Job Opening ID
Workers Compensation Claim Professional - Return To Work Case Mgr
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.
Manage all accepted lost time claims, except specified serious injuries or complex claims that cannot be resolved within approximately 7 months.
Primary Job Duties & Responsibilities
Perform telephonic case management of Workers Compensation claims that are assigned. Contact injured worker, employer and medical providers in a timely manner to gather relevant info to assist in the investigation and evaluation of the claim. Manage to conclusion all lost time claims with 6 months duration or less. Manage files with an emphasis on file quality (including timely contact and proper documentation), maximizing internal resources, and achieving a positive end result by returning injured party to work. Aggressively pursue claim resolution opportunities. Build strong partnership with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services to the injured worker. Identify claim issues as they arise, and take appropriate steps to resolve them or refer them to the Unit Manager for reassignment. Establish appropriate reserves to reflect claim exposure.
Job Specific & Technical Skills & Competencies
Complete understanding of all policy, coverage and endorsement implications, and AOE/COE issues Technical and jurisdictional and case law knowledge. File Management Technical Customer Focus/ Communication Relationship Management Technology
Education, Work Experience & Knowledge
College degree is preferred. Workers Compensation claim handling experience including investigations skills, resolution skills, evaluation, negotiation and reserving skills.
Licensing or Certificates
In order to perform the essential job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, License(s) are required to be obtained within three months of starting the job
Equal Employment Opportunity Statement
Travelers is an equal opportunity employer.