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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing Workers' Compensation claims, including negotiation, investigation, and coordination with medical and legal resources. Proficient in analytical thinking, problem-solving, and maintaining compliance with state regulations.
Highest-signal resume keywords
Workers' Compensation Claim HandlingNegotiation SkillsAnalytical ThinkingInvestigative SkillsMedical Knowledge Regarding Injuries
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim InvestigationSettlement TechniquesReserve-Setting SkillsStatutory Benefit EntitlementFile ManagementFraud InvestigationMedical Treatment CoordinationLegal Knowledge Applicable to InsuranceReturn-to-Work StrategiesDocumentation Skills
Soft Skills
Clear CommunicationProblem-SolvingPresentation Skills
Certifications & Qualifications
Insurance License
Industry Keywords
Workers' CompensationIndemnity ClaimsMedical Case ManagementJurisdictional KnowledgeContinuing Education Requirements
About the role
Key responsibilities & impact- Manage Workers' Compensation claims with lost time through conclusion
- Negotiate settlements where appropriate
- Coordinate medical and indemnity claim positions with a Medical Case Manager
- Handle assigned low- to moderate-complexity claims independently
- Handle more complex claims with close to moderate supervision when assigned
- Investigate claims by assessing policy coverage and contacting insureds, injured workers, medical providers, and other parties
- Establish and update reserves, including actuarial reserves, and document rationale
- Determine causal relatedness of medical conditions
- Manage files for quality, timely contact, documentation, proactive issue resolution, and timely closure or reassignment
- Coordinate appropriate medical treatment and return injured parties to work with internal nurse resources
- Collaborate with medical and legal specialty resources on return-to-work, structured settlement, and litigation strategies
- Develop strategies addressing statutory benefit entitlement, medical diagnoses, and Medicare Set Asides
- Prepare required letters and state filings within statutory limits
- Pursue offsets, apportionment, contribution, subrogation, and potential fraud opportunities
- Manage litigation and resolve benefits toward optimal outcomes
- Negotiate claim settlements within designated authority, using structured settlements or annuities where appropriate
- Perform other duties as assigned
Requirements
What you’ll need- High School Diploma or GED
- 1 year Workers Compensation claim handling experience or successful completion of the WC trainee program
- 2 years Workers Compensation claim handling experience preferred as the ideal candidate qualification
- Analytical thinking and problem-solving skills
- Clear and concise oral and written communication
- Ability to present file resolutions to internal and/or external stakeholders
- Intermediate negotiation skills
- General insurance contract knowledge
- Intermediate investigative skills, including taking statements
- Value determination and reserve-setting skills
- Intermediate settlement techniques
- General legal knowledge applicable to the insurance industry
- Intermediate medical knowledge regarding injuries, disability periods, and treatment
- Intermediate Workers' Compensation product and jurisdictional knowledge
- Ability to work within jurisdictional parameters of the assigned state
- Maintain continuing education requirements mandated by state regulations
- Acquisition and maintenance of required insurance license(s), generally within three months of starting the job, with ongoing continuing education
Benefits
Comp & perks- Performance-based cash incentive awards
- 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
- Paying it Forward Savings Program with annual 401(k) contributions for eligible student loan payments
- Pension Plan 100% funded by Travelers
- Minimum 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
- Equal opportunity employment