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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 managing workers compensation claims, ensuring compliance with industry standards and client requirements. Proficient in negotiating settlements and communicating effectively with claimants and clients.
Highest-signal resume keywords
Claims Management ExperienceNC LicensingNegotiation SkillsJurisdiction Knowledge: NC and TNProfessional 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 AnalysisClaims ProcessingAdjudicationInformation GatheringSettlement NegotiationComputer Keyboarding
Soft Skills
Clear ThinkingExcellent JudgmentProblem SolvingAbility to Handle StressTime Management
Certifications & Qualifications
Professional Certification
Industry Keywords
Workers CompensationClaims AdjudicationClient ServiceAction PlansExcess Carrier Reporting
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
- 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 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
- NC licensing required
- Jurisdiction knowledge: NC and TN
- 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
- Hearing, vision, and talking
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Opportunity to work in an agile environment
- Career development and promotional growth opportunities
- Diverse and comprehensive benefits including medical, dental, vision, and 401K on day one
- Flexibility and autonomy in daily work, location, and career path
- Professional development opportunities