Claims Examiner – Workers Compensation I

Jobtailor; Colorado; On-site; USD 70,000 - 90,000; Full time

Job summary

Jobtailor is seeking an experienced claims professional to manage and resolve claims through well-developed action plans, prioritizing timely exposure determinations.

You will negotiate settlements within authority, communicate with claimants and clients, and report to excess carriers as required. Strong analytical and communication skills are essential for success in this role in Colorado.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyze and process claims to determine exposure and resolve timely.
• Negotiate settlements within designated authority.
• Communicate claim activity with the claimant and client.
• Report claims to the excess carrier and respond to directions in a professional and timely manner.

Skills

Claims management

Negotiation skills

Communication skills

Professional certification

Action plan development

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Requirements

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Core Competencies

Demonstrates expertise in claims management, including analyzing and processing claims, negotiating settlements, and effective communication with claimants and clients. Proficient in reporting and responding to claims-related inquiries in a timely and professional manner.

Highest-signal resume keywords

• Claims Management Experience
• Negotiation Skills
• Communication Skills
• Professional Certification
• Action Plan Development

ATS Optimization Keywords

Hard Skills

• Claims Analysis
• Claims Processing
• Settlement Negotiation
• Information Gathering
• Exposure Determination

Soft Skills

• Professional Communication
• Timeliness

Certifications & Qualifications

• Professional Certification

Industry Keywords

• Claims Management
• Excess Carrier Reporting
• Claim Activity Communication