Workers' Comp Claims & Return-to-Work Specialist

Travelers Canada

Virginia (MN)

On-site

USD 67,000 - 111,000

Full time

3 days ago
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Benefits offered by this job

Health Insurance
401(k) Plan
Paid Time Off
Wellness Program
Volunteer Program

Job summary

Travelers is seeking a Workers' Compensation Claims Specialist to manage claims from intake through resolution, coordinating medical treatment and return-to-work plans.

The role emphasizes investigations, reserves management, and settlements within authority, with collaboration across medical and legal teams to maximize favorable outcomes. A strong customer service mindset and adherence to regulatory guidelines are essential.

Qualifications

  • High School Diploma or GED.
  • 1 year Workers' Compensation claim handling experience or completion of WC trainee program.
  • Strong knowledge of state WC rules and regulations.

Responsibilities

  • Conduct investigations to assess compensability and reserves.
  • Establish and update reserves to reflect claim exposure with documented rationale.
  • Coordinate with Medical Case Manager and nurses for treatment and return-to-work plans.
  • Negotiate settlements within designated authority to achieve favorable outcomes.
  • Manage files with timely contact, proper documentation and resolution of issues.
  • Pursue offsets, subrogation and structured settlement options where appropriate.
  • Handle potentially complex files with collaboration from legal resources where needed.
  • Support litigation strategy to drive optimal outcomes and close files efficiently.

Skills

Analytical Thinking
Communication
Negotiation
General Insurance Knowledge
Investigation
Liability Estimation
Legal Knowledge
Medical Knowledge
WC Technical
Plan & Organize
Customer Service
Teamwork
Continued Education

Education

High School Diploma or GED

Job description

Travelers is seeking a Workers' Compensation Claims Specialist to manage claims from intake through resolution, coordinating medical treatment and return-to-work plans.

The role emphasizes investigations, reserves management, and settlements within authority, with collaboration across medical and legal teams to maximize favorable outcomes. A strong customer service mindset and adherence to regulatory guidelines are essential.

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