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Posted: 10/12/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive knowledge in Workers Compensation claims management, including supervision of teams, claims adjudication, and compliance with jurisdictional standards. Proven ability to analyze claims, provide technical direction, and maintain client relationships while ensuring quality and performance standards are met.
Highest-signal resume keywords
Workers Compensation KnowledgeClaims Supervision ExperienceTechnical Direction on Claims AdjudicationNJ and PA Jurisdiction KnowledgeClient Relationship Management
About the role
Key responsibilities & impact- Supervise multiple teams of workers compensation examiners and technical operations colleagues
- Monitor workloads and individual claim activities
- Provide training and technical/jurisdictional direction on examiner reports and claims adjudication
- Identify trends, problems, and issues and recommend corrective action
- Coordinate office projects and continuous process improvement initiatives
- Compile, review, and analyze management reports
- Perform quality reviews in compliance with audit, contract, and quality standards
- Act as second-level appeal authority for client and claimant issues
- Review reserves on high-cost and high-authority claims
- Monitor third-party, litigated, vocational rehabilitation, questionable, and sensitive claims
- Maintain client contact and provide claim recommendations and written claim summaries
- Ensure direct reports are properly licensed in serviced jurisdictions
- Ensure claims files are correctly coded and adequately documented
- Administer personnel policies and staffing standards
- Interview, hire, and establish performance development plans
- Conduct performance discussions and provide leadership, guidance, and motivation
Requirements
What you’ll need- Six (6) years of claims experience or equivalent combination of education and experience required
- Two (2) years of claims supervisor experience
- Workers compensation knowledge and experience
- Supervisory knowledge and experience
- Heavy NJ and PA jurisdiction knowledge, with some FL knowledge
- Bachelor's degree from an accredited college or university preferred
- Professional certifications as applicable to line of business preferred
- Licenses as required
- Ability to supervise multiple teams of examiners and technical staff
- Ability to provide technical/jurisdictional direction on claims adjudication
- Ability to review claims, reserves, reports, and documentation
- Ability to maintain client relationships and handle appeals
- Ability to travel occasionally to Media, PA for onsite client meetings
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Opportunity to work in an agile environment
- Career development and promotional growth opportunities
- Medical, dental, and vision coverage
- 401(k) and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Hybrid work arrangement
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 ReviewClaims AdjudicationQuality ReviewManagement ReportingPerformance Development PlansClaims DocumentationTrend AnalysisCorrective Action RecommendationsLicensing ComplianceClaims Coding
Soft Skills
LeadershipMotivationGuidanceCommunicationProblem-Solving
Certifications & Qualifications
Professional Certifications
Industry Keywords
Claims ExperienceTechnical OperationsContinuous Process ImprovementSecond-Level Appeal AuthorityHigh-Cost ClaimsVocational RehabilitationPerformance DiscussionsStaffing StandardsClient RecommendationsOnsite Client Meetings