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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, including negotiation of settlements and effective communication with claimants and clients. Possesses strong judgment and problem-solving skills to manage claims within the NV jurisdiction and meet service expectations.
Highest-signal resume keywords
Workers Compensation Claims AnalysisClaims Management ExperienceNV LicensingNegotiation of SettlementsCommunication with Claimants and Clients
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 InvestigationExposure DeterminationSettlement NegotiationReporting to Excess CarrierComputer Keyboarding
Soft Skills
Clear ThinkingExcellent JudgmentProblem-SolvingDiscretionAbility to Handle Work-Related Stress
Certifications & Qualifications
Professional Certification
Industry Keywords
NV JurisdictionClaims AdjudicationClient Service RequirementsService ExpectationsAction Plans
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 toward appropriate and timely 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 professionally and timely to requests for directions
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
- NV licensing required
- Knowledge of the NV jurisdiction
- Ability to analyze and process Workers Compensation claims
- Ability to investigate claims and gather information to determine exposure
- Ability to negotiate settlements within designated authority
- Ability to communicate claim activity and processing with claimants and clients
- Ability to report claims to the excess carrier 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
- 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 benefits on day one
- 401K on day one
- Reasonable accommodations considered where applicable and appropriate
- Flexible and autonomous work location and career path