPAs, clients, industry meetings, and conferences as required
- Identify emerging claim trends
- Monitor and document claim processes and guidelines; implement process improvements
- Participate in Claim organization strategy initiatives and projects
- Collaborate with Claim Operations leaders on selecting and managing TPAs and outside vendors
Requirements
What you’ll need- Bachelor’s Degree in Business Administration, Insurance, Finance, Economics, or related field of study is strongly preferred
- 7+ years of P&C Insurance claims experience
- Adjuster license and continuing education as needed
- Ability to communicate clearly and effectively with internal and external clients remotely or in person
- Strong critical thinking and analytical skills
- Progressively senior claim roles with strong technical skills
- Experience with Property and Casualty lines including Property, General Liability, Automobile Liability and Physical Damage Liability, and Professional Liability
- Strong interpersonal and consultative skills
- Creativity, flexibility, emotional intelligence, adaptability, and problem-solving skills
- Ability to manage and develop industry relationships with Program Managers, Brokers, and Reinsurance partners
- Ability to travel approximately 10%
- CPCU, AIC, ASLI, or other industry designations or certifications are highly desirable
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
- Technology and other tools supporting hybrid working