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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Workers Compensation claims management, including assessing coverage, compensability, and fraud evaluation. Strong communication and organizational skills are essential for coordinating with various stakeholders and maintaining accurate records.
Highest-signal resume keywords
Bachelor's DegreeInsurance LicenseClaims ManagementMicrosoft Office ProficiencyCustomer Service Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Workers Compensation ClaimsClaims InvestigationFraud EvaluationClaim DocumentationAction Plan Development
Soft Skills
Strong Verbal CommunicationStrong Written CommunicationAttention to DetailOrganizational SkillsConflict Resolution Skills
Tools & Technologies
Claim Management SystemsMicrosoft WordMicrosoft ExcelMicrosoft Outlook
Certifications & Qualifications
Active Adjuster LicenseInsurance License
Industry Keywords
Insurance PoliciesClaim ProcessesCustomer ServiceContinuous LearningDigital Transformation
About the role
Key responsibilities & impact- Participate in structured training classes covering insurance policies, claim processes, systems, and procedures
- Complete virtual, classroom, and on-the-job training
- Assist in reviewing, investigating, and documenting Workers Compensation claims under close supervision
- Investigate, develop, and evaluate action plans for claim resolution
- Assess coverage and determine claim compensability under Workers Compensation
- Evaluate claims for potential fraud
- Participate in telephonic and/or onsite file reviews
- Learn to determine coverage, compensability, and exposure based on policy terms and claim facts
- Gather information from policyholders, claimants, witnesses, and third-party providers
- Communicate claim status to business customers, injured employees, medical providers, and legal counsel
- Maintain accurate claim activity records in claim management systems
- Coordinate medical treatment with internal or external resources when appropriate
- Demonstrate openness to continuous learning, particularly in AI and digital transformation
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor’s Degree
- High School Diploma or GED and one year of customer service experience
- Previous internship or work experience in customer service or insurance
- Willingness to obtain an active adjuster license where required by state law
- Acquire and maintain relevant Insurance License(s) within three months of starting the job
- Proficient in Microsoft Office (Word, Excel, Outlook)
- Willingness to learn claims management
- Strong verbal and written communication skills
- Ability to exercise sound judgement and make effective decisions within established authority
- Exceptional customer service skills
- Attention to detail and organizational skills; ability to manage multiple tasks and prioritize effectively
- Basic conflict resolution skills
- Demonstrated openness to continuous learning
Benefits
Comp & perks- Health insurance coverage for employees and eligible family members from the first day of employment
- 401(k) dollar-for-dollar matching up to the first 5% of eligible pay, subject to an annual maximum
- Paying it Forward Savings Program with annual 401(k) contributions for student loan payments
- Pension Plan 100% funded by Travelers
- Minimum of 20 days Paid Time Off annually
- Nine paid company Holidays
- Wellness program with tools, discounts, resources, and caregiving support
- Free professional counseling services, health coaching, and mental health resources
- Matching Gift and Volunteer Rewards program