Return to Work Case Manager - Construction Worker's Compensation

Return to Work Case Manager - Construction Worker's CompensationCommitted.  Competitive.  Constructing our Future.  That's Travelers. We are one of the leading insurance companies in the United States.  Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees.  You will find Travelers to be full of energy and a workplace in which you truly can make a difference. We are currently looking for a Return to Work Case Manager - Construction Worker's Compensation.  Please read on for more details regarding this position. JOB DESCRIPTION: SUMMARY: Investigate and manage lost time claims of both questionable and clearcompensability, and of varying degrees of complexity.  Manage incomingclaims through incoming claims roster.   Minimum 3-5 years NC and SC WC claims handling experience required,extra preferred.NC and SC adjusting license required. PRIMARY DUTIES: Management of roster of incoming claims, investigating incoming claimsfor compensability, nature and extent of injuries.Perform claim case management of Workers Compensation claims that areassigned. Contact injured worker, employer and medical providers in a timelymanner to gather relevant information to assist in the investigation andevaluation of the claim, and manage claims of varying degrees ofcomplexity through conclusion. Manage files with an emphasis on file quality (including timely contactand proper documentation), maximizing internal resources, and achievinga positive end result. Facilitate timely claim resolution by leveraging any mitigationopportunities, including vocational rehabilitation, non-cooperation,unrelated medical conditions, and potential fraud and abuse. Build strong partnership with our internal nurse resources (Medical CaseManager) in order to integrate the delivery of medical services to theinjured worker. Work with our subrogation department in the investigation and pursuit ofsubrogation opportunities.Build strong relationships with accounts of varying size throughaggressive management of their claims.Identify claim issues as they arise, and take appropriate steps toresolve them.Establish appropriate reserves to reflect claim exposure. Manage litigated files through resolution of all legal issues, and buildrelationship with panel counsel.Work as part of a small claims team and willing to take on additionalresponsibilities as needed.Act as technical resource to others.  EDUCATION/COURSE OF STUDY: College degree is preferred.  WORK EXPERIENCE: 3-5 years minimum of NC and SC workers compensation claim handlingexperience including investigative skills, resolution skills,evaluation, negotiation and reserving skills  OTHER: Complete understanding of all policy, coverage and endorsementimplications, and AOE/COE issues Technical and jurisdictional and case law knowledge. Must be licensed to adjust claims in NC and SC.Strong reserving skills, including actuarial submissionStrong investigative skills, including taking statementsStrong presentation skillsStrong evaluation, negotiation and case resolution skillsFile Management Customer Focus/ Communication Relationship Management Technology  In addition to an exciting environment, we offer: * Competitive base salary with additional opportunities for variable pay through recognition programs and incentive awards * 401(k) with company match* Comprehensive health plans that include coverage for same sex/domestic partners* Strong work/family and employee assistance programs* Tuition reimbursement * Vacation Purchase Plan* Training/Development opportunities We are proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including a very competitive financial package. Explore what we have to offer.  For immediate consideration for this position, please click on the "Apply Now" button at the bottom of this posting.  Travelers is an equal opportunity employer. We actively promote a drug-free workplace.   Company: Travelers Companies, Inc.