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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing workers' compensation claims, including investigation, compensability determination, and coordination of medical treatment. Proficient in communication with stakeholders and maintaining accurate documentation throughout the claims lifecycle.
Highest-signal resume keywords
Workers' Compensation Claims HandlingArizona Adjuster LicenseCompensability EvaluationAnalytical SkillsClear Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims InvestigationClaim DocumentationMedical Treatment MonitoringClaim Reserves ManagementCalculating Claim FiguresState FilingsNegotiation SkillsAttention to DetailTime ManagementCritical Thinking
Soft Skills
Clear Written CommunicationVerbal CommunicationOrganization Skills
Tools & Technologies
FileHandler
Certifications & Qualifications
Arizona Adjuster LicenseMulti-State Adjuster Licenses
Industry Keywords
Workers' Compensation StatutesClaim LifecycleLitigated ClaimsIndustrial CommissionsReturn-to-Work Information
About the role
Key responsibilities & impact- Manage workers’ compensation claims from investigation through resolution, focusing on medical-only claims and some indemnity exposure
- Investigate claims by gathering information from claimants, witnesses, employers, medical providers, police and hospital records, and other sources
- Determine compensability and liability in accordance with applicable workers’ compensation statutes
- Make recommendations regarding claim coverage and direction
- Monitor medical treatment and progress
- Coordinate follow-up care and pre-certification when needed
- Communicate work restrictions and return-to-work information to employers
- Manage claim reserves and issue medical, indemnity, legal, and expense payments
- Maintain accurate claim documentation and manage diary follow-ups
- Review claim submissions for completeness and accuracy
- Provide clients with guidance on claim direction throughout the claim lifecycle
- Coordinate with attorneys and defense counsel on litigated claims while maintaining overall claim direction
- Complete jurisdictional and state filings
- Prepare reports for excess carriers and request reimbursement when applicable
Requirements
What you’ll need- 3+ years of workers’ compensation claims handling experience, or an equivalent combination of training, education, and experience
- Arizona adjuster license
- Experience evaluating workers’ compensation claims, including compensability, exposure, reserves, medical treatment, and claim resolution
- Analytical and critical-thinking skills
- Attention to detail when reviewing claim documentation, policies, medical information, and required filings
- Clear written and verbal communication skills
- Negotiation, organization, and time-management skills
- Ability to calculate figures associated with claim handling and reserves
- Preferred: 5+ years of workers’ compensation claims handling experience
- Preferred: Multi-state adjuster licenses
- Preferred: Experience working with defense counsel and the workers’ compensation litigation process
- Preferred: Experience completing state filings with industrial commissions
- Preferred: Experience with FileHandler
- Preferred: Bilingual skills
Benefits
Comp & perks- Comprehensive medical insurance, dental insurance, and vision insurance
- Life and disability insurance
- Fertility benefits
- Wellness resources
- Paid sick time
- Generous paid time off and holidays
- Employee Assistance Program (EAP)
- Complimentary Calm app subscription
- Immediate vesting in a 401(k) plan
- Health Savings Account (HSA) and Flexible Spending Account (FSA) options
- Commuter benefits
- Employee discount programs
- Paid maternity leave and paid paternity leave, including for adoptive parents
- Legal plan options
- Pet insurance coverage