Claims Representative III

We need to output HTML fragment with sections: About the role? Actually the posting includes "Company Details" then "Responsibilities", "Qualifications", "Education Requirement", "Additional Company Details" includes benefits and salary, "Additional Requirements" location and travel, "Sponsorship Details". We need to use headings for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. But we should only include sections when posting has real specific content. We need to map content. We have: - Company Details: description of company. Could be "About the role"? Actually "About the role" is typical heading for role description. But we have responsibilities separate. The company details could be considered "About the role"? Might be better to treat as "About the role" (description of role and company). However the instruction: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can choose which headings to include based on content. We have responsibilities content: list of duties. We have qualifications: list of qualifications. We have education requirement: BA/BS Degree. We have benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. We have pay: Base Salary Range: $70,000-$90,000, eligible to participate in annual discretionary bonus. We have schedule? Not mentioned. Travel approx less than 10% for business purposes. That's not schedule but travel. Could be considered schedule? Not exactly. Probably we should not create Schedule section because no specific schedule (e.g., full-time, hours). Travel is not schedule. So we omit Schedule. We have location: High Point, NC. Travel approx less than 10% for business purposes. Could be part of Additional Requirements. Could be included under "Requirements"? Might be better to include location under "Requirements" or separate? The instruction: Use headings for sections like Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Location could be part of Requirements? Not exactly. Could be omitted? But we need to preserve all substantive information. We could include location in a

under a generic section? But we must only use those headings. Could we create a "Requirements" section that includes education, location, travel? The qualifications already have education requirement. Location and travel could be under "Requirements". The instruction says "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." So we can include a Requirements section for things like education, location, travel, sponsorship not offered, etc. We also have "Skills" maybe not explicitly listed but we have strong written and verbal communication skills, interpersonal, time management, organizational, negotiation, critical thinking, etc. Those could go under Skills. We have "Qualifications" separate: 3-5 years experience, adjuster license, knowledge, etc. We have "About the role": could include company details and maybe overview of role. We need to avoid repeating job title as heading. Not needed. We must not include boilerplate like EEO etc. Not present. We must not include duplicated lines. We must preserve all substantive information. Let's extract substantive content: Company Details paragraph: "With over 35 years of proven expertise in the workers' compensation industry, Key Risk delivers innovative and responsive solutions that provide our clients the freedom to do what they do best. Offering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results. All products and services are distributed through appointed insurance agents and brokers. Key Risk is a member company of W. R. Berkley Corporation, whose insurance company subsidiaries are rated A+ (Superior), Financial Size Category XV by A.M. Best Company and A+ (Strong), by S&P. For further information about Key Risk please visit www.KeyRisk.com" Responsibilities bullet list (actually sentences). We'll convert to

• . Qualifications list: "3-5 years of workers’ compensation claims management experience", "Adjuster license strongly desired or ability to obtain license within six months", "In depth knowledge of appropriate insurance principles and laws of workers’ compensation, preferably jurisdiction specific", "Strong written and verbal communication skills", "Strong interpersonal, time management and organizational skills", "Strong negotiation skills", "Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail", "Ability to perform with a sense of urgency", "Ability to work both independently and within a team environment", "Ability to travel for business purposes, approximately less than 10%". Actually travel appears also under Additional Requirements. Education Requirement: "BA/BS Degree" Additional Company Details: "We do not accept unsolicited resumes from third party recruiting agencies or firms." (maybe we can drop as it's not substantive? It's a policy but maybe we keep? It's not boilerplate? It's a hiring policy. Might be considered substantive but could be omitted? The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. This is not exactly those, but it's a recruiting policy. Might be okay to keep? It's not essential to role. I'd keep maybe as a note under Requirements? But it's not a requirement for candidate. Could be omitted as it's not about the role. Safer to omit. Then: "The company offers a competitive compensation plan and robust benefits package for full-time regular employees which for this role include: Base Salary Range: $70,000-$90,000 Eligible to participate in annual discretionary bonus. Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment." Additional Requirements: "Location and Travel: High Point, NC. Travel: Approximately less than 10% for business purposes." Sponsorship Details: "Sponsorship not Offered for this Role" We need to include all substantive info. Sponsorship not offered is substantive. We need to decide sections: - About the role: could include company details paragraph. - Responsibilities: list. - Qualifications: maybe combine experience, license, knowledge, etc. But we also have Skills separate. Could split: Qualifications for experience/license/education, Skills for soft skills. But we have education requirement separate. Could put education under Qualifications or Requirements. Let's design:

  About the role

  Company details paragraph.

  Responsibilities

  • ... each duty as li.

  Qualifications

  • 3-5 years of workers’ compensation claims management experience
  • Adjuster license strongly desired or ability to obtain license within six months
  • In depth knowledge of appropriate insurance principles and laws of workers’ compensation, preferably jurisdiction specific
  • BA/BS Degree

  Skills

  • Strong written and verbal communication skills
  • Strong interpersonal, time management and organizational skills
  • Strong negotiation skills
  • Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail
  • Ability to perform with a sense of urgency
  • Ability to work both independently and within a team environment
  • Ability to travel for business purposes, approximately less than 10%

  Benefits

  • Health
  • Dental
  • Vision
  • Life
  • Disability
  • Wellness
  • Paid Time Off
  • 401(k)
  • Profit-Sharing plans

  Pay

  Base Salary Range: $70,000-$90,000. Eligible to participate in annual discretionary bonus. Actual salary determined by scope, complexity, location, skills, education, training, credentials, experience, and other conditions of employment.

  We also need to include location and travel? Travel already in Skills (ability to travel). Location: High Point, NC. Could be under Requirements? But we didn't create Requirements section. Could add a short

  under About the role? Or maybe under Qualifications? Better to add a "Requirements" section for location and sponsorship not offered. Let's add:

  Requirements

  Location: High Point, NC. Sponsorship not offered for this role.

  Travel is already in Skills; we could keep there. Check duplication: travel appears both in Skills and maybe also in Additional Requirements. We have it in Skills; we could remove from Skills and put under Requirements? But Skills already includes ability to travel; it's fine. We must not create sections with filler. All sections have content. Check we didn't include any boilerplate like "competitive compensation plan" etc. We kept pay and benefits. We omitted the line about not accepting unsolicited resumes; that's not essential. Could omit. We omitted the line about "Additional Company Details We do not accept unsolicited resumes..." - we omitted. We omitted the line about "Additional Company Details" heading; we used its content for pay/benefits. We omitted the line about "Additional Requirements Location and Travel: High Point, NC. Travel: Approximately less than 10% for business purposes." We used location in Requirements and travel in Skills. We omitted the line about "Sponsorship Details Sponsorship not Offered for this Role" we put in Requirements. Now ensure we didn't repeat job title. Now output only HTML fragment. Let's craft. We need to ensure proper nesting: each

  then content. We'll produce:

  About the role

  With over 35 years of proven expertise in the workers' compensation industry, Key Risk delivers innovative and responsive solutions that provide our clients the freedom to do what they do best. Offering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results. All products and services are distributed through appointed insurance agents and brokers. Key Risk is a member company of W. R. Berkley Corporation, whose insurance company subsidiaries are rated A+ (Superior), Financial Size Category XV by A.M. Best Company and A+ (Strong), by S&P. For further information about Key Risk please visit www.KeyRisk.com

  Responsibilities

  • The Workers’ Compensation Claims Representative III is responsible for the analysis and management of complex workers’ compensation claims, including reviewing, investigating, and making decisions regarding coverage, compensability, and appropriateness of claims.
  • The position processes and documents claims to ensure compliance with company standards, industry best practices, and legislative provisions, acts in a fiduciary role on behalf of policyholders, negotiates claim settlements, and conducts the handling of claims in the utmost of good faith in compliance with rules, regulations, and state statutes.
  • Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim
  • Negotiates settlement of claims up to designated authority level and makes claims payments
  • Calculates and assigns timely and appropriate reserves to claims and continues to manage reserve adequacy throughout the life of the claim
  • Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level
  • Develop