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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 Lost-Time Workers Compensation claims, ensuring timely resolution and adherence to industry best practices. Proficient in negotiation, communication, and maintaining compliance with jurisdictional requirements.
Highest-signal resume keywords
Claims Management ExperienceHeavy Litigation ExperienceJurisdiction Knowledge: DE, IL, LA, MO, NJ, OK, TN, TXProfessional CertificationHigh School Diploma or GED
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 ProcessingNegotiationAdjudicationProblem SolvingComputer Keyboarding
Soft Skills
Clear ThinkingExcellent JudgmentAbility to Handle Work-Related StressAbility to Meet DeadlinesAbility to Handle Multiple Priorities
Certifications & Qualifications
Professional Certification
Industry Keywords
Workers CompensationClaims ManagementLitigationClient ServiceClaim Settlements
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 toward 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 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
- Heavy Litigation experience required
- Jurisdiction knowledge: DE, IL, LA, MO, NJ, OK, TN, TX
- Licensing required: home state plus DE, LA, OK, TX
- 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
- 401K and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Reasonable accommodations when applicable and appropriate