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Claims adjuster skills for your resume and career

15 claims adjuster skills for your resume and career
1. Insurance Carriers
- Provided litigation management support to outside counsel and served as interface between organization and insurance carriers regarding litigation strategy and payment.
- Licensed independent insurance adjuster responsible for investigating and fully handling liability and bodily injury claims for multiple insurance carriers.
2. Auto Claims
Auto claims are claims made to insurance companies or firms in cases of accidents, collisions, or damages to determine payments made. Insurance companies hire auto claim adjusters to help inspect, assess, and determine the state of damager on an auto vehicle and the costs that would incur.
- Adjusted auto claims for insureds and claimants Lead auto theft adjuster Identified potential fraudulent auto claims Obtained statements and reviewed accident scenes
- Investigated property and auto claims, provided estimates and all necessary documents to insurance Company for approval and payment.
3. Customer Service
Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.
- Assist policyholders/claimants with claim status/assign appraisers/customer service/automobile rentals
- Worked independently to conduct research, investigate details, and complete an estimate while remaining empathetic and delivering great customer service.
4. Litigation
- Established and implemented appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition.
- Provided pertinent background information to legal counsel and assists as possible in reaching an in-court or out-of-court settlement in litigation situations.
5. Xactimate
Xactimate is a computer platform used to estimate the cost of room restoration. Users sketch an architectural outline of the room, which offers a close estimation for project costs. Xactimate can connect to the cloud so these plans and estimates can be accessed anywhere on mobile and desktop devices.
- Evaluated and estimated storm related damage using Xactimate to settle structural damage by following operation guides and estimating practices.
- Used Xactimate computer estimating program, which included electronically transferring estimates, photographs, and complete files.
6. Claims Handling
- Provide an exceptional customer service experience to our policyholders through professional claims handling for Residential, Liability and Catastrophic claims.
- Demonstrated technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines.
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- Provided remarkable customer experience while multitasking in a timely matter.
- Team Adjuster - Supply emergency help within multitasking, job functions.
8. Insurance Coverage
- Verified the appropriate insurance coverage and policies manage and coordinate property and liability claims by examined photographs and statements.
- Requested and examined claim forms along with other relevant records to determine insurance coverage and company liability.
9. Bodily Injury Claims
- Investigated, evaluated and negotiated auto liability and bodily injury claims to make a fair and equitable settlement on behalf of policyholders
- Analyzed, interpreted and evaluated information for resolving low to moderate value, liability and bodily injury claims for automobile accidents.
10. Policy Coverage
Policy coverage is an agreement between a person and an insurer outlining the coverage - what is covered, what is not, and other details of the agreement. Policy coverage is typically a combination of several standard forms, including a declaration page, coverage form, and endorsements. These forms delineate the coverage term, the policy limits, the grant of coverage, exclusions and other limitations of coverage, and the duties and responsibilities of the insured in the event of a loss.
- Conducted investigations of automobile accidents involving bodily injury and property damage to determine fault, liability and policy coverage and limits.
- Investigated and analyzed policy coverage and liability exposure on moderate to complex insurance claims involving personal injury and property damage.
11. Insurance Policy
- Complied with company policy by verifying whether claimant's procedure was medically necessary and if their insurance policy covered the procedure.
- Assisted customers with questions about their automobile insurance policy and with necessary services following an accident to ensure timely resolutions.
12. Police Reports
Police reports, also known as "incident reports," are recorded by members of the police department and detail a (potentially) illegal incident or confrontation. The following information is usually found on a police report: the date and time of the incident, which officers were involved, the address of the incident, what kind of incident (theft, assault, etc.), and how the officers were alerted to the incident.
- Investigated claims by taking recorded statements, ordering police reports and evaluating scene photos which resulted in the appropriate liability decision.
- Investigated liability claims by obtaining recorded statements, conducting scene investigations, ordering police reports and other activities as required.
13. Policy Provisions
- Adjusted approximately 2500 homeowners' claims to determine coverage and negotiated settlement with policyholders in accordance with policy provisions.
- Provided optimum service to policyholders, negotiated fair settlements and determined denial decisions in accordance with policy provisions.
14. Medical Claims
- Review and release of medical claims for payment, after calculation of secondary liability according to coordination of benefits guidelines.
- Processed, interviewed, investigated, resolved and determined qualifications of medical claims within a limited time period.
15. Medical Reports
- Reviewed and interpreted medical reports to determine causal relationship and assist in evaluation of claim.
- Obtained recorded statements from parties involved and witnesses, obtained medical reports/police reports.
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List of claims adjuster skills to add to your resume
The most important skills for a claims adjuster resume and required skills for a claims adjuster to have include:
- Insurance Carriers
- Auto Claims
- Customer Service
- Litigation
- Xactimate
- Claims Handling
- Multitasking
- Insurance Coverage
- Bodily Injury Claims
- Policy Coverage
- Insurance Policy
- Police Reports
- Policy Provisions
- Medical Claims
- Medical Reports
- Medical Terminology
- Coverage Issues
- Medical Bills
- Arbitration
- Policy Language
- Strong Negotiation
- SIU
- Excellent Negotiation
- Medical Treatment
- PIP
- Inbound Calls
- Casualty Claims
- Repair Facilities
- State Regulations
- Workers Compensation Claims
- Policy Holders
- Party Claims
- Physical Damage
- Commercial Property
- CPT
- Outbound Calls
- State Laws
- Auto Accidents
- Liability Claims
- Defense Counsel
- Property Damage Claims
- Property Loss
- Relevant Parties
- Medicaid
- Legal Liability
- Scene Investigations
- Body Shop
- ICD-9
- Repair Shops
- Liability Investigations
Updated January 8, 2025