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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 management, including investigation, negotiation, and compliance with state laws. Proficient in managing complex claims and delivering client satisfaction through effective communication and organization.
Highest-signal resume keywords
Workers’ Compensation Claims ExperienceICA AuthorizationNegotiation SkillsMicrosoft Office ProficiencyBilingual (Spanish) Proficiency
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 InvestigationClaims EvaluationClaims AdjustmentReserve RecommendationsClaims Payment AuthorizationSubrogation Claims AssessmentDisability Rate ComputationClaims ReportingClaims Diary MaintenanceVendor Supervision
Soft Skills
Strong Communication SkillsDetail-OrientedOrganizedSelf-MotivatedAbility to Manage Caseload
Certifications & Qualifications
ICA Authorization
Industry Keywords
Workers’ CompensationClaims Handling StandardsClient SatisfactionLegal ConferencesMediations
About the role
Key responsibilities & impact- Investigate, evaluate, and adjust Workers’ Compensation claims according to claim handling standards and laws
- Establish reserves or provide reserve recommendations within authority levels
- Review, approve, or oversee medical, legal, damage estimate, and miscellaneous invoices
- Negotiate disputed bills and invoices
- Authorize and make claim payments using claim payment programs
- Negotiate settlements according to corporate standards, client instructions, and state laws
- Select, refer, and supervise outside vendors such as legal, surveillance, and case management providers
- Assess and monitor subrogation claims
- Maintain claim diaries in the claim system
- Prepare reports on claim status, payments, and reserves
- Compute disability rates according to state laws
- Coordinate communication with clients, claimants, and other parties
- Provide notices of qualifying claims to excess/reinsurance carriers
- Handle complex claims with minimal supervision
- Conduct claim reviews and training sessions for designated clients
- Attend hearings, mediations, and informal legal conferences
- Comply with corporate claim handling standards and client-specific instructions
- Deliver client satisfaction and fair, timely claim resolutions
Requirements
What you’ll need- 5+ years of Arizona Workers’ Compensation claims experience
- ICA Authorization is required
- Strong communication, investigation, and negotiation skills
- Ability to effectively manage a caseload from inception to closure and prioritize competing deadlines
- Detail-oriented, organized, and self-motivated
- Proficiency with Microsoft Office products, including Word, Excel, and Outlook
- Bachelor’s degree is preferred but not required
- Bilingual (Spanish) proficiency is highly valued but not required
- CCMSI does not provide visa sponsorship for this position
Benefits
Comp & perks- 4 weeks paid time off accruing throughout the year in accordance with company policy
- 10 paid holidays in the first year
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- 401(k)
- Employee Stock Ownership Plan (ESOP)
- Internal training and advancement opportunities
- Supportive, team-based work environment
- Potential eligibility for bonuses or additional forms of pay
- Reasonable accommodations throughout the application and hiring process
