FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing and managing Workers Compensation claims, ensuring timely resolution and adherence to industry best practices. Proficient in communication and negotiation with claimants and clients while maintaining a high level of professionalism.
Highest-signal resume keywords
Claims Management ExperienceWorkers Compensation AnalysisNegotiation SkillsVirginia Jurisdiction KnowledgeProfessional Certification
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 AdjudicationClaims ProcessingInformation GatheringAction Plan DevelopmentProblem SolvingComputer Keyboarding
Soft Skills
Clear ThinkingExcellent JudgmentAbility to Handle StressMultitaskingMeeting Deadlines
Certifications & Qualifications
Professional Certification
Industry Keywords
Workers CompensationMedical Only ClaimsClaim SettlementsExcess Carrier Reporting
About the role
Key responsibilities & impact- Analyze Workers Compensation - Medical Only claims on behalf of clients to determine benefits due
- Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements
- Analyze and process claims through action plans to timely resolution
- Investigate and gather information to determine claim exposure
- Negotiate claim settlements within designated authority
- Communicate claim activity and processing with claimants and clients
- Report claims to the excess carrier
- Respond professionally and promptly to requests for directions
Requirements
What you’ll need- High School Diploma or GED required
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- 2 years of claims management experience or equivalent combination of education and experience required
- Virginia jurisdiction knowledge preferred
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress
- Ability to handle multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding
- Travel as required
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Opportunity to work in an agile environment
- Career development and promotional growth opportunities
- Medical, dental, vision, and 401K from day one
- 401K matching
- Paid time off (PTO)
- Disability and life insurance
- Employee assistance program
- Flexible spending account or health savings account
- Other additional voluntary benefits
