Medical Case Manager

7 days ago


Fort Worth, Texas, United States The Travelers Companies Full time

Overview

The Travelers Companies is a leading property casualty insurer that has maintained its reputation as one of the best in the industry for over 160 years.

We are seeking a highly skilled Medical Case Manager to join our team. This role will be responsible for providing office-based telephonic and/or in-person medical case management supporting Concierge locations with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment.

This position will work out of a Concentra clinic in Fort Worth, TX, where you will have the opportunity to have face-to-face time while working as a case manager.

Responsibilities
  • Meet with injured employees face to face following office visits at a provider's medical facility to assist with the claim process and ensure compliance with their medical treatment plan.
  • Contact customer, medical provider, and injured parties on claims involving medical treatment and/or disability to coordinate appropriate medical care and return to work.
  • Develop strategies to facilitate an injured employee's return to work and achieve maximum medical improvement. Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.

You will be responsible for evaluating medical treatment requests to ensure that they are reasonable and necessary based upon jurisdictional guidelines. You will also engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor, peer reviews, MCU).

In addition, you will partner with Claim Professionals to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome.

**Salary Range:** $83,300.00 - $137,400.00 per year

Benefits

  • 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.
About Us

We are committed to recruiting, retaining, and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.



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