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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in workers' compensation claims handling, including compliance with state regulations, litigation management, and cost containment strategies. Proven ability to lead and develop teams while managing multiple priorities and fostering effective client relationships.
Highest-signal resume keywords
Workers' Compensation Claims HandlingLitigation ManagementTeam LeadershipClaims AdministrationNegotiation 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 ManagementReservingSubrogationCost ContainmentCompliance MonitoringFinancial ReportingClaim CodingLost Time Claims HandlingMulti-State Claims ExperienceMunicipal Claims Management
Soft Skills
Analytical SkillsDecision-Making SkillsOrganizational SkillsRelationship BuildingCoaching and Mentoring
Tools & Technologies
Microsoft OfficeClaims Management Systems
Certifications & Qualifications
Workers' Compensation Adjuster LicenseAICCPCUARMWCCA
Industry Keywords
Workers' Compensation LawsClaims AdministrationPublic Sector EmployersSelf-Insured ProgramsStatutory Filings
About the role
Key responsibilities & impact- Lead, coach, and develop a team of approximately four to six workers' compensation claims professionals
- Review, assign, and oversee claim activity for compliance with company standards, client handling instructions, and applicable state regulations
- Provide technical guidance on compensability, coverage, litigation, reserving, settlements, subrogation, and benefit administration
- Review and approve reserve changes, settlement authority, and other claim decisions within established authority levels
- Monitor claim quality, productivity, and workloads
- Oversee litigation management, vendor utilization, cost containment strategies, statutory filings, documentation, financial reporting, and claim coding
- Support claims involving municipalities, public entities, and self-insured programs
- Monitor subrogation, Second Injury Fund recoveries, Social Security offsets, and Medicare-related recoveries
- Lead team meetings and provide coaching, mentoring, and performance feedback
- Participate in recruiting, interviewing, onboarding, and development of claims professionals
- Partner with the Regional Director on workload balancing, claim reviews, operational planning, and continuous improvement initiatives
- Participate in client meetings, claim reviews, and stewardship discussions
Requirements
What you’ll need- 5 to 7 years of workers' compensation claims handling experience required
- Extensive experience handling lost time workers' compensation claims required
- Strong knowledge of workers' compensation laws, claims administration, litigation management, reserving, settlements, subrogation, and cost containment required
- Montana workers' compensation claims experience strongly preferred
- Experience managing a team of workers' compensation claims adjusters strongly preferred
- Experience managing claims for municipal entities, public sector employers, or self-insured programs highly beneficial
- Multi-state workers' compensation claims experience beneficial
- Strong analytical, negotiation, and decision-making skills
- Excellent written, verbal, and presentation skills
- Ability to build effective relationships with clients, brokers, insureds, and internal stakeholders
- Organizational skills to manage multiple priorities
- Proficiency with Microsoft Office and claims management systems required
- Willingness to travel occasionally for client meetings, claim reviews, and business needs
- High school diploma or equivalent required
- Bachelor's degree in Business, Insurance, Risk Management, or a related field beneficial
- Active Workers' Compensation Adjuster License beneficial
- Industry designations such as AIC, CPCU, ARM, WCCA, or similar professional certifications considered an asset
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