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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 processes. Proficient in communication and customer service, with a strong attention to detail and organizational skills.
Highest-signal resume keywords
Workers Compensation Claims ManagementInsurance License AcquisitionMicrosoft Office ProficiencyStrong Verbal And Written CommunicationCustomer Service Skills
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 DocumentationAction Plan DevelopmentFraud EvaluationCoverage AssessmentClaim Management SystemsTelephonic File ReviewsOnsite File ReviewsDecision MakingConflict Resolution
Soft Skills
Attention To DetailOrganizational SkillsJudgementOpenness To LearningPrioritization
Certifications & Qualifications
Adjuster LicenseInsurance License
Industry Keywords
Insurance PoliciesClaim ProcessesCustomer ServiceMedical Treatment CoordinationDigital Transformation
About the role
Key responsibilities & impact- Participate in structured training classes covering insurance policies, claim processes, systems, and procedures
- 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 whether claims are compensable 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 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
- Previous internship or work experience in customer service or insurance
- High School Diploma or GED and one year of customer service experience
- 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 from the first day of employment for employees and eligible family members
- 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
- Comprehensive compensation and benefits program
- Performance-based cash incentive awards