http://careers.travelers.com/go/Albany-NY-Claims-Jobs/33349/ View Albany NY Claims Jobs at Travelers Tue, 09 Feb 2010 23:02:33 GMT en-us /view/client/travelers/images/home_logo.gif http://careers.travelers.com/go/Albany-NY-Claims-Jobs/33349/ 720
Job Title:

Medical Case Manager

Job ID:

791881

Location: NY-Albany

Available Openings:

Committed. 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.



SUMMARY:

Office based telephonic medical case management with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations. Responsible for helping to ensure injured parties receive appropriate treatment directly related to the compensable injury or assist claim handlers in managing medical treatment to an appropriate resolution.



PRIMARY DUTIES:

Contact medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical care. Develop medical management strategy and give the provider information necessary to facilitate a return to work plan on claims requiring disability management. Responsible for ongoing evaluation of treatment and return to work plan, within established protocols.

Work with medical providers and suggest cost effective treatment alternatives, when appropriate. Help ensure that all injured parties are on an aggressive treatment plan. Authorize medical treatment and associated diagnostic testing on assigned claims as allowed by state or policy jurisdictions. For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines. Utilize physician advisor program.

Proactively manage the medical expenses by partnering with specialty resources to achieve appropriate claim outcomes (SIU, Legal, Risk Control, Disability Management, IME and Peer Review vendors, Major Case, etc.)

Obtain medical records from providers telephonically during initial contact, and follow up with written correspondence if necessary. Discuss medical information and disability status with claim handler and integrate into overall strategy to ensure appropriateness of indemnity payments. Provide technical assistance and act as a resource for claim handling staff.

Contact employer to initiate modified duty or full return to work. Obtain job description and discuss job modifications required to ensure a prompt return to work. Medical Case Manager will work with employer, injured party, provider and claim handler to expedite return to work.

Identify cases requiring task assignments to field case managers, discuss with supervisor for assignment to Medical or Vocational Case Manager, or vendor.

Document all contacts and outcomes related to case activity in system. Submit billing reports on all activities per established guidelines.

Provide feedback to Preferred Provider Network regarding provider nominations and experience with providers.

Comply with established Best Practices

Perform other duties as required.



EDUCATION/COURSE OF STUDY:

Registered Nurse or other qualified health professionals.



CDMS, CRC, CCM, CRRN desirable



WORK EXPERIENCE:

Disability case management experience preferred.



CERTIFICATES/DEGREES:

Appropriate license per state regulation



COMMUNICATION SKILLS:

Very strong oral and written communication skills.



COMPUTER SKILLS:

Good computer skills



OTHER:

Strong clinical background.

Knowledge of medical causation and relatedness, as well as use of medical treatment protocols and physician advisor/peer review programs.

Understanding of Workers Compensation laws or Auto First Party Medical preferred.



File Management

Nursing skills and knowledge

Customer Focus/ Communication

Relationship Management

Use of Technology



Travelers is an equal opportunity employer. We actively promote a drug-free workplace.]]> http://careers.travelers.com/job/ALBANY-Medical-Case-Manager-Job-NY-12201/673574/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS http://careers.travelers.com/job/ALBANY-Medical-Case-Manager-Job-NY-12201/673574/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS
Job Title:

Inside Sales Executive, Select Accounts

Job ID:

792632

Location: NY-Albany

Available Openings:

4



Committed. 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.



SUMMARY:

Responsible for achieving the financial plan through managing assigned distribution. Responsible for the execution of industry leading sales strategies; initiating and developing highly effective sales relationships with customers, distribution resources, and fellow employees. Creates tactical sales plans that provide for the profitable growth of respective segments - consistently delivering on Select Accounts flow and revenue goals.



Position requires state of the art consultative and transactional sales skills, superior knowledge of Select Accounts products and services, broad-spectrum knowledge of corporate enterprise wide capabilities, and exceptional influence management skills. Delivers sales success within our framework of corporate values. Assigned to those agents with smaller, Express-oriented books of business, or those agents geographically difficult to handle. All sales calls are telephonic, virtual sales calls.



PRIMARY DUTIES:

Identify and develop a flow of new customers that fit our profile and exceed our production goal Understand specific industry characteristics of each segment including key needs and buying patterns and use effectively in positioning our products, platform, and services

Develop annual agency flow and production goals

Work with designated distribution resources to develop sales plans for targeted segments

Own responsibility for managing assigned distribution

Establish strong producer relationships through high frequency of telephonic customer contact, clear knowledge of company strategy and joint sales planning

Help facilitate working relationships between distribution resources and AE-s

Own the execution of the Select Business Development Process and Best Practices

Maintain superior knowledge of competitor products and capabilities along with local market trends

Effectively articulate and position the Select Value Proposition

Demonstrate the ability to build partnerships with other business groups to identify and initiate multiple product solutions at the account level

Work collaboratively with other business units in the territory and prepare a comprehensive marketing plan designed to increase market share

Work collaboratively with other business units to remove roadblocks and administrative obstacles to ensure agents and brokers see Travelers as -easy to do business with-



EDUCATION/COURSE OF STUDY:

4 year college degree or related business experience



WORK EXPERIENCE:

2+ years insurance marketing or sales responsibility



COMMUNICATION SKILLS:

Exceptional verbal and written skills; listening skills and virtual presentation skills



COMPUTER SKILLS:

Effectively utilizes available office technology and internet applications (Work Queue;MS Suite; SE Toolbox, Lync, etc.)



OTHER:

Select/Enterprise Knowledge - demonstrates and applies knowledge of appetite; product; platform and Agency Compensation as well as Enterprise support services (Service Center, Claims, Billing, etc.)

Sales/ Sales Management - develops short and long term action plans based on analysis of relevant data; demonstrates exceptionally strong Professional Selling Skills; knows when and how to apply consultative and transactional sales skills;

Collaboration and Relationship Management & Resiliancy - ability to build and sustain long term productive internal and external relationships; ability to effectively deal with pressure, work related issues in professional and positive manner.

Influence the Sale - ability to effectively influence internally and externally;ability to convince agents to represent and promote Travelers products and services.

Agency Management - thoroughly understands agency business and behaviors; develops flow required to achieve annual goals; advising and consulting to agency constituents to develop mutually beneficial outcomes.

Adapting to Change - Adapting to changing situations, restructuring tasks and priorities as changes occur within business unit.

Decision Making - Uses resources, and data to make fact based decisions in a timely and efficient manner.

Financial & Business acumen- demonstrates market knowledge; territory awareness (including headroom opportunities and competitor strengths & weaknesses)

Integrity - Upholding a high standard of ethics and professionalism in all actions.



Travelers is an equal opportunity employer. We actively promote a drug-free workplace.]]> http://careers.travelers.com/job/ALBANY-Inside-Sales-Executive,-Select-Accounts-Job-NY-12201/728088/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS http://careers.travelers.com/job/ALBANY-Inside-Sales-Executive,-Select-Accounts-Job-NY-12201/728088/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS
Job Title:

Auto Appraiser

Job ID:

792594

Location: NY-Albany

Available Openings:

Committed. 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.



WORK SCHEDULE: Tuesday - Saturday



SUMMARY:

- Provide effective communication and customer service to all external and internal customers.

- Demonstrate proficiency in estimating, investigation, evaluation and negotiation of 1st and 3rd party Auto claims.

- Provide all lines of business and departments, i.e., Property, Boat and Yacht, Inland Marine, Public Sector, etc., with inspection and investigation assistance as needed, including Catastrophe response.

- Identify and coordinate with appropriate claim resources on coverage issues, subrogation, salvage, and potential fraud opportunities to achieve optimum final claim resolution.

- Assist management by participating in the development of new and inexperienced field Auto claim staff.



PRIMARY DUTIES:

Provide interpersonal, verbal and written communications that promote providing a secure, respected and cared for experience for our customers.



Ensure optimum file outcome on assigned claims.

- Effectively manage work assignments and promptly travel to location of vehicle/equipment.

- Execute prompt and immediate contact with vehicle/equipment owners to inspect loss, provide claim direction, exchange information, negotiate, settle and move vehicles/equipment as appropriate.

- Actively support Auto Business Plans such as Concierge, Direct Repair and GO programs.

- Achieve and maintain appropriate technical expertise, certifications and regulatory required licenses through successful completion of company and industry classes and training.



Establish the physical damage claim value of assigned losses.

- Prepare and document accurate vehicle/equipment damage appraisals, Actual Cash and Replacement values according to insurance department regulations, Auto Best Practices and Appraisal Technical Resource Guide.

- Utilize technical expertise and information gathering to accurately determine physical claim value of claims using company recognized resources, estimating and evaluation software.

- Achieve authorization to initiate payment to the customer or provide settlement amount to the assigned Claim Representative for payment. This may include presentation of facts gathered to appropriate leadership, depending on settlement amount and authority level.



Partner with internal resources throughout the life of the claim. Resources could include Property, Auto, Auto Liability, Subrogation, SIU and other internal resources appropriate to the specific claim type. Partnership from initial investigation through final recovery to ensure appropriate claim resolution and pursuit of alternative recovery sources.



In collaboration with Claim management provide on the job training and assist in the development of new and inexperienced field Auto claim staff (inside and outside).



Comply with all insurance department regulations and applicable laws.



The following duties are concurrent with those listed above:

- Appropriately control claim values, including loss of use and rental reimbursement, through use of cost containment tools.

- Provide operational intelligence to Travelers business partners through accurate data reporting.

- Maintain continuous and effective communication with customers, Agents, Claim Staff and related business partners on assigned claims.

- Occasional overnight travel for training and inspections on first and third party claims as assigned.

- Occasional Catastrophe Duty, including other offices and states may be required.

- Accurate and timely reporting of overtime, travel expenses, time off, special project, etc. as required.



EDUCATION/COURSE OF STUDY:

College or Technical School Degree strongly preferred



WORK EXPERIENCE:

- 2 - 5 years related appraisal experience, preferably with an insurance company.



- Strong technical background including extensive knowledge of auto repair and repair techniques, including thorough understanding of auto terminology and construction, knowledge of claims appraisal systems and overall claim operations, Windows proficiency, including Excel and Word.



OTHER:

- Ability to provide on the job training and development of Auto claim staff.



- Advanced mathematical and computer proficiency skills.



- Ability to promptly travel, with little or no advance notice, demonstrating effective planning, expense and cost control skills.



- Understanding of Privacy Act when dealing with personal and confidential information.



- Ability to remain current on jurisdictional laws and regulations, and communicating compliance requirements to other claim staff as appropriate.

- Commitment to continuous education.

- Demonstrated ownership attitude and customer centric response to all assigned tasks.

- Professional License, Registration, or Certificate is required to hold this position depending upon state regulations.

- Valid driver-s license and good driving record.

- I-CAR Gold Class Professional level in Collision Repair preferred.



- Executes Business Strategy at the desk level

- Drives Results

- Maximizes Individual and Organizational Performance

- Communicates Effectively and Influences Others

- Leads Change

- Exhibits Courage, Conviction, and Credibility

- Applies Critical Thinking

- Accountability

- Promotes Enterprise Culture

- Creates and Sustains a Dynamic Workplace



Travelers is an equal opportunity employer. We actively promote a drug-free workplace.]]> http://careers.travelers.com/job/ALBANY-Auto-Appraiser-Job-NY-12201/724239/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS http://careers.travelers.com/job/ALBANY-Auto-Appraiser-Job-NY-12201/724239/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS
Job Title:

Catastrophic Outside Property Claim Professional Trainee - Albany

Job ID:

792458

Location: NY-Albany

Available Openings:

Committed. 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.



Catastrophic Outside Property Claim Professional Trainee -Albany



SUMMARY:



Complete formal Property Training Program for consideration of advancement to Outside Property Claim Representative Position. This will include, but not be limited to formal training held in our state-of-the-art training facility in Windsor, CT, as well as on the job training in the field.



Effective handling of personal and commercial lines property claims of basic to moderate complexity.



Contacting clients, determining coverage, scoping of loss and completing damage estimates via Xactimate software, negotiating and settling claims per Best Practices and within DOI regulations.



Managing a file inventory in an organized manner including maintaining an effective diary system and accurately documenting claim activity in system file notes in order to effectively resolve claims.



Establish and maintain favorable working relationships with customers, marketing partners, contractors and all internal parties/ resources.



Write denial letters, Reservation of Rights, and other complex correspondence.



Identify and refer claims with high-level exposure to the supervisor as warranted.



Refer claims to Special Investigations Unit and/or Subrogation Unit as warranted.



Perform administrative functions such as expense accounts, time off reporting, etc. as required



Perform any other duties as required.



Demonstrate proficiency in estimating, investigation, evaluation, and negotiation at the most reasonable cost. Satisfy customer needs and ensure file quality.



PRIMARY DUTIES:



Handle Property claims of lesser value and complexity as assigned.

Complete field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer-assisted estimates.

Investigate and evaluate all relevant facts to determine coverage, damages, and liability of property damage claims.

Access and inspect all areas of a dwelling or structure including tight spaces such as attic, staircases, entries, and crawl spaces

Lift, carry, unfold and set up ladder weighing approximately 38 pounds; climb ladder; transition to and from ladder to area requiring inspection; walk on roof.

Establish timely and accurate claim and expense reserves.

Negotiate and convey claim settlements within authority limits.

Write denial letters, Reservation of Rights, and other complex correspondence.

Control damages through proper usage of cost containment tools.

Meet all quality standards and expectations per Best Practices.

Maintain an effective diary system and document claim file activities in accordance with established procedures.

Manage file inventory to ensure timely resolution of cases.

Handle files in compliance with state regulations, where applicable.

Provide excellent customer service to meet the needs of the insured, agent, and all other internal and external customers.

Identify and refer claims with MCU exposure to the supervisor.

Recognize when to refer claims to Special Investigations Unit and/or Subro Unit.

Perform administrative functions such as expense accounts, time off reporting, etc. as required

Perform any other duties as required.



EDUCATION/COURSE OF STUDY:

College degree or equivalent in business discipline.



WORK EXPERIENCE:

Previous property claim handling experience is preferred.

Knowledge of construction, estimating and estimating system (Xactimate preferred)



COMMUNICATION SKILLS:

Must display solid verbal and written communications skills.



COMPUTER SKILLS:

Hardware and software skills and abilities including computers and other similar electronic devices.



OTHER:



Excellent organizational skills with the ability to work independently.

Solid analytical skills.

Excellent negotiation skills.

Candidates must have excellent customer service, communication and organizational/time management skills, as well as the ability to competently handle multiple tasks simultaneously.



Two or four year college degree preferable, however all candidates will be considered.



Construction industry experience and/or knowledge are a plus. Claim adjusting experience in another line of business is helpful.



Must possess a Valid Driver's license.



Working Environment:

Inside/Outside working environment, including access and inspect all areas of a dwelling or structure including tight spaces such as attic, staircases, entries and crawl spaces. Lift, carry, unfold, and set up ladder weighing approximately 38 lbs; climb ladder; transition to and from ladder to area requiring inspection; walk on roof or other similar physical tasks.



This position requires extensive nationwide travel and the incumbent must be available for immediate deployment within 24 hours of notification. The required standard tour length of 28 consecutive workdays, plus 2 travel days is also expected to be met.



Incumbents who fill this position will be subject to periodic post-hire criminal background checks while employed in this position. As a condition of acceptance for the position, selected candidates for this position will be required to electronically accept the Fair Credit Reporting Act (FCRA) Disclosure Statement and Authorization included in the online employment application. You may also be subsequently asked to accept similar FCRA authorizations periodically throughout your employment with the Company.



Travelers is an equal opportunity employer. We actively promote a drug-free workplace.]]> http://careers.travelers.com/job/ALBANY-Catastrophic-Outside-Property-Claim-Professional-Trainee-Albany-Job-NY-12201/716319/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS http://careers.travelers.com/job/ALBANY-Catastrophic-Outside-Property-Claim-Professional-Trainee-Albany-Job-NY-12201/716319/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS