Hard Skills
IntermediateEvidence Collection & PreservationThe process of identifying, gathering, and maintaining physical and digital evidence to support claim validity and liability assessments.
AdvancedInsurance Policy InterpretationThe ability to read and apply complex insurance policy language, exclusions, and endorsements to specific claim scenarios.
IntermediateFraud Detection & SIU ReferralIdentifying red flags and patterns indicative of insurance fraud and following Special Investigation Unit protocols for escalation.
IntermediateInvestigative InterviewingEmploying structured techniques to elicit detailed information from claimants and witnesses during recorded statements.
IntermediateDamage Assessment & ValuationEvaluating property damage or medical reports to estimate the monetary value of a loss based on industry standards and market rates.
AdvancedLegal & Regulatory ComplianceAdhering to state-specific fair claims handling practices, statutes of limitations, and privacy laws like HIPAA.