Workers' Comp Claims Specialist: Return-to-Work

VetJobs; Richardson (TX); On-site; USD 60,000 - 75,000; Full time

Job summary

Travelers Insurance, based in Richardson, Texas, seeks a Workers' Compensation Claims Specialist to manage claims from initial investigation to resolution, coordinating medical treatment and indemnity actions. The role emphasizes collaboration with nurses, legal, and medical resources to optimize outcomes.

Requirements include a High School/GED and 1 year WC claim handling or completion of the WC trainee program. Strong analytical, negotiation, and communication skills are essential for success.

Qualifications

• High School Diploma or GED is required.
• 1 year workers compensation claim handling experience or completion of WC trainee program.
• Analytical thinking to identify problems and opportunities; synthesize information; determine cause/effect relationships.

Responsibilities

• Investigate claims to determine compensability and policy coverage.
• Establish and update reserves; document rationale and actuarial considerations.
• Manage files with timely contact and proper documentation; aim for prompt resolution.
• Collaborate with medical, legal, and nursing resources to pursue claim resolution opportunities.
• Negotiate settlements within authority; consider structured settlements where appropriate.
• Maintain knowledge of WC rules, regulations, and filings; ensure compliance.

Skills

Analytical thinking

Communication

Negotiation

Teamwork

Plan & organize

Investigation

Claims handling

Education

High School/GED

Job description

Travelers Insurance, based in Richardson, Texas, seeks a Workers' Compensation Claims Specialist to manage claims from initial investigation to resolution, coordinating medical treatment and indemnity actions. The role emphasizes collaboration with nurses, legal, and medical resources to optimize outcomes.

Requirements include a High School/GED and 1 year WC claim handling or completion of the WC trainee program. Strong analytical, negotiation, and communication skills are essential for success.