Claims Representative III

We need to output HTML fragment with sections: About the role? The posting includes "Company Details" and "Responsibilities", "Qualifications", "Additional Company Details" (which includes compensation and benefits). Also "Additional Requirements" location and travel, and "Sponsorship Details". We need to follow rules: Use

for section headings (e.g., About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We should only include sections when there is real specific content. We should not repeat job title as heading. We should not put Job ID etc. Remove boilerplate. We need to preserve all substantive info. We need to decide headings: "About the role" could be from company details? Actually "Company Details" is about the company, not role. Could be "About the role" maybe summarizing responsibilities? But we have a "Responsibilities" section. We could have "About the role" as a short paragraph summarizing role purpose. The posting includes "The Workers’ Compensation Claims Representative III is responsible for the analysis and management of complex workers’ compensation claims..." That's essentially responsibilities. So we could put that under "Responsibilities". The "Company Details" could be under "About the company" but not in allowed headings list. Allowed headings list includes About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can also possibly use "Requirements" for qualifications? The posting has "Qualifications" and also "Additional Requirements". We could combine qualifications and additional requirements under "Qualifications" or "Requirements". The instruction: Use headings from that list. So we need to map content to those headings. We have: - Company Details (overview of Key Risk) - could go under "About the role"? Not exactly. Maybe we can treat as "About the role" describing the role within company? But the company details are about the employer, not role. However we could still include under "About the role" as a brief description of the company context. The instruction: "use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It says e.g., meaning those are examples, not exclusive? It says use those for section headings. Likely we should only use those headings. So we need to fit content into those categories. We have responsibilities clearly. We have qualifications (including experience, license, knowledge, skills, education). That's "Qualifications". We have benefits and pay details: Base Salary Range, bonus, benefits list. That's "Pay" and "Benefits". Could combine into "Pay" and "Benefits" separate. We have location and travel: "Additional Requirements Location and Travel: High Point, NC. Travel: Approximately less than 10% for business purposes." That could be under "Schedule"? Not exactly. Schedule could be work schedule, but we have travel percentage. Could treat as "Schedule" maybe? But schedule usually refers to work hours/shift. Travel is not schedule. Could we omit schedule section because not specified? The instruction: never create Pay/Schedule/Benefits sections unless the posting actually states them. We have Pay and Benefits stated, so we can include those. Schedule not stated (no mention of work hours, shift, etc). So we should not create a Schedule section. We have "Sponsorship Details Sponsorship not Offered for this Role". That's not in allowed headings; maybe we can fold into a short

under Qualifications or Requirements? Could be under "Requirements". But we have no explicit "Requirements" heading besides Qualifications. Could treat "Requirements" as a section for things like location, travel, sponsorship. The allowed headings include Requirements. So we can put location, travel, sponsorship under Requirements. Skills: The posting includes many skills: strong written and verbal communication, interpersonal, time management, organizational, negotiation, critical thinking, ability to perform with urgency, ability to work independently/team, ability to travel. Those could go under Skills. But we also have them in Qualifications. Might be redundant. We could combine Qualifications and Skills? But we need to follow instruction: Prefer a few substantive sections over many thin ones. So maybe we combine qualifications and skills into one "Qualifications" section, and not create separate Skills unless needed. However we have a separate Skills heading in the list; we could omit if not needed. We have Pay: Base Salary Range: $70,000-$90,000, eligible for annual discretionary bonus. Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. We also have Additional Company Details: "We do not accept unsolicited resumes from third party recruiting agencies or firms." That's boilerplate? Might be considered legal/EEO? It's a hiring policy; maybe we keep as a short paragraph under something like "Additional Company Details" but not a heading. Could fold into a

under "About the role" or maybe under "Requirements"? Probably better to include as a short paragraph under "About the role" or maybe under a generic

without heading? The instruction: Output ONLY the HTML fragment — no /, no markdown code fences. It didn't say we cannot have stray

without heading. But we should aim to use headings for sections. However we can have a

for prose anywhere. We need to preserve all substantive information. So we need to include the company details paragraph about Key Risk's expertise, etc. That's substantive. Where to put? Could be under "About the role" as a description of the company. Or we could create a heading "About the role" and put that company description there. But "About the role" suggests description of the role, not company. However we have no other heading for company info. Could we treat "About the role" as encompassing both role and company? Might be acceptable. Alternatively, we could not use a heading for company details and just put it as a

before the first heading. That would preserve info. The instruction: "use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It doesn't forbid having

outside headings. So we can have a leading

for company details. Then we have Responsibilities heading

Responsibilities

with

• list. Then Qualifications heading

  Qualifications

  with list of qualifications (including education). Could also include skills there. Then Requirements heading

  Requirements

  with location, travel, sponsorship. Then Pay heading

  Pay

  with salary range and bonus. Then Benefits heading

  Benefits

  with list. We should not include Schedule. We need to ensure we don't repeat content. Let's extract. Company Details paragraph: "Company Details 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" We need to remove boilerplate like navigation etc. This is fine. Responsibilities: The bullet list of duties. Let's extract each sentence as a list item. Responsibilities sentences: - 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 - Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution - Prepares necessary state filings within statutory limits - Actively manages the litigation process; ensures timely and cost-effective claims resolution - Coordinates vendor referrals for additional investigation and/or litigation management - Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims - Frequently communicates with all appropriate parties involved with the claim - Maintains professional client relationships - Actively executes appropriate claims activities to ensure consistent delivery of quality claims services We could combine some but keep as list items. 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% - Education Requirement: BA/BS Degree Also "Additional Company Details" includes: "We do not accept unsolicited resumes from third party recruiting agencies or firms." and "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." Also "Additional Requirements Location and Travel: High Point, NC. Travel: Approximately less than 10% for business purposes." Also "Sponsorship Details Sponsorship not Offered for this Role" We need to avoid duplication: travel appears both in qualifications and additional requirements; we should keep only once. Probably keep under Requirements. We also have ability to travel for business purposes, approximately less than 10% listed under Qualifications; we can keep that there or move to Requirements. To avoid duplication, we can keep it under Requirements and remove from Qualifications. Similarly, "Ability to work both independently and within a team environment" etc are fine. Now we need to decide what goes under Requirements: location, travel, sponsorship, maybe also the unsolicited resumes statement? That's a company policy; could be under Requirements or maybe under a generic paragraph. I'd put it under Requirements as a note. Thus Requirements

  Requirements

  with
  • items: - Location: High Point, NC - Travel: Approximately less than 10% for business purposes - Sponsorship: Not offered for this role - The company does not accept unsolicited resumes from third‑party recruiting agencies or