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Senior claims adjuster skills for your resume and career

15 senior claims adjuster skills for your resume and career
1. 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.
- Developed excellent customer service and communication skills through interfacing with customers and co-workers in both an office setting and field environments.
- Investigated, evaluated and closed general liability claims while providing quality customer service to claimants, attorneys and store divisions.
2. Litigation
- Experienced litigation adjuster proactively investigating, evaluating, and negotiating commercial and homeowner general liability casualty and property damage liability claims.
- Reviewed and managed litigation arising from assigned claims, including but not limited to development of litigation and resolution strategy.
3. Coverage Issues
- Identify and investigate loss facts and potential coverage issues and communicate findings to appropriate involved parties and legal representatives.
- Collaborate with insurance agents, field claims adjusters and mitigation vendors to reconcile estimates and investigate potential coverage issues.
4. Strong Customer Service
- Use strong customer service skills to negotiate with policy holders, claimants, or attorneys to settle the claim to completion.
6. Claims Handling
- Plan the medical and indemnity strategy to manage the severe injury/exposure claims using strong service-oriented claims handling.
- Developed guidelines for claims handling and documentation procedures to create office wide uniformity and improved productivity.
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- Investigated claims that violated policy provisions for denial of insurance coverage.
- Complete in-depth due diligence investigations for liability and insurance coverage.
8. Medical Terminology
- Developed in-depth knowledge of human anatomy, injury causation, medical conditions, medical terminology, and medical billing/coding.
- Have extensive experience in medical records, medical terminology and how to evaluate properly injury claims.
9. Party Claims
- Conducted investigations and determined liability for personal and no-fault first party claims.
- Investigated and determined liability for third party claims.
10. 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.
- Investigated and determined liability on homeowner and auto claims, reviewed policies for appropriate coverage.
- Specialized in the investigation and adjustment of Massachusetts private auto claims.
11. Insurance Claims
- Investigate national medical insurance claims arising from automobile accidents to determine the extent of the company's liability.
- Full responsibility to handle Occupational Accident insurance claims involving work related injuries suffered by independent contractors.
12. 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.
- Consulted as an independent to several companies for Xactimate Training and estimating.
- Prepared detailed estimates using the software system Xactimate.
13. Insurance Policies
- Position required in-depth knowledge of individual insurance policies, industry regulations and medical/legal terminology.
- Handled over eight types of insurance policies with different variations according to each of the six states in the Mid-Atlantic Area.
14. Commercial Property
- Obtained documentation and coordinated investigations with independent adjusting firms while processing commercial property claims.
- Managed commercial property, construction defect liability/automobile, cargo and workers' compensation losses.
15. Bodily Injury Claims
- Investigate and analyze complex auto liability and bodily injury claims to determine extent of insurance company's liability and financial exposure.
- Investigated, evaluated, negotiated and equitably settled all assigned auto property damage and bodily injury claims in multiple states.
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List of senior claims adjuster skills to add to your resume
The most important skills for a senior claims adjuster resume and required skills for a senior claims adjuster to have include:
- Customer Service
- Litigation
- Coverage Issues
- Strong Customer Service
- Settlement Authority
- Claims Handling
- Insurance Coverage
- Medical Terminology
- Party Claims
- Auto Claims
- Insurance Claims
- Xactimate
- Insurance Policies
- Commercial Property
- Bodily Injury Claims
- State Regulations
- Policy Provisions
- Defense Counsel
- Casualty Claims
- Workers Compensation Claims
- Claims Adjusters
- Arbitration
- Process Claims
- SIU
- Police Reports
- Independent Adjusters
- Liability Claims
- Strong Negotiation
- PIP
- Settlement Conferences
- Policy Coverage
- TPA
- Coverage Analysis
- Medical Bills
- Medical Treatment
- Insurance Carriers
- Physical Damage
- WC
- Policy Holders
- Auto Liability
- Product Liability
- Law Enforcement
- Medical Claims
- Scene Investigations
- Property Damage Claims
- Medical Reports
- Settlement Negotiations
- Repair Facilities
- CPT
Updated January 8, 2025