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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 effective communication with clients and claimants. Proficient in negotiating settlements and adhering to industry best practices while managing multiple priorities.
Highest-signal resume keywords
Workers Compensation Claims ExperienceClaims Management ExperienceNegotiation SkillsFL LicensingAbility to Analyze and Investigate Claims
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 ProcessingExposure DeterminationSettlement NegotiationReporting to Excess Carriers
Soft Skills
Effective CommunicationTime ManagementProfessionalism
Certifications & Qualifications
Professional Certification
Industry Keywords
AdjudicationClient Service RequirementsAction PlansMultiple PrioritiesService Expectations
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 and appropriate resolution
- Investigate claims and gather information to determine 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 promptly
- Handle multiple priorities and meet deadlines
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
- FL licensing required
- CA licensing preferred
- Workers Compensation claims experience
- Ability to analyze, investigate, and gather information to determine claim 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
- Ability to handle multiple priorities and meet deadlines
- Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Medical, dental, and vision benefits
- 401K on day one
- Reasonable accommodations considered when applicable and appropriate