Senior Technical Claims Specialist

5 days ago


Federal Way, Washington, United States Travelers Insurance Full time
Job Summary

We are seeking a highly skilled Senior Technical Claims Specialist to join our team at Travelers Insurance. As a Senior Technical Claims Specialist, you will be responsible for evaluating and managing high exposure Workers Compensation claims, including catastrophic losses, specified serious injuries, and other complex claims.

Key Responsibilities
  • Claim Handling: Work collaboratively with specialty resources to manage medical treatment and lost time benefits in cases involving complex issues or potentially high financial exposure.
  • Develop Strategies: 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 Claims: 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.
  • Facilitate Timely Resolution: Facilitate timely claim resolution by leveraging any mitigation opportunities.
Requirements
  • Education: College degree highly preferred.
  • Experience: 5+ years Workers Compensation experience strongly preferred.
  • Skills: Analytical thinking, communication, negotiation, thorough insurance contract knowledge, principles of investigation, value determination, settlement techniques, legal knowledge, medical knowledge, WC technical, customer service, teamwork, planning & organizing.
What We Offer
  • Health Insurance: Employees and their eligible family members are eligible for coverage from the first day of employment.
  • Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum.
  • 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.


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