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Posted: 10/19/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Workers Compensation claim handling, including investigation, negotiation, and resolution strategies. Possesses strong analytical, communication, and decision-making skills essential for managing claims and ensuring compliance with insurance regulations.
Highest-signal resume keywords
Workers Compensation Claim Handling ExperienceAnalytical ThinkingNegotiation SkillsInsurance Contract KnowledgeGeneral Legal Knowledge
About the role
Key responsibilities & impact- Investigate claims to determine compensability and assert customers' legal rights to pay or deny claims
- Conduct initial investigations of new claims, including compensability, coverage, and offset issues
- Retain and manage assigned claims through conclusion when controverted or coverage is unconfirmed
- Reassign claims when non-controverted and coverage is confirmed
- Conduct complete investigations of questionable claims and contact appropriate parties timely
- Develop and manage litigation strategy with Hearing Representatives or Defense Counsel
- Engage specialty resources as needed
- Establish and update estimates to reflect exposure
- Develop resolution strategies to negotiate and settle claims
- Determine causal relatedness of medical conditions
- Interpret Workers Compensation policies and endorsements for coverage decisions
- Participate in telephonic and/or onsite file reviews
- Respond to verbal and written inquiries
- Keep injured workers apprised of claim status
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor's degree
- High school diploma or equivalent
- 2 years Workers Compensation claim handling experience
- Alternatively, 1 year Workers Compensation claim handling experience or successful completion of the WC trainee program
- Maintain continuing education requirements as required or mandated by state regulations
- Insurance license(s) may be required and generally must be obtained within three months of starting the job, with ongoing continuing education credits
- Analytical thinking and decision-making skills
- Clear and concise verbal and written communication skills
- Ability to present file resolutions to internal and/or external stakeholders
- Intermediate negotiation skills
- Thorough insurance contract knowledge
- Intermediate investigative skills, including ability to take statements
- Ability to determine liability, assign dollar values, and manage reserves
- Intermediate settlement techniques
- General legal knowledge applicable to the insurance industry
- General medical knowledge concerning injuries, disability, and treatment
- Intermediate understanding of Workers Compensation products and jurisdictional parameters
- Advanced customer service, teamwork, and planning and organizing skills
Benefits
Comp & perks- Health insurance 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, caregiving support, free professional counseling, and health coaching
- Matching Gift and Volunteer Rewards program
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 InvestigationCompensability DeterminationCoverage AnalysisSettlement TechniquesLiability AssessmentMedical Condition AnalysisEstimates DevelopmentFile Resolution PresentationIntermediate Investigative SkillsReserves Management
Soft Skills
Clear CommunicationCustomer ServiceTeamworkPlanning and OrganizingDecision-Making
Certifications & Qualifications
Insurance License
Industry Keywords
Workers CompensationInsurance IndustryContinuing EducationJurisdictional ParametersDisability Knowledge