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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in managing workers compensation claims, including supervision of teams, technical direction, and compliance oversight. Proven ability to analyze complex claims, lead performance development, and ensure timely resolution of claims.
Highest-signal resume keywords
Claims SupervisionWorkers Compensation Claims KnowledgeJurisdiction Knowledge: CO & UTPerformance Development PlansClaims Analysis
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 ProcessingClaims AdjudicationLitigation ManagementAction Plan ManagementVendor CoordinationWorkload MonitoringTechnical DirectionPerformance DiscussionsComplex Claims AnalysisComputer Keyboarding
Soft Skills
Clear ThinkingExcellent JudgmentProblem SolvingDiscretionAbility to Handle Stress
Certifications & Qualifications
Professional Certification
Industry Keywords
Claims ExperienceHigh School DiplomaGEDBachelor's DegreeHome State Licensing
About the role
Key responsibilities & impact- Supervise the operation of multiple teams of workers compensation examiners and technical staff
- Monitor colleagues' workloads and individual claim activities
- Provide training and technical/jurisdictional direction on claim adjudication reports
- Maintain claim diaries, including frequent diaries on complex or high-exposure claims
- Analyze and process complex claims by investigating and gathering information to determine exposure
- Manage claims through action plans to timely resolution
- Manage litigation processes and ensure cost-effective claims resolution
- Coordinate vendor referrals for investigation or litigation management
- Lead team meetings and assign accountability for follow-up items
- Gather compliance and claims-processing information for team meetings
- Assist with interviews and provide feedback to the hiring manager
- Support monthly adjuster workload reviews, identify trends, and suggest adjustments
- Administer 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 performance
Requirements
What you’ll need- Six (6) years of claims experience or equivalent combination of education and experience required
- Two (2) years claims supervisor experience preferred
- Five (5) years of seasoned examiner experience, including lost time and medical only experience
- 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
- Workers compensation claims knowledge
- Jurisdiction knowledge: CO & UT, with limited exposure to OK & WY
- Home state licensing
- Ability to supervise multiple teams of examiners and technical staff
- Ability to monitor workloads and individual claim activities
- Ability to provide technical and jurisdictional direction
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress and multiple priorities
- 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 and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Remote work option
- Hybrid schedule if within commutable distance to Blue Ash, OH office