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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing and processing workers compensation claims, with a strong ability to negotiate settlements and communicate effectively with clients and claimants. Possesses jurisdiction knowledge of Florida, Arizona, and Tennessee, along with the ability to manage multiple priorities and meet deadlines.
Highest-signal resume keywords
Claims Management ExperienceWorkers Compensation Claims AnalysisNegotiation of Claim SettlementsFlorida LicensingJurisdiction Knowledge of Florida, Arizona, and Tennessee
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 AnalysisClaims ProcessingInvestigation of ClaimsNegotiation SkillsReporting to Excess CarriersComputer Keyboarding
Soft Skills
Clear ThinkingExcellent JudgmentProblem SolvingAbility to Handle Work-Related StressTime Management
Certifications & Qualifications
Professional Certification in Line of Business
Industry Keywords
Workers CompensationClaims AdjudicationClient Service RequirementsAction PlansClaim Exposure
About the role
Key responsibilities & impact- Analyze workers compensation claims on behalf of clients to determine benefits due
- Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements
- Investigate claims and gather information to determine claim exposure
- Process claims through action plans to timely and appropriate resolution
- Negotiate claim settlements within designated authority
- Communicate claim activity and processing with claimants and clients
- Report claims to the excess carrier
- Respond to requests for directions professionally and timely
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
- 4 years of claims management experience or equivalent combination of education and experience required
- Florida licensing required
- Jurisdiction knowledge of Florida, Arizona, and Tennessee
- Ability to analyze and process workers compensation claims
- Ability to investigate claims and gather information to determine exposure
- Ability to negotiate claim settlements within designated authority
- Ability to communicate claim activity and processing with claimants and clients
- Ability to report claims to excess carriers and respond to requests for directions
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress and multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding ability
- Ability to 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, and vision coverage on day one
- 401K on day one
- 401K matching
- Paid time off (PTO)
- Disability insurance
- Life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Remote work flexibility and autonomy