Workers Compensation Examiner Career

Job Description: Review settled insurance claims to determine that payments and settlements have been made in accordance with company practices and procedures. Report overpayments, underpayments, and other irregularities. Confer with legal counsel on claims requiring litigation.

*A job as a Workers Compensation Examiner falls under the broader career category of Claims Examiners, Property and Casualty Insurance. The information on this page will generally apply to all careers in this category. We are still seeking more specific information about this career from experts in this field. If you can provide us with more information, .

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Workers Compensation Examiner Career

What skills are required for Workers Compensation Examiners?

Importance Skills
  Reading Comprehension - Understanding written sentences and paragraphs in work related documents.
  Writing - Communicating effectively in writing as appropriate for the needs of the audience.
  Speaking - Talking to others to convey information effectively.
  Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
  Negotiation - Bringing others together and trying to reconcile differences.
  Judgment and Decision Making - Considering the relative costs and benefits of potential actions to choose the most appropriate one.
  Complex Problem Solving - Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
  Monitoring - Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
  Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.
  Coordination - Adjusting actions in relation to others' actions.
  Service Orientation - Actively looking for ways to help people.
  Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.
  Persuasion - Persuading others to change their minds or behavior.
  Time Management - Managing one's own time and the time of others.
  Mathematics - Using mathematics to solve problems.
  Instructing - Teaching others how to do something.
  Systems Analysis - Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
  Management of Personnel Resources - Motivating, developing, and directing people as they work, identifying the best people for the job.
  Learning Strategies - Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.

What knowledge is needed to be a Workers Compensation Examiner?

Importance Knowledge
  Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
  English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
  Law and Government - Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
  Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
  Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
  Computers and Electronics - Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
  Mathematics - Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
  Building and Construction - Knowledge of materials, methods, and the tools involved in the construction or repair of houses, buildings, or other structures such as highways and roads.
  Psychology - Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
  Education and Training - Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
  Communications and Media - Knowledge of media production, communication, and dissemination techniques and methods. This includes alternative ways to inform and entertain via written, oral, and visual media.

Work Styles

Importance Styles
  Integrity - Job requires being honest and ethical.
  Dependability - Job requires being reliable, responsible, and dependable, and fulfilling obligations.
  Attention to Detail - Job requires being careful about detail and thorough in completing work tasks.
  Stress Tolerance - Job requires accepting criticism and dealing calmly and effectively with high stress situations.
  Self Control - Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
  Cooperation - Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
  Persistence - Job requires persistence in the face of obstacles.
  Independence - Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.
  Analytical Thinking - Job requires analyzing information and using logic to address work-related issues and problems.
  Adaptability/Flexibility - Job requires being open to change (positive or negative) and to considerable variety in the workplace.
  Initiative - Job requires a willingness to take on responsibilities and challenges.
  Concern for Others - Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.
  Achievement/Effort - Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
  Leadership - Job requires a willingness to lead, take charge, and offer opinions and direction.
  Innovation - Job requires creativity and alternative thinking to develop new ideas for and answers to work-related problems.
  Social Orientation - Job requires preferring to work with others rather than alone, and being personally connected with others on the job.

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