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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing Ohio Lost-Time Workers Compensation claims, ensuring timely resolution and adherence to industry best practices. Proficient in negotiating settlements and communicating effectively with clients and claimants.
Highest-signal resume keywords
Claims Management ExperienceOhio Jurisdiction KnowledgeNegotiation SkillsAnalytical SkillsProblem 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 AnalysisWorkers Compensation ClaimsAction Plan DevelopmentClaim Settlement NegotiationComputer Keyboarding
Soft Skills
Excellent JudgmentClear ThinkingAbility to Handle StressMultitasking AbilityDeadline Management
Certifications & Qualifications
Professional Certification Preferred
Industry Keywords
Ohio Lost-Time Workers CompensationClaims AdjudicationClient Service RequirementsClaim Exposure InvestigationExcess Carrier Reporting
About the role
Key responsibilities & impact- Analyze Ohio 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 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
Requirements
What you’ll need- High School Diploma or GED required
- 3+ years of claims management experience or equivalent combination of education and experience required
- Ohio jurisdiction knowledge
- Analyze Ohio Lost-Time Workers Compensation claims
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- No licensing 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, vision, 401K on day one
- 401K matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Reasonable accommodations when applicable and appropriate