About this role
ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers . If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Salary Range $85,600.00 - $141,200.00 Target Openings 1 What Is the Opportunity? This role is eligible for a sign-on bonus. This position is hybrid. Employees may elect to work up to 2 days per week from their primary residence. Under limited supervision, effectively evaluate and manage high exposure Workers Compensation claims including catastrophic loss, specified serious injury and other complex claims. Attempt to resolve through innovative and expert claim management. This work may include: Remains out of work and unlikely to return to position. Employer is unable to accommodate the restrictions. Injured Worker(IW) has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with permanent restrictions and job is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more complex files. Injuries may involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving complex offsets, permanent restrictions and/or fatalities. Claims on which a settlement should be considered. What Will You Do? CLAIM HANDLING: 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. Establish and update reserves to reflect claim exposure and document rationale. Identify and set actuarial reserves. 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. INFLUENCE AND COMMUNICATION: 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. OTHER ACCOUNTABILITIES: 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.