Return to Work Claim Representative Trainee
Company: The Travelers Companies, Inc.
Location: Charlotte
Posted on: January 26, 2023
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Job Description:
Who Are We?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 160 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.Compensation OverviewThe 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$46,200.00 - $76,200.00Target Openings1What Is the
Opportunity?This is an entry level position that requires
satisfactory completion of required training to advance to a
Workers' Compensation claim professional position. This position is
intended to develop skills for investigating, evaluating,
negotiating and resolving claims on losses of lesser value and
complexity. Provides quality claim handling throughout the claim
life cycle (customer contacts, coverage, investigation, evaluation,
reserving, negotiation and resolution) including maintaining full
compliance with internal and external quality standards and state
specific regulations. As part of the hiring process, this position
requires the completion of an online pre-employment assessment.
Further information regarding the assessment including an
accommodation process, if needed, will be provided at such time as
your candidacy is deemed appropriate for further
consideration.Travelers offers a hybrid work location model that is
designed to support flexibility. #LI-HybridWhat Will You
Do?Completes required training program which includes the overall
instruction, exposure, and preparation for employees to progress to
the next level position. It is a mix of online, virtual, classroom,
and on-the-job training. The training may require travel.The on the
job training includes practice and execution and coaching on the
following core assignments:Conduct investigations, including, but
not limited to assessing policy coverage, investigation of
non-questionable/questionable claims, contacting insureds, injured
workers, medical providers, and other parties in a timely manner to
determine compensability.Proactively manage inventory with
documented plans of action and emphasis on file quality and data
integrity to ensure timely and appropriate resolution or
reassignment.Achieve a positive end result by returning injured
party to work and coordinating the appropriate medical treatment in
collaboration with internal nurse resources where appropriate.
Manage, resolve or reassign those claims where pre-injury return to
work is unlikely.Establish and update reserves to reflect claim
exposure and document rationale. Identify exposures and establish
appropriate reserves. Apply knowledge to determine causal
relatedness of medical conditions.Collaborate with internal nurse
resources (Medical Case Manager) in order to integrate the delivery
of medical services into the overall claim strategy.Complete
required letters and state forms and any other required documents
as required. Prepare necessary letters and state filings within
statutory limits.Determine and actively develop ongoing strategic
plans for resolution as required. Develop strategies to manage
losses involving issues of statutory benefit entitlement, medical
diagnoses, Medicare Set Aside to achieve resolution through the
best possible outcome. Work in collaboration with specialty
resources (i.e. medical and legal) to proactively pursue claim
resolution opportunities.Pursue all offset opportunities, including
apportionment, contribution and subrogation. Evaluate claims for
potential fraud.Effectively manage litigation to drive files to an
optimal outcome, including resolution of benefits. Understand and
apply Medicare Set Asides and allocations.Negotiate settlement of
claims within designated authority. Evaluate and document a
detailed settlement analysis, value and range. Refer claims beyond
authority as appropriate based on exposure and established
guidelines. May use structured settlement/annuity as appropriate
for the jurisdiction.Participate in Telephonic and/or onsite File
Reviews.Respond to inquiries - verbal and written.Keeping injured
worker apprised of claim status.Communicate and complete denials on
medical and indemnity issues.In order to perform the essential
functions of this job, 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.In order to progress to Claim Representative, a
Trainee must demonstrate proficiency in the skills outlined above.
Proficiency will be verified by appropriate management, according
to established standards.Perform other duties as assigned.What Will
Our Ideal Candidate Have?Bachelor's Degree preferred or a minimum
of 2 years of work OR customer service related experience
preferred.Demonstrated ownership attitude and customer centric
response to all assigned tasks - BasicVerbal and written
communication skills -IntermediateAttention to detail ensuring
accuracy - BasicAbility to work in a high volume, fast paced
environment managing multiple priorities - BasicAnalytical Thinking
- BasicJudgment/ Decision Making - BasicWhat is a Must Have?High
School Diploma or GED and one year of customer service experience
OR Bachelor's Degree required.What Is in It for You?Health
Insurance: Employees and their eligible family members - including
spouses, domestic partners, and children - are eligible for
coverage from the first day of employment.Retirement: Travelers
matches your 401(k) contributions dollar-for-dollar up to your
first 5% of eligible pay, subject to an annual maximum. If you have
student loan debt, you can enroll in the Paying it Forward Savings
Program. When you make a payment toward your student loan,
Travelers will make an annual contribution into your 401(k)
account. You are also eligible for a Pension Plan that is 100%
funded by Travelers.Paid Time Off: Start your career at Travelers
with a minimum of 20 days Paid Time Off annually, plus nine paid
company Holidays.Wellness Program: The Travelers wellness program
is comprised of tools and resources that empower you to achieve
your wellness goals. In addition, our Life Balance program provides
access to professional counseling services, life coaching and other
resources to support your daily life needs. Through Life Balance,
you're eligible for five free counseling sessions with a licensed
therapist.Volunteer Encouragement: We have a deep commitment to the
communities we serve and encourage our employees to get involved.
Travelers has a Matching Gift and Volunteer Rewards program that
enables you to give back to the charity of your choice.Employment
PracticesTravelers is an equal opportunity employer. We believe
that we can deliver the very best products and services when our
workforce reflects the diverse customers and communities we serve.
We are committed to recruiting, retaining and developing the
diverse talent of all of our employees and fostering an inclusive
workplace, where we celebrate differences, promote belonging, and
work together to deliver extraordinary results.If you are a
candidate and have specific questions regarding the physical
requirements of this role, please send us an email so we may assist
you.Travelers reserves the right to fill this position at a level
above or below the level included in this posting.To learn more
about our comprehensive benefit programs please visit
http://careers.travelers.com/life-at-travelers/benefits/.0
Keywords: The Travelers Companies, Inc., Charlotte , Return to Work Claim Representative Trainee, Other , Charlotte, North Carolina
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