FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
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, with a strong focus on California jurisdictional knowledge and effective negotiation skills. Capable of delivering customer-facing solutions while managing multiple priorities and meeting deadlines.
Highest-signal resume keywords
Claims Management ExperienceCalifornia Workers Compensation KnowledgeNegotiation SkillsSIP CertificationProblem Solving
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 ProcessingAdjudicationInformation GatheringSettlement NegotiationCustomer Solutions DeliveryDeadline ManagementComputer Keyboarding
Soft Skills
Clear ThinkingExcellent JudgmentTroubleshootingDiscretionStress Management
Certifications & Qualifications
SIP CertificationProfessional Certification
Industry Keywords
Workers Compensation ClaimsClaim ExposureExcess Carrier ReportingClient CommunicationAction Plans
About the role
Key responsibilities & impact- Analyze and process workers compensation claims through action plans to timely 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 to requests for directions professionally and timely
- Adjudicate complex workers compensation claims
- Deliver customer-facing solutions to clients across industries
- Leverage Sedgwick's global network of experts to learn and share insights
Requirements
What you’ll need- 3 years of claims management experience or equivalent combination of education and experience required
- 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
- 3 or more years of California workers compensation jurisdictional knowledge required
- SIP required or must be obtained within one year of employment
- 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
- Career development and promotional growth opportunities
- Medical, dental, and vision benefits from day one
- 401(k) and matching from day one
- Paid time off (PTO)
- Disability insurance
- Life insurance
- Employee assistance program
- Flexible spending account or health savings account
- Other additional voluntary benefits
- Reasonable accommodations where applicable and appropriate