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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 timely resolution and adherence to industry best practices. Proficient in negotiation, communication, and maintaining compliance with jurisdictional requirements.
Highest-signal resume keywords
Claims Management ExperienceNegotiation SkillsJurisdiction Knowledge: FL, TN, GAProfessional CertificationHome State Licensing
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 ProcessingAdjudicationSettlement NegotiationInformation Gathering
Soft Skills
Clear ThinkingExcellent JudgmentProblem SolvingDiscretionAbility to Handle Stress
Tools & Technologies
Computer Keyboarding
Certifications & Qualifications
Professional CertificationHome State Licensing
Industry Keywords
Workers CompensationClaims AdjudicationClient Service RequirementsAction 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 settlement of claims 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 promptly
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
- 5 years of claims management experience or equivalent combination of education and experience required
- Home State licensing required
- Jurisdiction knowledge: FL, TN, GA
- 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, 401K on day one
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Hybrid work arrangement