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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing the full lifecycle of Workers’ Compensation claims, ensuring regulatory compliance and operational excellence while leading and developing claims professionals. Proficient in data-driven decision-making, process improvement methodologies, and effective communication with stakeholders.
Highest-signal resume keywords
Workers’ Compensation Claims ManagementRegulatory ComplianceClaims Adjuster ExperienceProcess Improvement MethodologiesSupervisory Experience
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 Management SystemsData AnalysisKPI MonitoringOperational ExcellenceWorkflow OptimizationBudget ManagementPerformance ManagementMulti-State Claims ExperienceAttention to DetailProblem Solving
Soft Skills
Excellent Communication SkillsCoaching and MentoringRelationship BuildingTeam LeadershipCollaboration
Tools & Technologies
MS Office ProductsDatabases
Certifications & Qualifications
IEA CertificateWCCP AccreditationCPCU Designation
Industry Keywords
Claims OperationsContinuous ImprovementCustomer SatisfactionRisk ManagementQuality Assurance
About the role
Key responsibilities & impact- Drive operational excellence, regulatory compliance, accountability, continuous improvement, and service across claims operations
- Lead the Claims Support Services department and Claims Support Services Supervisors
- Monitor KPIs including claim duration, reserve accuracy, litigation rates, and customer satisfaction
- Analyze trends and provide actionable insights to improve outcomes and reduce loss costs
- Partner with Quality Assurance, Training, Underwriting, Risk Management, and Safety teams
- Support audits, compliance reviews, and continuous improvement initiatives
- Build relationships with policyholders, brokers, medical providers, and legal partners
- Ensure clear communication with injured workers to support recovery and return-to-work efforts
- Collaborate with Claims managers on consistency, alignment, best practices, strategic planning, and enterprise projects
- Oversee the full lifecycle of workers’ compensation claims and ensure jurisdictional compliance
- Develop and lead claims professionals and future leaders
- Establish work cadence, hiring, onboarding, and training requirements
- Manage performance through goal setting, coaching, feedback, and development plans
- Manage department budget, technology, resources, workload, and customer requests
- Maintain company policy compliance, data quality, IT security, and risk-related metrics
- Interview, hire, train, assign, evaluate, reward, discipline, coach, mentor, and develop team members
- Forecast staffing needs and plan for peak times and absences
- Travel up to 15%
Requirements
What you’ll need- Bachelor's degree from four-year college or university (or equivalent combination of education and experience)
- Minimum of 5+ years’ related workers’ compensation claims experience
- At least one year supervisory or management experience of claims professionals
- May require claims adjuster experience, depending upon the team this position will lead
- Prior multi-state claims insurance experience managing high volume caseloads
- IEA Certificate and WCCP Accreditation preferred
- CPCU designation a plus
- Good computer skills with MS Office products, claims management systems, and databases
- Advanced understanding of Workers’ Compensation claims principles and applications
- Excellent verbal and written communication skills
- Process improvement methodologies, workflow optimization, and operational excellence experience
- Data-driven decision-making and attention to detail
- Ability to define problems, collect data, establish facts, and draw valid conclusions
- Must be able to effectively present information to direct reports, peers, management, and public forums
- Must not require employment sponsorship
Benefits
Comp & perks- Competitive benefits package
- Medical, dental, and vision plans
- 401K retirement plan and company match
- Bonus potential for all positions
- Paid Time Off
- Paid holidays throughout the calendar year
- 100% support for continued learning
- Challenging work and ability to make a difference
- Voice and sense of belonging
- Diverse and inclusive work environment
