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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 investigation, documentation, and resolution strategies. Proficient in communication and customer service, with a strong focus on continuous learning and adaptability in a dynamic environment.
Highest-signal resume keywords
Workers Compensation Claims ManagementInsurance License AcquisitionMicrosoft Office ProficiencyStrong Verbal And Written CommunicationAttention To Detail
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 InvestigationClaims DocumentationFraud EvaluationCoverage AssessmentDecision MakingClaims Management SystemsAction Plan DevelopmentCustomer ServiceConflict ResolutionOrganizational Skills
Soft Skills
Effective CommunicationJudgementAdaptabilityContinuous LearningPrioritization
Certifications & Qualifications
Insurance LicenseAdjuster License
Industry Keywords
Insurance PoliciesClaim ProcessesClaim CompensabilityTelephonic File ReviewsMedical Treatment Coordination
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
- 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 to help return injured parties to work 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
- Acquire and maintain relevant Insurance License(s) within three months of starting the job
- Willingness to obtain an active adjuster license where required by state law
- 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
- Willingness to learn techniques for facilitating productive discussions and negotiations
Benefits
Comp & perks- Health insurance for employees and eligible family members from the first day of employment
- 401(k) dollar-for-dollar match up to the first 5% of eligible pay, subject to an annual maximum
- Paying it Forward Savings Program for employees with student loan debt
- 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 other mental health resources
- Matching Gift and Volunteer Rewards program
