Workers Compensation Claim Representative
About the Company
Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Pay
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. 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. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range: $65,300.00 - $107,600.00
Target Openings: 1
About the Role
Under moderate supervision investigate claims to determine compensability, and assert our customers' legal rights to pay or deny the claim. This position does not lead others.
Responsibilities
- Conduct initial investigation of claims to resolve compensability, coverage and offset issues on new notices.
- Retain and manage assigned claims to conclusion if controverted or coverage is unconfirmed.
- Reassign claims appropriately if non-controverted and coverage is confirmed.
- Conduct complete investigation of questionable claims, including timely contact with appropriate parties.
- Develop and manage litigation strategy with Hearing Representative or Defense Counsel on litigated claims.
- Engage specialty resources as needed.
- Establish and update estimates to reflect exposure.
- Develop resolution strategies in order to negotiate and settle claims.
- Apply knowledge to determine causal relatedness of medical conditions.
- Interpret Workers Compensation policies and endorsements in coverage decisions.
- Customer engagement.
- Participate in telephonic and/or onsite file reviews.
- Respond to inquiries — verbal and written.
- Keep injured worker apprised of claim status.
- Acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements; generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
- Perform other duties as assigned.
Qualifications
- Bachelor's degree.
- 2 years Workers Compensation claim handling experience.
- Maintain continuing education requirements as required or as mandated by state regulations.
- 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,