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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive claims management experience with a focus on supervising teams, analyzing complex claims, and ensuring timely resolution. Possesses jurisdiction knowledge in CA or NV and the ability to provide leadership and training to enhance team performance.
Highest-signal resume keywords
Claims Management ExperienceTeam SupervisionJurisdiction Knowledge: CA or NVProblem SolvingPerformance Development
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 AdjudicationClaims AnalysisLitigation ManagementVendor CoordinationAction Plan ManagementCompliance GatheringPerformance DiscussionsWorkload MonitoringTechnical DirectionDiary Maintenance
Soft Skills
Clear ThinkingExcellent JudgmentTroubleshootingDiscretionStress Management
Tools & Technologies
Computer Keyboarding
Certifications & Qualifications
Professional Certification
Industry Keywords
Workers CompensationGeneral Liability ClaimsClaims ProcessingAdjuster WorkloadsPerformance Development Plans
About the role
Key responsibilities & impact- Supervise the operation of multiple teams of workers compensation examiners and technical staff
- Monitor colleagues' workloads, provide training, and monitor individual claim activities
- Provide technical and jurisdictional direction to examiner reports on claims adjudication
- Maintain a diary on claims, including complex or high-exposure claims
- Analyze and process complex or technically difficult general liability claims
- Investigate and gather information to determine claim exposure
- Manage claims through action plans to timely resolution
- Manage the litigation process and ensure timely, cost-effective claims resolution
- Coordinate vendor referrals for additional investigation or litigation management
- Lead team meetings and assign accountability for follow-up items
- Gather compliance and claims-processing information for team meetings
- Assist in interviews of adjusters and clerical staff and provide feedback to the hiring manager
- Support monthly review of adjuster workloads, identify trends, and suggest adjustments
- Administer company personnel policies and follow staffing and training standards
- Interview, hire, establish performance development plans, and conduct performance discussions
- Provide support, guidance, leadership, and motivation to promote maximum performance
Requirements
What you’ll need- 5 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
- Jurisdiction knowledge: CA or NV
- Ability to supervise multiple teams of examiners and technical staff
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress and 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 coverage
- 401K and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits