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Travelers · 6 days ago

Senior Technical Specialist, Workers Compensation

CT - Hartford

Full-time

Hybrid

Mid, Senior Level

$86K/yr - $141K/yr

5+ years exp

Travelers is a leading property casualty insurer with a commitment to customer care and community support. They are seeking a Senior Technical Specialist to manage high exposure Workers Compensation claims, ensuring effective resolution through expert claim management and collaboration with specialty resources.

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Growth Opportunities

Responsibilities

Work in collaboration with specialty resources (e.g. medical, legal) to manage medical treatment and lost time benefits in cases involving extremely complex issues or potentially high financial exposure

Develop strategies to manage losses involving complex issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside or injury severity to achieve resolution through the best possible outcome

Co-manage appropriate claims with the Major Case Unit, who will assist with disability and treatment projections; reserving; and investigative suggestions on complex or catastrophic losses

May use structured settlement/annuity as appropriate for the jurisdiction

Facilitate timely claim resolution by leveraging any mitigation opportunities

Pursue all offset opportunities, including apportionment, contribution and subrogation

Customer Engagement

Participate in Telephonic and/or onsite File Reviews. Respond to inquiries - verbal and written

Keeping injured worker apprised of claim status

Engage specialty resources as needed

Act as technical resource to others

Maintain Continuing Education requirements as required

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

Perform other duties as assigned

Qualification

Workers Compensation experienceAnalytical ThinkingInsurance Contract KnowledgeNegotiationLegal KnowledgeMedical knowledgeWC TechnicalCustomer ServicePlanning & OrganizingCommunicationTeamwork

Required

High school diploma or equivalent

5 years Workers Compensation experience

College degree

5+ years Workers Compensation experience

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: Master 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: Advanced 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: Advanced 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: Thorough 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: Thorough knowledge of the nature and extent of injuries, periods of disability, and treatment needed

WC Technical: Advanced 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 establishes a plan/course of action and contingencies for self or others to meet current or future goals

Benefits

Health Insurance

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, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.

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.