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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in managing Pennsylvania workers' compensation claims, including complex indemnity and litigated claims. Proficient in developing claim resolution strategies, negotiating settlements, and ensuring compliance with Pennsylvania regulations.
Highest-signal resume keywords
5+ Years Experience Handling Pennsylvania Workers' Compensation ClaimsStrong Knowledge Of Pennsylvania Workers' Compensation LawsExperience Managing Complex Indemnity ClaimsClaim Resolution Strategy DevelopmentNegotiating Settlements
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 ManagementIndemnity Claims ManagementLitigated Claims HandlingClaim InvestigationMedical Documentation ReviewClaims Handling StrategiesCost Containment StrategiesFraud Investigation
Soft Skills
Analytical SkillsDecision-Making SkillsCommunication SkillsOrganizational Skills
Tools & Technologies
Claims Management SystemsMicrosoft Office Applications
Industry Keywords
Pennsylvania Workers' CompensationClaims ExposureSettlement NegotiationsReturn-To-Work CoordinationSubrogation
About the role
Key responsibilities & impact- Independently manage a caseload of Pennsylvania workers' compensation claims from assignment through resolution
- Investigate claims, determine compensability, and develop appropriate claim handling strategies
- Review medical documentation, coverage, and claim exposure in accordance with Pennsylvania regulations
- Establish and maintain appropriate reserves based on claim developments
- Manage complex indemnity and litigated claims, including settlement negotiations
- Coordinate with defense counsel, medical providers, employers, and other stakeholders
- Monitor claim activity, maintain accurate diaries, and ensure timely follow-up
- Coordinate return-to-work efforts and identify opportunities for cost containment, subrogation, or fraud investigation
- Maintain complete and accurate documentation within the claims management system
- Perform additional duties and projects as assigned
Requirements
What you’ll need- 5+ years of experience handling Pennsylvania workers' compensation claims required
- Strong knowledge of Pennsylvania workers' compensation laws, regulations, and claims handling practices required
- Experience managing complex indemnity claims required
- Experience developing claim resolution strategies and negotiating settlements required
- Delaware workers' compensation claims experience highly valued
- Experience handling litigated workers' compensation claims strongly preferred
- New Jersey workers' compensation claims experience considered an asset
- Strong analytical, decision-making, communication, and organizational skills
- Ability to independently manage multiple complex claims in a remote environment
- Proficiency with claims management systems and Microsoft Office applications
- High school diploma or equivalent required
Benefits
Comp & perks- Comprehensive medical insurance
- Dental insurance
- 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) options
- Flexible Spending Account (FSA) options
- Commuter benefits
- Employee discount programs
- Paid maternity leave
- Paid paternity leave, including for adoptive parents
- Legal plan options
- Pet insurance coverage