Career Maps > Claims Investigator > Skills & Experiences

Skills & Experiences

Foundation Foundation
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Learn and apply fundamentals
Core Skills
Time management; communication; detail oriented; interpersonal; resourcefulness; active listening
Key Experiences

Taking detailed information and statements; examining and evaluating claims to determine validity; liaising with other industry professionals to inform investigation; developing understanding of organization’s products; ensuring completion of forms and documentation to regulatory standards; supporting gathering of documents / reports to be used in mediation and court cases

Building Building
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Build on your investigations fundamentals and experiences to date
Core Skills
Negotiation; building strong relationships (e.g. loss control, risk management, loss adjusters); initiative; multitasking; business communication
Key Experiences

Building more specialized investigations expertise; growing comfort in managing investigations with minimal supervision; settling claims in conjunction with claims team as per policy guidelines; adapting general insurance principles to ‘unique’ situations; working with both internal and external subject matter experts to support forensic, incident reconstruction, and fraud detection efforts; honing capacity to work within regulatory / ethical framework (including supporting claims audits)

Enhancing Enhancing
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Enhance your knowledge and claims investigations expertise
Core Skills

Problem solving; creativity; managing relationships to foster success; providing support / advice to team members; critical thinking; presentation
Key Experiences
Applying specialized knowledge and expertise to manage increasingly complex investigations; growing capacity to manage investigations / mediations, etc. independently; representing organization in court / at mediation with increased scope of authority; supporting operational teams in new product development / product revision based on investigations outcomes; leveraging relationships (eg. loss control, claims, legal, etc.) to support investigations / business development; advancing understanding of legal / regulatory framework and business drivers

Mastery Mastery
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Transitioning to technical consultant / leader of a team of investigators with increased autonomy and decision making power
Core Skills
Strategic thinking; operational leadership; change management; teaching / coaching; conflict management
Key Experiences
Leveraging internal and b2b relationships to the benefit of the organization; contributing to teams leading new product development / product revisions based on investigations outcomes; supporting reserving practice, claims auditing, and complex legal processes; ensuring internal and external risks are mitigated appropriately; supporting projects implementing new / revised claims management processes; influencing and shaping the regulatory framework