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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing low-level general liability claims, including processing, reserving, and negotiating settlements while maintaining professional client relationships. Proficient in claims documentation, coding, and action plan administration to ensure compliance and quality standards.
Highest-signal resume keywords
Claims Management ExperienceClaims Representative TrainingNegotiation SkillsProblem SolvingClient Relationship Management
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 ProcessingClaims DocumentationClaims CodingReserve AssignmentSubrogation AdministrationMedical Claims ProcessingUtilization ReviewAction Plan DevelopmentData AnalysisKeyboarding
Soft Skills
JudgmentTroubleshootingDiscretionStress ManagementMultitasking
Certifications & Qualifications
Professional Certification
Industry Keywords
General Liability ClaimsClaims Action PlansClient ContractsQuality ProgramsReturn-to-Work Efforts
About the role
Key responsibilities & impact- Process low level general liability claims by gathering information to determine liability exposure
- Assign reserve values to claims, make claims payments, and settle claims up to designated authority level
- Develop and coordinate claims action plans to resolution and return-to-work efforts
- Approve and process assigned claims, determine benefits due, and administer action plans pursuant to claim or client contract
- Administer subrogation of claims and negotiate settlements
- Communicate claim action with claimants and clients
- Ensure claim files are properly documented and claims coding is correct
- Process low-level lifetime medical and/or defined period medical claims when applicable
- Handle state and physician filings and decisions on appropriate treatments recommended by utilization review
- Maintain professional client relationships
- Support the organization's quality programs
- Perform other duties as assigned
- Travel as required
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
- Two (2) years of claims management experience or equivalent combination of education and experience required
- Successful completion of Claims Representative training required
- 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
- Career development and promotional growth opportunities
- Medical, dental, vision, 401K on day one
- 401K matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Additional voluntary benefits
- Reasonable accommodations
- Work-life balance
- Professional development opportunities
- Flexibility and autonomy in daily work, location, and career path