Senior Workers Compensation Claim Representative

Travelers • Richmond, VA

99d • $65,300 - $107,600

About The Position

The Senior Workers Compensation Claim Representative will manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. The role involves coordinating the medical and indemnity position of the claim with a Medical Case Manager. The representative will independently handle assigned claims of low to moderate complexity, which may involve minor sprains or moderate surgery. The position requires close to moderate supervision for claims of greater complexity, including those with moderate to complex litigation issues. The representative will conduct investigations, establish reserves, manage files, collaborate with specialty resources, and negotiate settlements.

Requirements

• High School Diploma or GED required.
• Minimum of 1 year Workers Compensation claim handling experience or successful completion of the WC trainee program required.
• 2 years Workers Compensation claim handling experience preferred.
• Analytical thinking skills to identify problems and explore alternative solutions.
• Strong communication skills to express thoughts clearly and concisely.
• Intermediate negotiation skills to reach fair agreements.
• General knowledge of insurance contracts and principles of investigation.
• Intermediate knowledge of medical conditions and treatment needed.

Nice To Haves

• Advanced customer service skills to build and maintain productive relationships.
• Advanced teamwork skills to work collaboratively in interdependent situations.
• Advanced planning and organizing skills to establish action plans.

Responsibilities

• Conduct investigations to determine compensability by assessing policy coverage and contacting relevant parties.
• Establish and update reserves to reflect claim exposure and document rationale.
• Manage files with an emphasis on file quality, ensuring timely contact and proper documentation.
• Collaborate with internal nurse resources to integrate medical services into the claim strategy.
• Pursue offset opportunities, including apportionment, contribution, and subrogation.
• Effectively manage litigation to drive files to an optimal outcome.
• Negotiate settlement of claims within designated authority.

Benefits

• Health Insurance for employees and eligible family members from the first day of employment.
• 401(k) matching contributions dollar-for-dollar up to the first 5% of eligible pay.
• Pension Plan that is 100% funded by Travelers.
• Minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
• Wellness Program providing tools, discounts, and resources for wellness goals.
• Volunteer Rewards program to encourage community involvement.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED