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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 communication and negotiation with claimants and clients while maintaining a high level of professionalism.
Highest-signal resume keywords
Claims Management ExperienceNegotiation SkillsJurisdictional Knowledge: MDProblem SolvingClear Thinking Ability
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 ProcessingAdjudicationAction PlansClaim Settlement Negotiation
Soft Skills
Excellent JudgmentTroubleshootingDiscretionAbility to Handle StressAbility to Manage Multiple Priorities
Tools & Technologies
Computer Keyboarding
Certifications & Qualifications
Professional Certification (Preferred)
Industry Keywords
Workers CompensationClient Service RequirementsExcess Carrier ReportingService ExpectationsIndustry Best Practices
About the role
Key responsibilities & impact- Analyze lost-time 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 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 professionally and promptly to requests for directions
- Leverage Sedgwick's global network of experts to learn and share insights
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
- Minimum of 1 year of claims management experience or equivalent combination of education and experience required
- Jurisdictional knowledge: MD
- Licensing is not 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
- 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
- Medical, dental, and vision coverage
- 401K on day one
- 401K matching
- PTO
- Disability insurance
- Life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Hybrid work arrangement
- Reasonable accommodations when applicable and appropriate
