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Senior claims specialist skills for your resume and career

Updated January 8, 2025

4 min read

Below we've compiled a list of the most critical senior claims specialist skills. We ranked the top skills for senior claims specialists based on the percentage of resumes they appeared on. For example, 26.5% of senior claims specialist resumes contained customer service as a skill. Continue reading to find out what skills a senior claims specialist needs to be successful in the workplace.

15 senior claims specialist 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.

Here's how senior claims specialists use customer service:

Monitored vendors, businesses and agencies in providing services while staying within budgetary limits and maintaining superior customer service.
Managed a wide variety of customer service and administrative tasks to resolve customer quickly and efficiently.

2. Litigation

Here's how senior claims specialists use litigation:

Worked toward settlement with claimants and attorneys, or determined company litigation strategy, participating in mediation and arbitration when necessary.
Directed and managed substantial caseload of U.S. and foreign related litigation in a variety of insurance related lawsuits.

3. Claims Handling

Here's how senior claims specialists use claims handling:

Provided training for all new associates in policies and procedures, claims handling, and Company Best Practice.
Explained coverage and claims handling procedures to customers and guided them through the claims process.

4. SR

Here's how senior claims specialists use sr:

Promoted from temporary employee to Sr. level employee within 3 months.
Coordinated with insurance companies on insurance claims; and resolved millions of dollars in balances - Sr.

5. Settlement Conferences

Here's how senior claims specialists use settlement conferences:

Participated in alternate settlement forums including Alternate Dispute Resolution, Mediation, Arbitration and Settlement Conferences.
Represented company interest at hearing and settlement conferences.

6. Excellent Interpersonal

Here's how senior claims specialists use excellent interpersonal:

Contribute to a team environment by maintaining excellent interpersonal skills and demonstrating flexibility with daily operations/functions.
Maintained excellent interpersonal communication skills that further enhanced my proven creative problem solving capabilities.

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7. Commercial Property

Here's how senior claims specialists use commercial property:

Managed and directed outside independent adjusters claims professionals in the handling of large complex commercial property and inland marine claims.
Handled Commercial Property and General Liability losses for schools in Illinois and Oklahoma, and Affordable Housing claims nationwide.

8. Defense Counsel

A defence attorney is a counsel representing the defendant in a criminal prosecution or lawsuit. A defence attorney aims to solve court cases as swiftly and satisfactorily as possible. Client representations at arraignments, hearings, and court trials along with preparing and drafting legal documents, including legal briefs and appeals is all part of their job description. They are responsible for presenting convincing evidence to a jury and/or judge if the case goes to trial.

Here's how senior claims specialists use defense counsel:

Supervised casualty/litigation claims, directed defense counsel, provided claims training and personally handled selected claim files.
Negotiated and resolved disputed cases provided authority and direction to defense counsel.

9. Litigation Management

Here's how senior claims specialists use litigation management:

Developed staff in areas of coverage, investigation, evaluation, litigation management, negotiation, and settlement.

10. Medical Terminology

Here's how senior claims specialists use medical terminology:

Demonstrated an intimate understanding of accounting, medical terminology, coding and anatomy concepts in this role.
Developed training materials and ability to use extensive medical terminology to set up claims.

11. 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.

Here's how senior claims specialists use policy coverage:

Determine applicable policy coverage, evaluate damages, assess liability, and create an applicable negotiation strategy.
Manage complex claims involving policy coverage questions, recognize state insurance regulations.

12. Insurance Claims

Here's how senior claims specialists use insurance claims:

Reviewed and assessed high volume of inclement weather damages insurance claims for multiple national insurance companies
Processed prescription insurance claims using customized computer based applications including Care Point and CRM.

13. Bodily Injury Claims

Here's how senior claims specialists use bodily injury claims:

Perform comprehensive processing of corporate casualty investigations as a Level II Adjuster handling severe bodily injury claims.
Managed mass-tort asbestos bodily injury claims emanating from industrial use or auto mechanic brake-lining activities.

14. Rehabilitation

Here's how senior claims specialists use rehabilitation:

Worked closely with vocational rehabilitation case managers on job placement efforts when warranted.
Authorized disability and medical payments, vocational rehabilitation services, and activity checks.

15. Workers Compensation Claims

Here's how senior claims specialists use workers compensation claims:

Adjudicated workers compensation claims within company standards, state requirements, industry best practices and specific client service requirements.
Dedicated to handling workers compensation claims from inception to conclusion.

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List of senior claims specialist skills to add to your resume

The most important skills for a senior claims specialist resume and required skills for a senior claims specialist to have include:

Customer Service
Litigation
Claims Handling
SR
Settlement Conferences
Excellent Interpersonal
Commercial Property
Defense Counsel
Litigation Management
Medical Terminology
Policy Coverage
Insurance Claims
Bodily Injury Claims
Rehabilitation
Workers Compensation Claims
Insurance Carriers
Reservations

Arbitration
Process Claims
Policy Language
Strong Negotiation
TPA
Insurance Coverage
Liability Claims
PIP
Diary Management
Auto Claims
Annuities
Police Reports
Casualty Claims
Xactimate
Medical Management
Defense Attorneys
Disability Claims

CPT
Settlement Authority
Medical Claims
Medicaid
Auto Liability
Property Damage Claims
Fraudulent Claims
Product Liability
Party Claims
Homeowner
HMO
ICD-9
Insurance Policies
Independent Adjusters
Policy Holders
Medical Bills

Updated January 8, 2025

Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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