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Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in Property and Casualty Insurance claims management, including oversight of Third Party Administrators and the ability to develop and implement claim protocols. Strong analytical, communication, and relationship management skills are essential for collaborating with various stakeholders and improving claim processes.
Highest-signal resume keywords
P&C Insurance Claims ExperienceAdjuster LicenseClaim Protocol DevelopmentInterpersonal SkillsCPCU Certification
About the role
Key responsibilities & impact- Oversee assigned Program Third Party Administrators (TPAs)
- Handle new, existing, 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, monthly data collection, and information-sharing practices
- Collaborate with Underwriting, Actuarial, Product, Finance, and Treasury on program business
- Conduct in-person or remote claim file reviews and audits across TPA claim systems
- Travel to meet Program Managers, Brokers, Reinsurance Intermediaries, TPAs, clients, and industry associations
- 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 TPA and outside vendor selection and management
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 clearly and effectively communicate information to internal/external clients remotely or in person
- Strong critical thinking and analytical skills
- Experience in progressively senior claim roles with strong technical skills
- Experience in 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
- CPCU, AIC, ASLI, or other industry designations or certifications are highly desirable
- Ability to travel approximately 10%
- Resume required to apply
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
- 401(k)
- Tuition reimbursement
- Flexible workplace and hybrid working
- Career growth
- Retirement assistance
- Application or interview process accommodations
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 EvaluationClaims NegotiationClaims ResolutionData CollectionClaim File ReviewsProcess ImprovementEmerging Claim Trends IdentificationOperational CoordinationCustomer Service
Soft Skills
Critical ThinkingAnalytical SkillsCommunication SkillsCreativityEmotional Intelligence
Certifications & Qualifications
CPCUAICASLI
Industry Keywords
Third Party AdministratorsProfessional LiabilityGeneral LiabilityAutomobile LiabilityPhysical Damage LiabilityProgram ManagementUnderwriting CollaborationActuarial CollaborationFinance CollaborationReinsurance Management