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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in analyzing and processing workers compensation claims, ensuring accurate documentation and communication with claimants and medical contacts. Exhibits strong organizational and clerical skills while managing multiple priorities and deadlines in a professional environment.
Highest-signal resume keywords
Workers Compensation Claims ProcessingClaims AnalysisStrong Oral And Written Communication SkillsOrganizational SkillsCustomer Service Experience
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 CodingMedical Claims AdjustmentCompensability DeterminationReserve Accuracy MonitoringDocumentation Filing
Soft Skills
Ability To Handle Work-Related StressAbility To Meet DeadlinesAbility To Handle Multiple Priorities Simultaneously
Tools & Technologies
Microsoft OfficeComputer Keyboarding
Industry Keywords
Workers CompensationClaims RepresentativeClaims ExaminerClient RelationshipsMedical Contacts
About the role
Key responsibilities & impact- Be oriented and trained as a new industry professional
- Analyze workers compensation claims and determine benefits due
- Adjust medical-only claims and minor lost-time workers compensation claims under close supervision
- Support claims representatives, examiners and leads with larger or more complex claims
- Process workers compensation claims, determine compensability and benefits due, monitor reserve accuracy, and file necessary documentation with state agency
- Communicate claim action and processing with claimants, clients and appropriate medical contacts
- Ensure claim files are properly documented and claims coding is correct
- Process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims
- Maintain professional client relationships
Requirements
What you’ll need- High school diploma or GED required
- Strong oral and written communication skills
- Computer literate, including Microsoft Office
- Organizational skills required
- Clerical or customer service experience or equivalent combination of education and experience preferred
- 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- Career development and promotional growth opportunities through increasing responsibilities
- A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs
- Flexible work schedule
- Ability to work in an agile environment
- Referral incentive program
- Medical, dental, vision, 401K and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
