About Travelers

The Travelers Companies, Inc. (NYSE: TRV) is a leading property casualty insurer selling primarily through independent agents and brokers. The company's diverse business lines offer its global customers a wide range of coverage in the auto, home and business settings. A component of the Dow Jones Industrial Average, Travelers has more than 30,000 employees and generated revenues of approximately $25 billion in 2010.

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.

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.

College degree is preferred.Workers Compensation claim handling experience including investigations skills, resolution skills, evaluation, negotiation and reserving skills are also preferred.

Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making. Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. Ability to effectively present file resolution to internal and/or external stakeholders. Negotiation: Advanced evaluation, negotiation and case resolution skills. Ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise. Thorough Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract. - Principles of Investigation: Intermediate investigative skills including the ability to take statements. Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss. Value Determination: Advanced ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves. Settlement Techniques: Intermediate ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package. Legal Knowledge: General knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. Medical knowledge: General knowledge of the nature and extent of injuries, periods of disability, and treatment needed. WC Technical: Intermediate ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims. Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state. Customer Service: Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes Teamwork: Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result Planning & Organizing: Advanced ability to establish a plan/course of action and contingencies for self or others to meet current or future goals

High School Diploma or GED required. 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.

Travelers is an equal opportunity employer.
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