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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims administration, insurance coverage, and litigation management while providing strategic oversight to ensure compliance with laws and industry best practices. Strong analytical and decision-making skills are essential for managing complex claims and improving operational efficiency.
Highest-signal resume keywords
Claims AdministrationLitigation ManagementClaims AnalyticsNegotiation SkillsLeadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance CoverageReserve AnalysisClaims EvaluationClaims ResolutionClaims Performance Monitoring
Soft Skills
Analytical SkillsStrategic ThinkingCustomer ServiceCommunication SkillsInterpersonal Skills
Tools & Technologies
OrigamiMicrosoft OfficeClaims Management Software
Industry Keywords
Risk ManagementWorkers' CompensationProperty ClaimsCasualty ClaimsThird-Party Administrator
About the role
Key responsibilities & impact- Responsible for leading the claims operations of the GSBA Risk Management Fund (RMF) and the GSBA Workers' Compensation Fund (WCF).
- Provides strategic oversight of the investigation, evaluation, negotiation, and resolution of property, casualty, liability, and workers' compensation claims in collaboration with the Third-Party Administrator (TPA).
- Ensures claims are administered promptly, fairly, and in compliance with applicable laws, regulations, Fund policies, and industry best practices.
- Provides leadership and oversight to claims adjusters, TPAs, legal counsel, and other service providers to ensure exceptional claims handling, consistent service delivery, and positive member outcomes.
- Responsible for monitoring claim reserves, settlement authority, litigation management, claims analytics, and overall claims performance to safeguard the financial integrity and long-term sustainability of the Funds.
- Leads claims reporting, member support, and claims administration functions while partnering with RMS leadership to identify trends, mitigate risk, and support organizational objectives.
Requirements
What you’ll need- Expertise in claims administration, insurance coverage, litigation management, reserve analysis, and industry best practices.
- Strong analytical, strategic thinking, negotiation, and decision-making capabilities.
- Demonstrated ability to manage complex claims independently while maintaining exceptional customer service and professionalism.
- Excellent written and verbal communication skills, including the ability to effectively communicate with members, legal counsel, medical professionals, and executive leadership.
- Strong leadership, organizational, and interpersonal skills.
- Proficiency in Origami, Microsoft Office applications, and other claims management and insurance-related software systems.
- Ability to analyze claims data and identify trends that improve operational efficiency and reduce claim costs.
- Sound judgment, critical thinking, and complex problem-solving abilities.
Benefits
Comp & perks- Exceptional customer service
- Collaboration
- Organizational commitment